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7hr Fi"•�yiren <br />,��,,,, <br />eve�e�t <br />CI11' ��.:LL2',SJF3/d5 <br />��.� �-i; � i r. tvn �ia�o, <br />� �CONSTRUCTI01� <br />PERMIT <br />� <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />rronuer aanx P.O. Box 2215 98203 353-5599 <br />:�iici-iiiic� ciii ��sicr�ei� ------ n�ni� nooaiss --- ----- <br />PIIONE LICEPLC NO <br />!'-cN[R�1L CONTqACTOR MAIL ADORE55 <br />PIION[ LIC@NSL NO. <br />AC <br />IL <br />LI <br />• """'� LICENS[ P10. <br />NLFMIT ___ <br />CLASS OF WORI'. --�'— —� <br />❑COb1�INATION <br />❑�UILIJWG �PLUM�ING �MECI-IANiCI�L <br />❑N[w ❑nooirioN ❑ni_�ei�m�ioN ❑rv�rnia <br />VA�VATIONOFWORK -- --------_—_______ <br />5 ZZOO.00 ❑OEMOUSH ❑FENC[ ❑51(7N ❑51ViM11MINf: i'pOL <br />UESCRI6E WORK - - .--____ <br />foundation for temporary trailer farility <br />PROPOSEU USE <br />bank MECHANICAL <br />��� ut�cHIYTION OF PRpPERTY ISHOW HELOVJ OR ATT <br />FOUR COPIESI <br />«�T 5"'�7�LOCK � S oF_Bev_erly Aills Div <br />JU6 ApORESS <br />6623 Bvergreen Way <br />PLUMBING <br />PE OF FIXTURE OR I <br />� <br />everetl <br />TVPE OF EN@RGV - — <br />_ ❑Gn5 ❑ELEC. <br />_ NO�__ _ TYPE OF EQUIPMENT FEE <br />__l/UR COND. UNITS--II.P. EA. $ I <br />fiEFRIGERATION UNITS i1.P. [(�. �i— <br />�OILEFiS-H.P. Eq. --- - � <br />— - I <br />FORC[D AIR SVSTER75-U.T.U. MEA. — <br />r -- I <br />_ SPACF & Wi1LL HEATEFS - �.T.U. <br />i <br />_ ___i UN1T HEATERS-O.T.U. � <br />_ IlVAPOfiATIVECOOLERS <br />CLOTIIES DftVEliS � <br />_'_. �—_-____—'_ I <br />_ � VFNTILM"ION Fl�N T <br />H�1NG[ I100D � <br />� _ AIR IIAN�LING UNIT- �,{',��. <br />— �_ <br />- I <br />WATER HEATER T <br />_ rAC. l3UILT FIREPLACE .� CHIMNEV � <br />._ GAS_ SVSTEM: NO OP OUTL[TS �i— <br />SUII TOTAL 5 � <br />___�'__ _—__—"_-. I <br />__ _ PERMIT $ <br />TOT�1L FEE 5 � <br />- I <br />THIS PERI✓IT O6COfdES NIILL .�ND WID IF WOflK ON CONSTRUC <br />IION l�Ul11pRIZ[D IS NOT COMA7[NC[fl WITIIIN 120 OAV;, pR IP <br />COhiTI�UCiION Oq WOfiK IS ;USPLNOLfI Ofi A[iANDONED FOR n <br />PERIOfi Of 120 OAV$ �1T 11NY TIWE (�FTEq WORK IS COMMENCED. <br />I HF.iI[ItY CEItTIFY THAI 1 HI�VE fi[AD l�Np E%AMINED THIS t1P <br />PI.iC1T1UN l�NO KNOW THE il1M[ TO t1E �RUE AND CORRECT. l�LL <br />FROV61pN5 OP LALNS 11Nfl OfiOINI�NC[S GOVERNING THIS TVPE <br />DP WORK WII.L t3E CO�YIPLIU) WIT11 K'H[THHR SPFCIFIE:� IIEfiEIN <br />Ofi NOT, TME GRI�NTING pf- !1 P£RM111T OI�[5 NOT' PRHSUM1tE TO <br />GN[ AUTHp�;ITY TO VIOI.AiE OFl CANC!'I lH[` PIIOVISIONi OF <br />ANY Ol IIER STATE OP I.00AL LAW REGU1./11I�dG CphLiHUC�ION <br />OIl TIIE P[f3fURM11ANCE UP CONSI'RUCTION. <br />TER SERVICE SIZE V^� L X���-Y r-' <br />__ ULDG. SUPPLY S2E SIGNnTUI���� CON'i l <br />�EVARDSETQACK STHE'-TSET(il�CY. IIRh/�RVi1RD56T(3ACY.PLANCHE,'NUA1R@R <br />rvr[ <br />Iil <br />;;P[�IAL CON�iTIONS'. <br />I .... .ii�l�f .. ��•I:.1:'�IIIII.Y.I <br />n VACANTSITE <br />❑YE$ ❑NO <br />lCyGPOUP NO.UPUWELLWG <br />UNITS <br />Y�� ❑NO <br />�\I'I il'. �\'I It ! ll�l I'- ! I:.� I.- I I'.'i <br />e�� <br />fE[ <br />8/24/78 <br />.nceriT nnr[ - <br />PLAN CHE.CY. FEE <br />�RECFIPT NO. <br />FEES VALUATION FEE <br />—�_ — <br />I <br />-- I <br />G <br />� <br />nui�oiNc � 1200.00 12 i 00 <br />— — t-- <br />�'LUML:NG � <br />I <br />MECHANICAL � <br />I <br />—__�-_ <br />OTliffi I <br />--- I <br />;[Ni1LTY ;[G:;U:tlal I <br />__-'--'_ _______ <br />_--' L__ <br />TOTAL lz j �� <br />PERMI7 VAIIDATION p �+ <br />v�i{�:nirtvor�t�ivvni.ion�rr.o:��v�n)i���nr<IS�h�i�YFf�iv�`��Kair�. ` <br />� . . , . <br />.,",:�� :�'.E����ti <br />i :,'-�iVK �'fJ�! ; <br />