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`�� '`"` P`UNSTRUCTION'" �� � C C <br />evexett PERMIT PERMITNQ::�� U�u� <br />259-8745 <br />❑ DEMOlITION ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING � SIGN <br />Mnll �OORE55 CIiY 2iP PMONE <br />OWNEP 347-3976 <br />I,es Vannice 1003 - 8th [4ukilteo <br />•HCHITECT OR DESiGNER <br />MAILPDORESS CITV ZIP PNONE <br />GENER�LCCNTR�CT011 MAII��OPESS GITv ZiP R�ONE IICFNSE� <br />Owner <br />MECH�NIC�LGOMTfl�CTOH MMI.�DOPE55 QTV 21P ��ONE LII'[NSE• <br />VLUMBINO CONTNACTOA <br />M�IL AODNE58 CiTY ZIP PNONE LILENSE � <br />;1�550f WORN ' <br />❑ NEW ❑ ADDITIOH ❑ ALTERATION �7 REPAIR ❑ DEMOLITION ❑ BUlLDINQ NELOCA <br />S 5,000. <br />)ESCR�BE WORN <br />Pour new foundation wall, repair, zeplace rotten enpporte, sill 5 aiding <br />iE�T50URLE <br />❑ ELECTRICITY ❑ OAS ❑ VIOODSTOVE ❑ OTHER <br />Family Reaidence <br />lOT � BIOf,N �_ O%_ <br />39290060370006 <br />!00 AOONE55 <br />6328 Berkehire <br />PLUMBIN6 <br />NO. TYPE OF FI1(Tl <br />WATER CLOSET �TOILET� <br />BATNTU6 <br />�pyp7ppY (WASM BASIN) <br />SHOWEN <br />KITCHEN SINK 6 DISP. <br />DISNWASHER <br />LAU1lCRV TRAV <br />CLOTMES WASHER <br />URINAI <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACNFLOW PREVENTERS <br />ROOF ORAIN$ — AA�NLEI <br />SINN �SFNVICE — BAR. El <br />U �E ZONE � <br />TYPE Of CONST � <br />size ov e�oc � <br />FIRE SORINNLERS PEOUIREO <br />nnaur.�nor+er.c nr <br />S.G./ <br />9F7E M.M. <br />I HEREBV CEHTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOIN THE SAME TO BE TRUE AND <br />CORRECT. ALl PROVISIONS OF LAWS AND ORDINANCES <br />GOVEHNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE R LOCAL W ULATING CONSTRUCTION OR <br />�ii�FORMA F STRUCTION. <br />si nr o� eor+r c.o �� aeo ecer+r, on owr+e 8���86 <br />�'Y�5 �� �� <br />E OR ITEM FEE N. PE OF EOUIPMENT <br />AiC — A/HNDLG UNITS — N P <br />REFRIGERAiION UNITS — Y. P. EA <br />BOILERS—BTU/HP <br />GASFlREDAC UNITS—BTU <br />— FOACED AIP S�STEMS — 8 T.0 M EA <br />WALLHEATERS—BTU M <br />UNIT HEA7ER5 — B i U M <br />EVAPORATIVE COOLERS <br />CIOTHESDRYERS <br />VENTILATION FAN <br />NANGENOOD <br />WATERHEATER • <br />ERS WOODSiOVE <br />� METAL FIPEPLACE 8 CMIMNEY <br />FIREPLALEINSERT <br />HEATPUMP <br />G/ S PIPING <br />E%HAUSTFAN <br />eUBTOTAL <br />GROUP <br />nr <br />� <br />fnE SET[iACM <br />JnCAM $ITE <br />]VES ❑NO <br />r�o or owe�ur+cuHns <br />Mnx occ io•o <br />nnrm wn issunvice nr <br />L.C. <br />BUBTOTAL <br />PERMIT <br />TOTAL FEE <br />PLAN <br />BUILDING <br />PLUM6ING <br />MECHANICAL <br />INVESTIG�ITION FEE <br />STATE BUILD�NG SURCHARG� <br />STATEENERGYSURCHARGE <br />OR�VEWAY � � RMIT <br />TOTAt <br />s s,00u <br />/ <br />� <br />RFCEIPT NO <br />FEE <br />%i <br />w r���'C79 <br />m <br />.� 1 <br />.���_ <br />73 <br />YC11M11 �nMVn��v�� <br />WHEN PROPERLV V�l10ATE0 �IN TMIS SPACEI THIS IS YOUR PEHMIT <br />