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� � � <br />p�ax <br />aH[~i� <br />1 <br />yZH <br />FC (i <br />O]CO <br />'i1 H htl <br />tA Hr <br />� Q C+7 <br />O H d <br />��g <br />�j]Y (] <br />�y� <br />gy <br />H <br />c� C V� <br />��M <br />xH�n <br />HOcn <br />/ <br />� '_ ' <br />n1► ' <br />'es� ' <br />fheh.}�crgrecn . �_I'��� i R���-6'V� , . <br />ci tv vr J � a c <br />���1L'��� r��eYG�� PERMITNO. _ �`J� SO <br />259 8810 <br />❑ DEMOLIT ON ❑ COMBINATIO' 1 ❑ BUILDING $7 MECHANICAL ❑ PLUMBING ❑ SIGN <br />n\\NLIi I.1NL�OOIi[Si ::ItY ZIV PHONE <br />Roger Schu:z 15712 14th 1L. S.W. SeaLtle 981GG 242-4181 <br />remnrvr mnanoon[ss arr liP r���NE <br />Vil1a e S uare - <br />necni.ecronnesmnea r.�nanooness ei*v zia vHor+E <br />G[N[PA4CONTRAGIUII MAIL���IiE55 CRY ZIP PMONE IICENiE+ <br />MECHAIUC�LCOMil1�CTOR IdAILAppRE55 CITY 21P PHONE LICF.NS[• <br />Lodestar Co. 6G05 200th S.Sd. Lynmaood 9803G 670-19G8 LODCSRC174K0 <br />PLUAIO�NGCONTPNCTOR I.I�IIAL.f1E5S CITY ZIP VHON[ UCEt6Ea <br />c;�nSS OF �':ORK <br />❑ NEW <br />❑ ADDITION §[7 ALTEflATION ❑ fiEPAIN ❑ DEMULITION ❑ BUILDING HEIOCATION <br />COM AGT VERSON ANO i'HONE NO IF OTIIER TM�N rlt10VE <br />CONTRACT PflICE OF WORK: S L <br />OESCRI�E \hORN ANO SOUABE FOOTl�GE INVOLVED <br />Install 1 ea. 5–ton HVAC Unit w/duct worlc <br />PIiO'OSEO USE OF �UiLUirv� <br />Commercial — <br />LEG4L OESCRIPTION OF PROP[RTY (SHOW �ELO1V 0!1 ATf�LH iOUR COPIES� <br />LOT- OLOCK - OF <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />LAVATORV <br />$HOWER <br />KI7CHEN 5 <br />TRAV <br />URINAL <br />ORINKIN6 FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF �RAINS — FAINLEADERS <br />SINK ISERVICE — BAR, ETC.� <br />SUBTOTAL 5 <br />PEHMIT S <br />TOTALFEE S <br />FPONTSETOACK REARSEIDACK - <br />USEZONE LOTAREA � <br />C <br />ivxnsCON51F�LilONALL01YA91E iVPEOFG@6iPUCTO'l��C1��LL <br />s¢EOFo�oc <br />FOR SP411NK1[q5 <br />NO OF SiORiES <br />iIRE SPOINKLER51iW�[l <br />❑ YES ❑ NO <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />NC—AiHNDLG UNITE—HP. <br />FOFCEDAIRSYSiEMS—BT.LL MEA. <br />UNITHEATEPS—B.T.U. M <br />CLOTHESORVER$ <br />VENTILATION FAN <br />RANGEHOOD <br />WATERHEATER <br />WOODSTOVE <br />METAL FlREPLACE 8 CNIhOY�iOBIS1 J <br />FIREPLACEINSERT � <br />HEAT PIJh1P IiOOOC6IBD <br />GAS PIPING FfECH <br />E%HnUSTFAN k0�0�6212 <br />SEroncK I PLAN CHECK <br />CANT SITE <br />YES ❑ NO <br />Da5[6�ENT <br />] VES ❑ NO <br />M[IGMT LIIAITPTION <br />n�a�oveonv I CITY OF [VERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PERMITS EXPIRE IF WORK iS NOT COMMENf:ED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />SUBTOTAL <br />PEflMIT <br />TOTAL'EE <br />FEE <br />DUILDING S <br />PLUh1�ING <br />MECHANICAL <br />pTHER <br />gTATE BUIL�ING SUFCHAFGE <br />STATE ENERGV SUFCHMGE <br />PUBLIC WOIiHS <br />WHEN PR <br />i�UbF:i:CS I-II c <br />FEE <br />�S <br />RECEIPT NO. <br />VALIDATED THIS IS <br />85I00 <br />YOUR PERMIT <br />, �/ `� <br />V / <br />26180 � <br />