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�� "' C''�NSTRUCTION ^ "' <br /> everett P�RMIT PERMITNQ:! 2121 � <br /> 259 - 8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL I��LUM8ING ❑ SIGN <br /> OWHER MhIIqODPCS$ CITY plP PMONE <br /> Holiday Retirement Corp. P.O. Box 1911 Sa]:m OR 97309 370-7070 <br /> ARCHITECiORpE51GNER MAIIPDDHC55 QTY 21P PNONE <br /> GCN[F�L WNTR�CTOR MMl AOOPE55 LiTY 21P R10NE LIGENSE• <br /> M[CHnNICALCONTRACTOR M�ILAODRE55 CiTY plP A10NE LICENSE� <br /> MUMBINGCONTP�CTOR MAILA�ORES$ CITY 21V RIONE LICENSE• <br /> Competitive Plinnbing 905 S. 27th Ave. Yakima 98902 t88 952-4669 COMPEP*133C7 <br /> CLA55OG WORK <br /> C] NEW ❑ ADUITION ❑ ALTERATION ❑ P.EPAIR O DEMOLITION ❑ BUILDING RELOCATION <br /> VRLU�iION OF WOIiM <br /> f <br /> DESCRIBE WORN <br /> Plumbing <br /> NEI.T SOUFCE <br /> ❑ EIECTRICITY ❑ 6A5 ❑ WOODSTOVE ❑ OTf1ER <br /> vnovosco us�ov euao�Hc <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Reirement Conter APPLICATION AND KNOVJ THE SAME TO BE TRUE AND <br /> ie�n�oesenivnonorrr+o�xarr�sHoweuowonntrncr+rouaeoviEs� COFRECT. ALL PflOVI510N5 OF LAWS AND ORDINANCES <br /> �or_eiocK _ o� GOVERNING THIS Tl'PE OF WORK WILL BE COMPLIED WITH <br /> WHETHEFl 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 OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CO STRUCTION. <br /> JOBADDRE55 ' n�GN�Tnu��,F„Of CONT Ct P.pU HO S PGENT,OR OWNEF DATE <br /> 3915 Colb Ave. X 111,\G � . � � �et 1 ' ' <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE QR�TEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 11G WATERCLOSfT�TOILET) SBO OO A'C—A/HNDLGUNITS—HP <br /> 11Z BATHTU� S�JO OU ��FRIGERATIONUNI7S—l/P.EA <br /> 11( LAVATORV�WASHBAiIN) S8O OO �OILFRS—OT.U/NP. <br /> SHOWER (iASFIREDAC VNITS—BTU. <br /> ],O8 KITCMEN SINK B DISP. S�IO OO FORCED AIH SYSTEMS—0 T U. M EA. <br /> j DISHWASHER S eO W�LL HEATEPS—BSL M <br /> Q LAUNDf7YiRAY lO OO UNITHEATERS—BT.0 M <br /> 8 CLOTHES WASHE�i �IO OO EVAPORATWECOOLERS <br /> URINAL CLO?HESDRVERS <br /> 2 DRINKI'JG FOUNTAIN ,LO OO VEIJTILATION FAN <br /> Q FLOOR ORAIN Zp � RANGE MO00 <br /> 1 �ACKFLOW PPEVENTEFS 5 � WpTER HE�TER � <br /> ROOF DHAINS—HAINLEADERS WOOD STOVE <br /> Z SINK�SERVICE—BAH,ETCJ 10 METAL FIREPLACE 8 CHIMNEV <br /> FlREPLACEINSEflT <br /> HEATPUMP <br /> GAS PIPING <br /> E%h1AU5T FAN <br /> SUBTOTAL f Z SUBTOTAI <br /> PEPMIT f PERMIT <br /> TOTAIFEE s ro�M1At4/8B 3�49 OOOpq3. "�A:'t:.f <br /> �noNr SeieACK p6nn 56tencK sioe ser[incK PLAN CNECH NUMBER FEE / RECEIPT NO. <br /> ��21211 <br /> USE20NE IOTPREA ypCANT5ITE <br /> ❑ves Ono FEES ATIO FEE <br /> tYaEOFCONST OCCUPANCYGROUI' NOOFOWEILING1�NiT5 BUILDING �ECFi S.31 .SO <br /> PLUMBING 2360 00 <br /> SiZE OF BLDG NO.OF STORIES MA% OCC.LOAp <br /> MECHANICAL 39 50 <br /> INVESTIGA710N FEE Sec.304�e) <br /> FIRESPRINNlER5RE0UIRED YES NO <br /> STATE BUILDING SURCHARGE <br /> STATE ENERGV SURCHAfiGE <br /> PVRIC/TiONACC BY PLRNSCH[CKEDOY APPR FORISSIJANCEBY <br /> ORIVEWAVPERMIT <br /> S.H. TOTAL 23S4 50 <br /> PERMIT VALIDATION <br /> WHEN PHOPERLV VALI�ATED�1N TNISSPACE)TNIS ISYOUR PERMIT <br /> � <br /> r� <br /> N <br /> � <br /> N <br /> Pl!:1�;� '�„ . � _ <br />