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t� <br />�rheE,�c,Y��F . �-_ �ONSTRUCTI01'" <br />e��re�t PERMIT PERMIT NO. 13H55 <br />GITV HALL 259�87d5 <br />t7 �E� S'�''� u�b' S C� @�A�dINATION ❑ BUILuING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PMONE <br />�ATF KnTHOL 1Q�6 PCiCET DA EDMONDS <br />FPCMITEGT OR OESIGNER MAIL ADDRE55 CITY 21P PMONE <br />GENERALCONTRACTOR MAILADORESB CITY ZIP PMONE LICENSEM <br />�ALPHA CONSTR 5326 GR x cm NS WA �8�s8 6a1- 6077 <br />MEGHANIC�L CONTRAGTOR MAIL ADDRE55 CITY 21P PHONE LICENSE N <br />PLUMBING GONTRAGTOR MAIL AD�RE53 CITY ZIP PMONE LICENSE N <br />O NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ OEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJfIREPLACE INSERT <br />f 18000.00 <br />DESCFIBE WORK <br />CHIP REHAB. <br />LOT 6 BLOCK 723 OF <br />3009 FEDERAL <br />PLUMBIN6 <br />BATHTUB <br />EVERETT DIV. H <br />FIXTURE OR ITEM <br />LAVATORYIWASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />LAUNDRY7RAY <br />CLOTHES WASHER <br />WATER HEATE(i <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADE <br />SINK 15ERVICE — BAR, ETC.) <br />TOTAL <br />TOTALFEE <br />SI2E OF BLDG. rvu. or <br />FIREZONE BASEM <br />APPROVALS <br />1. ENVIRONMENTAL GHECK LIST <br />2. BUILDING PLANS - <br />3. FIRE HYDRANT -�- <br />4.FIflEPROTECTICNSYS EM <br />1 -. _...._..'_ <br />L v 6.DRAINAGE � �-`> <br />��� 7.ENVIRONMENTALIMPA <br />ti B. HEAI,TIi O15TRICT ,� <br />p-, APPLICA710{J ACC. BY�._ <br />, _ . i, ) " <br />�._ <br />1C!_" -_ I <br />=J <br />STATEMENT <br />PLANS CHECKED BY <br />2 <br />"r' <br />� <br />S <br />S <br />REAR YARD SE78A� <br />VACANT SITE <br />C:YES i'.NO <br />NO. OF DWELLING <br />MA%.00C.LOAD <br />FIRE SPRINKLERS <br />REOUIRED <br />!:VES i NO <br />BY DATE <br />lc <br />I HEREBY CERTIFY THAT I HAVE READ �ND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TU 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 />PERMIT DOES NOT PRESUMETO GIVE AUTHORIN TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF C STRU TION. <br />SIGNAT CONTRA UTM D AGENT DATE <br />X � �t�9�.v_� 9/4/84 <br />MECHANICAL <br />NO. TYPE OF EUUIPMENT FEE <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATIOY UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIFED A.C. UNI7S - TONNAGE EA. <br />FORCED AIR SYS7EMS - B.7.U. M EA. <br />WALL HEATERS - B.7.U. M <br />UNIT HEA7ER5 - B.7.U. M <br />EVAPORA7IVE COOLERS <br />� CLOTHES DRYERS d S!1 <br />HANGEHOOD <br />AIR HANDLING UNIT - G.F.M. <br />STOVE - WOO� <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL S <br />PEpMIT S <br />TOTALFEE S <br />FEE I RECEIPT NO. <br />VALUATION � FEE <br />BUILDING � $ 18000.00 128 <br />PIUMBING lz <br />MECHANICAL <br />OTHER <br />PENALTY U_B.G. � <br />TOTAL I � i aa Inn <br />PEHMIT VALIDATION <br />WHEN PROPERLV VALIDATED pN 7HI$, SP�GE) THIS 15 QYqy PEA IT_ � <br />i .. �i �; � L C. i � (f� <br />� <br />m <br />. ....� l�'� � <br />i . J <br />ADDRE55 FILE <br />_ p � ;� <br />l �-- <br />� <br />� <br />�� <br />� <br />