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-� _ -_,_� <br /> nc� Eveiyreen CONSTR UCTION <br /> __ — l'VC'1"C'tt <br /> "T�, `` PERMIT <br /> ev�erett <br /> c'�il' HnL12596145 <br /> cver�err, wn 9A201 GOMBINATION • 3UILDING • MECHANICAL • PLUMBING <br /> OWfVER L1AIL ApDH655 ZIP VHONE <br /> Gary A. Countryman 5615 IIroadway 98203 355-103� � <br /> �riCHITCGT Ofi DESIGNEP GtAIL AODitE55 PNONE LICHVS[ NO. � <br /> � <br /> LLI:ERAL CONTRACTOR MAIL ADDRE55 PHONE LICENSE NO. Z <br /> C <br /> 'dECHANICALCONTRACTOR MAIL ADDRE55 PHONE LICENSE NO. 3 � <br /> ';: m <br /> PWMBINGCONTRACTOR MAIIAUDRESS PHONE IICEN5EN0. .--" � <br /> PERMIT - CLA530FWORK -- <br /> ❑COMBINATION ' <br /> �IiU1LDING �PLUMBING �MECHANICAL y� <br /> ��pNEW ❑l�DDIIION ❑ALT[HMION ❑REPAIH <br /> VAI.UATION OF WORK <br /> s 4r500.J0 Oo�nnous�i ❑F�race ❑scra ❑sveiavnwnroo� <br /> DESCRIOE WORK <br /> 1 <br /> 28'x30' Garage <br /> Pi'OPOSED USE MECHANICAL <br /> Single f_amily __ _ � <br /> TVVF. OF ENENGV <br /> I.[GALOESCPIPTIONOFPROPEflTV �SNOW�ELOWOFATTl�CH ❑GAS ❑ELEC. I <br /> I OUR O IE51 _ , <br /> �9 56 Lowell View Tracts NO. TYPE OF EQUIPMENT FI:E <br /> LOT__BLOGK—OF— q�q CON�. UNITS-H.R EA. 4 1 <br /> -- fiEFNIGEi9ATInN Vl�ll:. f1.P. £A. <br /> — --- ooi�eies ii.r%.en.--- i I <br /> fORCED AIR SVSTEMS-�.T.U. MEA. � <br /> JO[I ADDRESS SVACE & WALL HEATERS - B.T.U. <br /> 5615 BroadWay uNir i�enrens n.r.v. i <br /> [VAPOIiATIVE CDOLEFS <br /> PLUMBING c�on+Es oivveas i <br /> VENTILATION FAN <br /> fiANG[ HOOD I <br /> NO. TVPE OF FIXTURE OH ITEM FEE AIH HANOIING UNIT- C.F.M. <br /> BAIH TU85 S �� � <br /> C�OTHESWASHER � WATER HEATEH <br /> DISH W�iHEftS � — ----- --- <br /> URINRING FpUNTAIN$ � FAC. BUILT FIREPLACE b CHIMNEV I ' <br /> FLOOH U�3AIN5 � _ GAS. SVSTEM: NO OP OUTLETS <br /> KITCHfN SINKS & DISV. � _ �UR TOTAL 5 � <br /> DA� SINKS � P[RMIT 5 <br /> f700F DHAINS � i7qIN LEADE(i� � iUTnL FEE 5 I <br /> SHOWFfi fSATF15 THI;-PLNMIT ItLCOMES NULL AND VOID IF WORK OR CONSTPUC <br /> SENVICE SINi<5 1ION AUTHON12E0 IS IJOT COMIdGNC[D WRHIN 120 DAVS, OP IF <br /> SUMPS � SEWAGE PUMP CONSIRUCTION ON WORK I; SU3P[NpED UN AOANDONED FOfi A <br /> � �'[RIOD OF 120 OAVS AT ANV TIML I�FT[ti WORK ISCOMMENCE�. <br /> URINAL$ � <br /> WATFR CLOSETS 1 � ��ERE6V CERTIf V 1 HAT I HAVE NLAU ANn E%AMIIJED THIS AP- <br /> PLICATION l�ND KNOW TNE SAMt TO 6E TRUE ANp CORRECT. ALL <br /> WA7EN NEATERS - ELECTRIC � PfiOV�510N5 UF lAWS AND ORfJIN�NC[5 GOVERNING THIS TVPE � <br /> WASH BASINS 1 OP WONK WILL f3E COMPLIGD WITH WHETHLfi SPECIF18n H[REIN <br /> I LAUNDRV TRAVS ON N(tT, THB GNANTING OF A PERMIT DOES NOT Pf�[SUME TO ' <br /> � GIVC AVTHOfiITV TO VIOLM[ OR C/�NCEL THF' PItOVI510NS OF <br /> --__._. nNY OtHGii STATE OR LOCAL lnW REGUL./�TiNG CONSiRUCT10N <br /> � Ult 1HG PEqFORMANC[ OF CONSTRUCTION. <br /> __ <br /> 1 <br /> SU(3 iOTAI } // <br /> P[I;MIT $ // //�//p �.,/ <br /> —_ TOTAL FEE_-- S X �c-'C/I : �_�' /Cit��G�/_(�`t�'.__— <br /> _ �� V CV <br /> WATERSERVICESIZE E3LDG. SUPPLVSIZE SIGNnIUNC ON Rn 'SOROfl�UT1 . l3[Nt on1l <br /> ;IOEVARDSET�ACK STREETSETOACK fiEARVAROSfTfIl1CY. PLl�NCHECKNUMAEN VL/�NCHLCKFE[ <br /> FEE NECEIPT NO. <br /> USL 20NL LOT AF.EA VACANT SITE 77�658 16. �Q 2�'��� <br /> ❑YES }+�No FEES VALUATION FEE <br /> TVP[ UP CONST. OCCUYANCV GROUP NO.OR OWELLING <br /> V—N J UNITS � i <br /> s�zi oF i3Toe- rvo.oF slonies Mnx.occ. �ono IlUILDING s 4500. 00 32 j 00 <br /> 2S'x30' 1 ` PWMOING �_ <br /> blliLZUNE OASEMENT FIli[SPqINKlERS <br /> fiEOUIREf� <br /> 3 �yEs �NU fdLCHANICAL I <br /> I <br /> tVP6CIAL GONDITIONS: p7��Eq � , <br /> - -- PENALiV SEC. 90�1a1 � <br /> TOTAL 3Z I OO <br /> PERMIT VALIDATION - <br /> ---- W11[fJPRpPF.HLVVALIDA7@DIIN�j�I+�ACGI�IN��.� PE��iA11T � i <br /> ( O {( <br /> - . YOUR RECEIP'i' i <br /> ��";'ni.ntlUN�GC(P1kUtlY: PLPNtiU1lCKLUHY: �M'POVIUfU111!3O�NC[PV '� � 'r}�qNK YOU � <br /> K.C.eb � <br /> a <br /> � ? "1 t�.T : :� <br />