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��r��°�^:, . r �''ONSTRUCTIO�"'' <br />e�e� � . <br />CITY HALL 25987�5 <br />V ���('�^(�j ��t Q�II�NATION <br />PERMIT <br />Q� BUILDING ❑ MECHANICAL <br />PERMtT N0. 1633Q <br />� PLUMBINO <br />OV/N MAIL AU�RESS CITY ZIP PMONE <br />Michael eartlett/Debbie Hamilton <br />� NITE OR DESIGNER M�IL ADDRESS CITY ZIP PHONE <br />Patsy A. Robartaon 1826 - 4th S. Marvsville 98270 653-7300 <br />� �L CANTMCTOR MAIL AODREaS CITY 21P PHONE LICENSE � <br />Dsve Hanaon Custom Hwnes inc. 1054 N. Park orive �erett 98203 259-2950 <br />MECMIINICRL CONTR�CTOR MAI� ADORE55 CITY ZIP PHONE LICENSE Y <br />Elrerareen SWte Sheet Metal �.PrPtt HANSODG328H2 <br />PlUM81NG CONTRACTOR MAIL FDDRC55 CITY 2�p PXONE UCENSE � <br />Ken's Plumbing 568-3615 <br />cuas oF wonK <br />� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLI710N ❑ FENCE ❑ SIGN O WOOD STOVEIFIREPLACE INSERT <br />= 10$ Oc0.00 <br />DESCRIBE YlOAK <br />Wood fracae residence <br />LOT 16 BIOCK <br />5128 pover Street <br />PLUM6INO <br />TYPE OF FIXTI <br />WATSR CLOSET(701LEn <br />BATHTUB <br />LAVATORY �WASH 8451� <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />LAUNDHYTRAY <br />CLOTNES V.'ASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />RUOF DRAINS — RAINLEADERS <br />SINK ISE^VICE — BAR, ETGI <br />SUB TOTAL i <br />PENMIT f <br />TOTAL FEE f <br />Z2' - 17' I 70' <br />R-S <br />V-N <br />Appr. 46,504 <br />��T. OCCUPANCY GROUf <br />R-3 <br />N0. OF STORIES <br />3 s.f. Z <br />C <br />BASEMENT <br />APPROV4LS <br />1. ENVIRONMENTAL CHECK LIST <br />2.BUILDINGP.ANS "' <br />9. FIRE HYDR�NT �n <br />l. FIRE PROTECTION SYSTLM <br />5. GRADING <br />FEE <br />46' <br />VACANT SITE <br />XYES �,.'NO <br />BY <br />7.ENVIRONMENTALIMPACPSTATEMEVT � <br />� .B.HEALTHDISTRICT '" <br />� J�PPLICATION ACC. BY � PLANS CHECKED BY APPR. <br />. ,� <br />�� M.M. ..� �� .',.E.F. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AkU <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 PRESUME TU GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />X h�d <br />MECHANICAL <br />ACENT �^ O�TE <br />� J �%� <br />NO. TYPE OF EQUIPMENT <br />AIR CONO. UNIiS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILEqS — H.P. EA. <br />GAS FIRED A.C. UNITS — 70NNAGE EA. <br />FORCF.D Alq SYSTEMS — B.T.U. M EA. <br />WALL HEATEP — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />1 CLOTHES DRYERS <br />Q VENTILATION FAN <br />1 RaNGE HOOD <br />AIR H4NOLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT Pl1MP <br />86/16330 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTMER <br />PENALTV <br />TOTAL <br />SUB TOTAL <br />PEHMIT <br />TOTAL FEE <br />S <br />f <br />FEE289•58 I RECEIPTNO. <br />795C0 <br />VALUATION FEE <br />(a) <br />32 <br />27 <br />504 <br />PERMIT VALIDATION <br />_ = WHEN PROPERLY VALICATED pN THIC�SPACFJ THIS 1S �O�J�PE�RhMT_ � <br />( '1 il J U <br />-- � �-� <br />FOR ISSUANCE BY �� � � �- � � � � •� <br />L.N.C. <br />_; 1 <br />� � I ,! ...i �J <br />ADDRE55 FILE <br />