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the EutaX'r'�en <br />cirv oF <br />everett <br />�59-8745 <br />^�IVSTRU�iION` <br />PERMIT <br />PERMIT NQ: _ � l � � � <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL �PLUMBING ❑ SIGN <br />OWNER MlILAODREES CiTY ZIP PMONE <br />Mervyn's 22301 Poothill Blvd Hayward, CA 99541 (415) 727-3451 <br />AflC11RFCT Ofl DESIGNEfl MAII ADDFESS GTY 21P PNONE <br />GENERA�CONTRqGTOfl MAILADORE55 CiTY 2iP pNONE LICENSE� <br />MECHANICFL CONTRACTOR MAI� ADDRE55 CRY ZIP pMONE LICENSE • <br />PLUM�INGCONTRACTOR MAILADOPE55 CITY ZIP PHONE LICENSE� <br />Merit Mechanical Inc. 9630 -��� 153rd Ave NE Redmond 98072 883-9224 MERITMI163CM <br />CLASS OF WOqN <br />❑ NEW ❑ ADOITION � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING FiELOCATION <br />S <br />�ESCNIpE WOPN <br />Plumbing and gas piuing <br />HEfT50URCE <br />❑ ELECTRICITY O GAS ❑ WOODSTOVE ❑ OTHER <br />LOT _ BLOCN <br />PLUMBING <br />NO. <br />9 WATERCLOSET(TOILET� <br />BATHTUB <br />% LAVATORY�WASHBASIN� <br />SHOWER <br />NITCHEN SINK fl DISP. <br />DISHWASHER <br />LAUVDRYTRAY <br />CLOTHESlYASHEfl <br />Z URINAL <br />Z DRINKING FOUNTAIN <br />2 FLOOR �RAIN <br />BACNFLOW PREVENTERS <br />� ( ROOF DRAINS — RAINLEA�ERS <br />3 SINK �SERVICE —BAR, ETC.) <br />TVPE OF CONST. <br />SIZE <br />r�.M. <br />SUOTOTAL <br />PEqM1T <br />TOTALFEE <br />pY � PLqNSGNFC3E�OV <br />FEE <br />45 00 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PEAMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL TIiE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW�1 EGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF �.bNSTRUCTION. <br />on owNen DA'IE <br />�n 10/14/86 <br />NO. TYPE OF EOUIPMENT <br />A/C — A/H�lDLG UNITS — HP. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B T.U./H.P. <br />GAS FlRED A�C. UNITS — B?.U. <br />FORCEO AIH SYSTEMF — B.T.U. M EA. <br />WALLHEATERS—B.LU. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRVEflS <br />VENTILATION FAN <br />flANGEH00❑ <br />WATER HEATER • <br />WOOUSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIflEPLACEINSERT <br />HEAT PUh1P <br />GAS PIPING <br />E%H�USTFAN <br />5 <br />S 1S5 00 <br />SiDE SEToacK pLAN CHE( <br />VACANT SITE <br />❑VES ❑NO <br />unncnwmiwr.uurta BUILDING <br />MAX OCC LOAD <br />APPP fOR iSSUANCE BY <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />PLUMdING <br />MECHANICAL <br />INVESTI(,ATION FEE <br />STATE BUILDING SURCHAfiG <br />STATE E�IERGY SURCHARGE <br />FEE <br />37 00 <br />.�.5.0� 6 63E <br />R'cCEIPT NO. <br />ATION FEE <br />-..n. � n nn <br />i 155 00 <br />„. � ,,,, 52 00 <br />M[�i.�9.3041e) <br />DRIVEWAYPERMIT zp� �0 <br />TOTAL <br />PERMIT VALIUATION <br />1VHEN PROPERLV VALIDATEC pN THIS SPACE) THIS IS YOUR PEPMIT <br />L` <br />r� <br />�1 <br />�`• <br />'I�' <br />AG:111LJ5 I IiE <br />