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<br /> ' " ` " " CONSTRUCTION
<br /> � , � cveretl
<br /> � e� erett PERMIT �
<br /> IIIY .r1ll � i9�Ild�i
<br /> " �'� "�' � �+� ���:��� COMBINATION • f3UILDING • MECHANICAL • PLUMBING
<br /> ���,z� :
<br /> ..�.,�� .,u����� � . ;��� ������r��
<br /> Greg Luth & Ken Moberg kG20 Pledical Dental Bldg. 98201 256-4639 m
<br /> AHLIiI1fCIt�I11�lSIGNIH M�il AI�UI11`�: . . . . . -. �
<br /> I'llnl:l I ICI NSI Nll
<br /> Design Associate Clinton Wa. 3
<br /> tf1.NIRn1 CnN1HnClin� 4t4�1 nl�Ui�l '.�, - . .__. __.________. "�
<br /> Shcflf PMUNL LIC[NSf N!(-
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<br /> av.rnnrvicni cbNir,nc�,ur, . . n,nii nn:mu„ - - -- -- g
<br /> �`MONF LICCtlSL NO.
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<br /> PLU4qiINtlfUNlNiICTOq '.. R�
<br /> --"--'MMLnU11NE55 PHONE - .•�
<br /> LICENSENp �� �
<br /> - ._ .._-........__ . __' .. . �
<br /> PlHM1IiT - - �- . . .. CLASS Of WplIK '--- -.��
<br /> �COMNINAl10N -� �
<br /> �AUILDIN<: �PlUMI11Ntf x�MlCll(1NICA1.
<br /> ❑NLW ❑Aqp1710N UALICr1AilUN ❑^fPA1R
<br /> VqLUATIONOlIVORK�-�--- . .. - . �
<br /> 43 000.00 ❑i�tNc� ❑si,N ❑';WIM1IMW�� P.)ftl
<br /> b � [-li�in�uic:��
<br /> oescRine wons—_.___"__. . . ._
<br /> Relocate si.ngle family dwelling and-con•m�*�-�._+-?,.��_ �
<br /> Pnovoseo use .
<br /> Duplex MECHANICAL
<br /> —.-- -�-� - ---- _ �vi�i o��rr�� r,r.r . __ �-- ------
<br /> LEGAL DESCRI"TION Ot PH(�?L111� Iti110W d1 I.ttW Uq nt InCll-�--
<br /> FOUfiCOPIE51 �.���A'S ❑ELEC.
<br /> �oT �,8 _ ��p�K351_ ��� St NiChOlas _ NO. I TVPE OF EOUIPMENT FEE
<br /> S 15 -9 �nu� cuNu. urvns n.r. en. �-- ----- s � - I
<br /> � ni � iun� qniiuriurvn; nr�. En.�--- ---'t--
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<br /> __ . �Hn�� f HII �� P � n _.___--_
<br /> .__. .__ ... _.____.
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<br /> Z InHCtU nlli SYSIf.MS N.I.LL MEA.
<br /> -___ '_- . ._.. _._ �� I .
<br /> JOA ADofi635 - -� - . . .
<br /> , ':PAf! M1 WAI1 111 All HS p.T.U.
<br /> 1819 Cleveland AVenue '����i� ��i ��i ��,., �� � i� � - �--- — .
<br /> PLUMBING �iv����u����vi ciiniir�s ... _ —t-- . .
<br /> _.J- _ __ -_-___ .._ . _ .. _. . _ Z �,r.iunitsnnv� i�s - -- a � I
<br /> �� vir�uinnnrvinn� �� I
<br /> 2 nnN�a uo��u . .- � � n
<br /> N�. TVPE OF FIXTURE OH ITEM --'"
<br /> FEE i nni unNui �w,uNi i � r M — "f"�
<br /> dA1H iUH' � ---- '----r--
<br /> CLOTHESWASHEq S� 9yQO i - � - ' - �
<br /> �ISH WASH[HS ---"'-9.i00-. ' 1YniEH Iltnlel� ---- --'
<br /> DRINKING FpUNTAINS 4 ' ��-' � ���= ���'ii 1 i infri qCf ro c�uMN[v �
<br /> �
<br /> fLOOflDRAINS �- ' �ln!; gvf:ll�M NOOI' nUllli3 � "--T-
<br /> KITCH6N SINK$ ,y UISP - ---'� -� -�--
<br /> "- --4-i-00 � •:ini tutni. ��s_.�14T4�
<br /> ' 11N7 SINK$ --- �-
<br /> _'_
<br /> - i r��nnnii s _3� �
<br /> HOOF ORnINS � RAM L[nOERS � ��-----� -- �
<br /> 1- _
<br /> �I�IOWFFlH41N5 --'-----�--'- tnlnl. lFE 5 I I
<br /> 11�1•: i'I f�Mil lil CUM!!: Nlll l� ANf) VOIO IF WpRK OR JNS UC
<br /> $CHVICE SINN$ --"--- -- - --...�...-.. IIf�N AUIIUIN�P U IS NOt COMMENCCD WI1111N I:0 D�S. OR IF �.
<br /> tiUMPS SEWAGF PUMP --f"' f.uNcn NUl'1 ioN oH WoqK 1; SuSPI.ND1 f) o1v nIInN00NF.f� fOq A
<br /> URINAL$ ---- � --- °LtUnU OI 1]0 f)nV; qT ANv ll�lf nl ifR WOqK ISCOn.1MF.NCED.
<br /> WATER CLOtiEiS - j - ' I 11! liC11V CLlttil V 111/�1 1 npVl. Nf.AO ANO E%AMWFO IHIS AP
<br /> -- -" 4 1 00-__ vl iCnl in�� ANI) KNqW I111 :AMI. it) II1. 1lWE AND CORHFCT. ALL
<br /> WATFfI H[ATEIHS ELECTRIC Q � OQ__ i'�vnvisiuNs u1 i noyf; nNu tinuiNnNca.s rnV.nNINc i�aS TVPE
<br /> WASH HASINS �—'- -'"-""- ----- A_� OO._. 01 W(�HY. WII I 111 Ct�M11V1 il f) W1711 WIIClI1lR tiPCCIf I!D IIFREIN
<br /> LAUNDIIV THAV$ _ ____.—� � ON NUI, i��i �iH/�N111Jt; ��I A PIHMiT UOIS NO� PRf.SUME TO
<br /> __ ��-- ,IVI AUIIIt�llliv Ifl VInIA1L UH CANCF.L 1RL PqOV151[1N5 Of
<br /> "- � -- � ..__ ANv n1r111� I;1N1 t�l� I��fnl I nW �iLf.Ul nI�NC CUNSiRUCiION
<br /> ---- . . . _ _ . � OII1�11 PIHIu11p1AIJf.l� nl CUN!;Ir,���11pN
<br /> ___._"_y.'_
<br /> __ -_" /
<br /> SUB TOTAL - - � -- -�---
<br /> - _-__2B_ _�0_ ,
<br /> PERMIT 5 � �
<br /> --- - - 3- 00 ._. �j�
<br /> OTn t. FEE__ � /J{ 6/20/78
<br /> .- -3 __-__31-�-90- R � / /% '�
<br /> wnrER SERVICE slzF. IIIDG SurrLv SI7E �:u iuru u c� r�inRfinqi,n- �i-naiHi �-onir '�
<br /> 51l)E VAfIp5ETf1ACK $TRfll .^•lTHAI:Y, RI'ARY�IIfI$f 111ACK 1'I AP fll!(:N NUMRlN
<br /> Pl AN(:11ECK fE[
<br /> 5' 20' 20' ��ri ncceivr No.
<br /> - --- ------ i_n7nnen------"- vncnN%si7e- �-- 78/378 83.00
<br /> ��� ZONt 3�9��, �
<br /> x-z aoeo sQ. e�r. nix: ❑N�� _— - - --------
<br /> FEES VALLIATION FEE
<br /> TVPE O! CONST. OCCUPANCY ciROUP NU.UI UWI.I lllJi;. _. . � --'---— -....- I
<br /> ___
<br /> uN�i•; T- i
<br /> I V-N I 2 . � �I
<br /> ---------- - -� ----- -�-------�-
<br /> ------------ -- ------ -- --- �
<br /> . sizc oF n�oc. No.ov sronus Mnx.occ.�uni� �- nuii uiar S 43�000.00
<br />� 37'x39' 2 -- .--_-- _ 166 i 00
<br /> -� -- ---_ .. .._----- - --r--
<br /> --'—___'____. ..'_ .__-____'____-__ '__.___'._'_"__ PIlIMI11Nfi ___-' 31 � �0
<br /> f IRE Z(>NL ❑ASIIvi! NT I IHf SPqINKLf.H:�
<br /> 3 none r��uumc n __------ - -
<br /> ❑Vf5 NU M(CIIANICl11. 17 I OO
<br /> tiPECInLCONOITIONS� '-----" '---"'- '-------l--
<br /> -- - -' - - - 11111FR I
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<br />� � _._.__- '_� __ . .._ . ___.. ._ _ . - '_. . __-____ --_'_—.r
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<br /> _. _ _ _ . . -- � :_ .. __.._-.-__- __'--
<br /> _ l�. _. "_ 1___"_
<br /> �_O ,__ . , . -�------ -�-� TOTAL 214 100
<br /> .� _L M P IdIT VALIOATION � .
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