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'' ` ,,,, CONSTRUCTiON � <br /> everctt <br /> ��� ; , � PERMIT <br /> e��erett �� <br /> cirv �aa��.,�s�as 1 <br /> eveaerT, wn cazo� COMBINATION • BUILDING • MECHANICAL • PLUMBING � <br /> OWNER I <br /> MAII AOOqE55 ZiP PHUN� <br /> General Telephone N.W. Inc. 1800 41st 98201 m <br /> ARCHI fECT OR DCSI.NLfi p1AIL AD�HE55 PHOf;L UC[KSE KO. z � <br /> � <br /> � IGENERALCONTRACTOR MAILADDRESS PHONE LICENSENO. z <br /> Cobra Construction P.O. Box 1299 334-5015 CO BR AG G2 OBZ � <br /> M1IECHANICAL CONTRAGTOR MAIL AOJRESS PHONE LICENSE NO. � � <br /> W <br /> r" �PLUUif3�NGCONTRACTOR MAILADDRE55 PHONE LICENSENO. � <br /> PLH'1!T � CLASSOFWORK - I <br /> ❑C.':.581NATIfiV <br /> ❑IIVILDING �PWM6iNG �IA:tiNAMICAL • <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br /> VA WATIGN OP WOqK <br /> S lO�OOO. 00 ❑DEMOLISH ❑FENCE ❑SIGN ❑$WIMMINGPOOL <br /> DESCRIeC WOFK . <br /> surface parking lot <br /> PNOrpyED US[ � <br /> paYk].rig lOt MECHANICAL <br /> TVPE OF ENFRG V <br /> LEGAL DESCRIPTIOf' �r 1'ROPLHTv ISMOW BELOW JFi ATTACH ❑GAS ❑ELEC. <br /> FOUH COPI[5) <br /> �or �—$o�ocK79.�oF�YQY� NO. TVPEOFEUUIPMENT FEE <br /> AIR COND. VNI75-H.P. EA. S I <br /> f.EFRIGEfii.TION UNITS-H.P. EA. <br /> DOILERS-I/.P. EA. � <br /> FORCED AIR SVSTEMS-d.T.V. MEA. <br /> I <br /> JOO ADq[i{$SS BTOddWdy _��PACE b WALL HEA7ER5 - B.T.U. <br /> 331 j UNIT H[ATEqS-�.T.U. � <br /> F.VAPORATIVECOOLEAS <br /> PWM1161NG -�c�onies u�veas i <br /> � �-� vtNri�nrioN FnN —T— <br /> � nnNCE �io�o � <br /> NO. TVPE OF FIXTURE OR ITEM fEE niR HANOLING VNIT- C.F.M. <br /> AATH TUHS S � <br /> CLOTHFS WASHER � --' �----- ------- � <br /> WATER IIEATER <br /> UISH lNASHERS � fAC. OUILT FIfiEPLACE h CHIMNEY � <br /> DHINKING FOUNTAINS � GAg, Sv„TEM: NO OP OUTLETS <br /> FLOOH URAIf�S � __. <br /> KIICHEN SINK$ & OIS�'. � ___ ,. SVD TOTAL 5 � <br /> E3Afl SINKS PERMIT S <br /> fi00P DRAINS - RAIN LEADERS iOTAL F[f- S � <br /> SHOWER [3l�TH$ _ THI; PEfiMIT BECOMES NULL AND V(JIU IP WORK OR GONSTRUC <br /> Sf-HVICE SINKS TION AUTHDRIZ[D IS NOT COMMENC[U WITHIN 120 DAVS, Ofl If <br /> SUMPS -- Sf WAGE PUMP CONSTRUCS ION OR WORK IS SUSPEN�EO OR AOANDONED FOR n <br /> - PE�tIOD Of 120 DA\�5 !�T ANY TIME AFTEfi WORK IS COMMENCEO. <br /> UHINAIS i <br /> WATER CLOS[TS 1 I HER[UY [EfiTlf-Y THAT I HAVE REAp .1ND [%AMINED THIS nP <br /> WATER HEATEflS - ELECTfiIC � �LICATION AND Y.NOW THE SAMf: TO f3E TRU[ nNO COliRECT. ALi <br /> PROVISIONS OF LAWS ANU ORfJINl�NCES GOVFNNING THI$ T1'P! <br /> WASH [3ASIN5 � OF WORK WILL 6E COM1IPLI[D WITH WHEiHER GPFCIPIED HENpIN <br /> LAUNUfiV TRAVS OR NOT. THE GRANTING Uf A PERMIT UOES NOT PqCF,UME TO <br /> �—�— GN[ AUTHOfiITV i0 VIOI.ATE OVi CANCEL THE fNOV15iON5 UP <br /> ANY OTHGR STME OR LOCAL LAW PEGULATING L'OI:STHUCTION <br /> � Ofi THL PLfiFO(iMANCL OF CUNSTRUCTION. <br /> i SUB TOTAL t <br /> PERMI7 5 12�Z�•�� <br /> TOTAL FEE x <br />� WATER SERVICE 512E ❑LDG. SUPPLV SIZE SIGNM-URCOf-CONTRACTORORAUTH.AGENT UnT[ <br /> SIOLvf.RDSETUACK STfiECTS[T[iACK REARVAROSET�ACY. PIANCHECKNUMAER PLANCHGCKfEE <br /> FEE NLCEIPT NO. <br /> use zoNe �or naen — vncnNr siTe 77�742 N/A <br /> ❑vE5 ❑NG FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GFOUP NO.OF DWELL�NG <br /> UNITS � <br /> 512EOFULOG. NO.OFSTORIES MAX.00C. L0l1O �BUK�ING § 10�QQQ.00 5'21�� <br />� -- _�_ <br /> I'1UM81NG I <br />� FIHL20NE BASEMENT FIRLSPFINKILRS I <br />( REOVIfiEU � � — <br /> ❑Y[5 ❑NO ��F 'HANICAL � <br />� SaECIAL CONDITIONS: ��T��E� I <br /> I <br /> 1-- <br /> Pf'Jl�Ltv SEC.707(al I <br /> __ —�_� <br /> TOTAL � � rjZ I�0 <br /> PERMI7 VALIDATION � <br /> -. — WHflJI'I�UPfIt1.YVALIDATGDUiILL'.TPq�t�'��¢�'�"If�EGii�dl� <br /> � .7 J J "� 7 V� <br /> YOUR REC'EIPT,', <br /> -. � ,,.��,�,�����P�����. P�����:,,��:.��.�:. ��„„�,����„�„�:.�,����� �,. TMIANK Y�4U ; . <br /> K.C.eb , " <br /> a � ' <br /> -in,,,_ _ � � '� , , , <br /> J <br />