|
everett
<br />� , ,,;,,, , ,, ,,;,,
<br />, , ,,, � , ,...; �,�.:,,,
<br />Ralpli Sobottke
<br />lNCllll! l 1 t�H UI!:II;IJI Ir
<br />CONSTR UCTION
<br />PERMiT
<br />COMBINATION • BUILDING • MECHANICAL • PLUMBIVG
<br />�,,,�� ,,i�n�:� � � �� � ,�
<br />6512 East Berkshire 9t1203 353-7714
<br />N4i1 nI�1�1�1`,. �'�IiiNl IICi'.., ..��
<br />t�fNLPnt (:UN1H.1CIt111 A1N, �11�I�HIS6 PHONf I.ICEN:f ���,
<br />Same
<br />MFGI�NICALCON111ACTOR MAllA0ONE55 PIIONE �JC[N;L�h��
<br />�`�l�L�pINGCONTN�ICTOR MNLApDfiESS PHONE LICCN51 H��
<br />_-_- __._ _ . ____- _ _._.__
<br />PLHMR�'----�- ---���"----� - -_ CI.A550! WpHK
<br />❑CCMNINIITION
<br />��UII.OING ❑PWMOING []�1LCHANIC/�I ❑N�W �n��U1T10N
<br />VALUAiION�,FWOfiK "-�'-- - ...----�--��-�-'-__
<br />2�000.00 ❑otnnoiisu ❑i[rvce
<br />__'_5'_-_ __-____ . . �
<br />DE'SCf:�tiE Wo11Y:
<br />add por�h
<br />YNU"OSLf) L'S6
<br />single family
<br />L�cnl. DEsc 1IPTInrv o1 rno�'I_H� v C.uuw uLl �lw ��N nl i n�]� �.�..
<br />f OUH CUPIE51
<br />i nr _li— ti�acK.�_ ur ._ . BeVerly Hills Uiv. N2
<br />JUIi ADDf1ESi --� � ���� � � �
<br />6512 ➢�et Berkshire �'""•
<br />PLUMBING i
<br />—_ _._ . _. _ _
<br />p/ FI%1URE OR ITEM - F
<br />�____. . _
<br />Nn7Eli SEHVICE SIZF_
<br />S�Uf YAftU:;EfOACK .
<br />❑ni Tt.i�n�ioN ❑i+u•nnv
<br />o :��;N ❑�,W�MM�N�' ,,�,���
<br />cv��ren
<br />�
<br />3
<br />W
<br />m
<br />D
<br />MECHANICAL
<br />IVI'I �ll IIJIHl11' � �
<br />�I�.n: ❑CLF.C.
<br />NO. � TVPE OF E�UIVMENT � FEE __
<br />AIRCUNU.UNII$ II.IILA. S I
<br />�f111HIGINNIf�IIUNi�'1 IIV I.A _ _ �__
<br />� fl(111 ( H'I 111' 1 A I
<br />1 _�_
<br />�, 1UHCf U AIH SY�II MS ❑.LU. MLf� _
<br />� . ..__ '. _____ I
<br />�.��'nCf n wnLl n1�n1EnS O.T.U. _ � _
<br />Ur��llli_nllP� ❑1_U. �� �
<br />� � � - - -------_ _ --- ----�--
<br />i vr,��unniiv�. cooirr+s __�y
<br />'c�oruil:n�vvtRs--�-- — I
<br />� v � r� t n n n n n i n rv � —�—
<br />� III�N�,I II�IUp I �� ����
<br />� ..._.-- _-- —
<br />nIN11/�NI111NtVUVII fl Rt ._' __1__'__
<br />I
<br />� _'T__-
<br />�wnirr���enren . _.__-�_"'__.
<br />�nr Huiit iir�irinct ncnivrv�v I
<br />��.Ati :v;if.M NO�)POU1111:� ��..—r... .��
<br />_.._ _-"l'__-_.
<br />'tUli ��.�.\I I
<br />� PI��AIii _ _5.. ______T--'_
<br />_._.___. _._�- _-
<br />IUIM. I I.P 5 I
<br />_ ._._..____..._._-___._._ __
<br />Iln'I 19 qMlt 6LCOMES NUI.I ANU VOIU �1� WOPK Oli CONSTNUC
<br />IIUN AlI1HOHllLU �: NOT COMMfNC[D WITHIN 120 ^AVS.OR If
<br />CUN:IHUCIION OH NIUIIY. Iti SU9TNO[U GH AItAM1COlvLO !OR �
<br />PEN�fID 1�1 1]0 f)AV$ AT l�NV iIMC Al ILfi WOf1N I;COMMENCED.
<br />I 11(HfL'V C.LHLII V illf�l I IIAVI H(AU ANfI L%AM111N[U llllti N'
<br />1'1 iCALICN Ayl> KNnW 11�I� .'�4M! IO IIL 11IU1 AN[� CURIIFCt. M.l
<br />PHOVI:IONti Uf 1 AW$ ANU t11101NANCF.: fDVFIINMG 1HIti IYPf
<br />.]1 WOI-Y WII 1❑L CUMI'l ICU WI111 WIII 111L11 SYFCI1111) 11l.HI-IN
<br />oN NU1. IIIL GHA�aIINt; uf A Yf.HMII l'OFS NOT VNCtiUMt. lU
<br />��IVI nU111UH11V t0 V�t>I A'1. UII CANfLI- f111- 1'Rt1Vl`;ION` tlf
<br />nrvv ��nn r� r,inn nn n.�cni i nw i+iauinrir�ccoNc.nucnorv
<br />„i� i�u riinr�i�mnnu ui cnrv��rnucnorv
<br />� /
<br />fOiAL --'— �'---~ �--
<br />IIT S + J
<br />_. . ..- '_ _ _ � ��"�' /r
<br />L FEE ' X� .(P� ? LYG�f�c.{�[_l.(�__
<br />IiLUL $UPPIV ILF. ';���NAIUHI l)1 C NlfiAf, r)HAlJlll AGFNI
<br />5( 1lIACY, Nf nN vnHll ;I.IIfAr:K
<br />- -- -----. . __ . ._ .
<br />ISI loNlf ..-.- ... I.UT AHF� VACANI Sill
<br />UYLS ❑Nn
<br />1 �19 OF CONST. OCCVPANCV GFlOUP NO.Of��OWI l I�IN�'�
<br />UNIiS
<br />SilF OF DI.OG. � NO.Oi SiORIE9 - M�A. UCC. 1 o�U
<br />1 il�l TUNF � 11A51 MI NI �I illl '.PIIINY.I I H'1
<br />HI uliuU U
<br />[�vlti � ]K��
<br />,r•I l.inl. COrvD111U�J':
<br />- -----. - ri,.�r.�u�i.ii�u. - ;.:rFi.��.:ii.r.,��c.,,,,;.�,:�, .
<br />�, . ., „ ��. . I I K.C.eb
<br />1'I API C1�1 CK NIIMIiI 11 I PLAN CRLCK 1 E!.
<br />'l l I 1i.Cl��'i N!).
<br />78/290 '' 10.00 , 30023
<br />f-E[5 ; VALUA710N � � FEE �
<br />� . _.__.-�--
<br />1
<br />.__ __.___1 ._
<br />I
<br />���������r°' `' 2�000.00 20 100
<br />. -_ _ . . __ _"_-.' _-_i_ -
<br />PI UMIIWL �
<br />_"_-_ ____L ___ .
<br />. ___ _._ -__-- I
<br />MI CI�ANICAI I
<br />. _- __. __ -_ _ 1. .
<br />�llllf 11 I
<br />I
<br />. __ .____ . ___.....__."_____ __.__ _—T..
<br />19N/�I IY !�d(' 11011.d �
<br />1
<br />TOTAL 2O I 00
<br />r[ nMir vni.ionnoN .''''��
<br />G�1��:�'n���'I I'i �`::.I'I�.1111�� � Vl�CC�I,�'�1��1K'IM111 1
<br />�
<br />YQU R REuElP7
<br />rH� �r�u �
<br />, + . • �
<br />.. - � M.�1 % � • . . �
<br />
|