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B <br />u,,, e,-�v,,,,,<�„ <br />i <br />cirv oi- <br />i everet� <br />�� ci.v �•n�������tnno <br />CONSTR UCTI01� <br />PERMIT <br />r:ver�e,r,wn o»zoi COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />�'� OL1'N61i A1nIL AC14i18:; LII' PHUNG <br />� �ruce Olson G92II L;vergrean i7ay 9g2p3 353= <br />-- ---- - - --- - _----- _ _ - — '��;��. <br />; nr�c��irecr uiv ue;iervt.i� � mini� nuin��ss -__.._-. _, ,,.. <br />L CONTRI�CTOR "--" -'---- "--�-"--hfAl1. AUUI7E:: PHONC LIC <br />James �. Stoz 68?U �vergreen Way <br />ICAL CONTfiACTOq M�11L AU�HF55 PHONE LIC <br />Di-Rite Plumbing <br />c o�r�ncrors -- Mnn. nooness rnoNe uc <br />t3�-a�.te Plumbing <br />N�ERJA�7IT <br />�]�.OMPINATION <br />❑ 6UIL�.JIfvG � P�UM131NG � �1[CHANICAL <br />�ALUM'ION OP WpqK <br />S 35,500.00 <br />oescaiee won�: -- <br />6928 �vergreen Way <br />i�r <br />E'�'1EW ❑ADDITIUN ❑ALTEPnTION ❑REP/�IR <br />❑oer,�o�isi• ❑I�LNCE ❑sicrv pswm�r�twc� rooi_ <br />FOURL Vei e'1ir i iUN Ur �•qOP61iT V ISHOI'J 6F.LOLV OH ,l ITAC41 <br />�or ��� ��ocK—oF_ geverly I3ills D1V. 5 <br />S�C 7�[•7P ga RpS7G� 5 East Y7.R3. <br />— _—_._ ._._ _._. <br />JO� ADORESS - <br />6928 Lvergreen i9ay <br />PLUMBING <br />�TEM <br />IN <br />TER SEFiVICE SIZE tlLDG. SUPPLV SIZE <br />)Ev.1flDSET[iACK STRFLTSLTf3ACY, REANYAliP$[TFlACh <br />==I�:1 <br />2[ OF [ILI <br />Z <br />SPECIl�L COND�TIONS: <br />�' <br />o�ES ❑No <br />fiEOUIRED <br />❑Y[; <br />I I OH IG`,�Inplf IIY <br />P..C.ab <br />E'VCI'�ij <br />1201-77 m <br />� <br />3 <br />� <br />MECHANtCAL <br />rvi�e or eN�ncv------- <br />�-�n� ❑ELEC. <br />NO. TYPE OF E�UIPMENT FEE <br />AIR CUND. UNITS-H,B EA. S I <br />flC:FRIGERATIDN UNIT i 41.P, EA. ��- <br />� ���IuoiLLfi; II.r.Ln. -- - � <br />I <br />FOFCED AIR SVSTEMS-�.T.U. ME4. <br />-"1 _ _ I <br />I SPACE & WALL HEATEFS �- B.T.U. �- <br />..],_ I UMT HEATERS-�&LV. . � <br />C.Vl+PU(iATIVE CUDLEHS <br />�-- <br />j CLOTHES ORYEHS � <br />� V[NTILATION F�1N T <br />... J HANGL HOOD � <br />I n��3 ��ANOIJNG VNIT C.F.M. <br />. .�_-�--- ____—_— I _ <br />WATER IIEATER �{)_ <br />FAC. dUILT FIREPLACE & CHIMNEY iy <br />GAS. SYSTEM: NO OP OUT�ETS ��� <br />__ __ SUO TOTAL 5 � 9_ <br />___ _ ___ ____ :'ERh71T 5 ' 0� <br />TOTAL FE[ 5 � <br />THIS PFRMIT fIECOP.IES NVLL ANO VOID IF WORA OR CONSTRUC <br />��ON 4VTHGR12E0 IS NOT CO�IMENCLO WITFUN 120 DAY$, OR If- <br />CONSTqUCT10N Ofi lMf]RY, IS SUSP[N�ED OR A[3l�NDONED FOH A <br />PERIOp OF 7201]nY i nT ANY TIAt[ Af-T[Rl40HK ISCOP.IMENCEO. <br />I HEHEFIY CERTIFY TIIIIT I HI�VE PEi1U AND E%AM1AINE� THIS AP� <br />PUCIiiIpN ANn KNOW THE 54h1E TO ISE THUE I�NO CORRECT. ALL <br />PROVISIONti OF LANS l�NU GHnINnNC[5 GOVERNING THIS TYPE <br />OI' LVONK WILL U[ COP.IP�JED WITH WNETHER SPECIFIED HEViCIN <br />OR NOT, THL GRANTING OF A PEHA'lli pp[5 NOT PRESUME TO <br />GIVE r1UTHUfiITV TO VIOLAT[ OR CO.NCEL THE PROVISIONS OF <br />ANV pTH[R :Tl�TE OR LOCA� LAW RC-GULATING CONSTRUCTION <br />�)H 1Hf PEfiFORAiANCE OF CONSTfiUCTWN. <br />�r' �� -%' ' �� � II-/3�J77 <br />::L ' ' ' ' " �� <br />sic,rvniur'atotci�Ntnnc-onoranur�a.nceNr onr� <br />'Ll1N Ci-IECK NUh111ER PLAN GII[CK FEE <br />/�y��� FEE RECEIPT No <br />%%/.�„���'ios ioo.�.o z400s <br />FEES VALUATION FEE <br />— I T <br />I <br />nui�nwc 5 35�500.00 154i 00 <br />-- --r <br />PI.UM6ING __ t i' n� <br />I <br />MECHANICAL %� OO <br />_ � <br />OTIiER I <br />I <br />PENALTY 5[C.30��:d I <br />TOTAL "--_—"- 177� �n <br />PERM1IITVALIOATION B� �e . ��,��n�,��, _ <br />vnirni f�i�orcni_v vni �onirn uN T i���cr.r r i� i <<h � <br />� i <br />�'�U� I�E�C?E[� <br />TNANK YO� <br />: ' <br />n ' I <br />� � �:��i i <br />I ;, .i' : .. . . , t i;';:jx.,, , r � <br />