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t!�ef:eergreen � ^O��x11V V�I�� � . <br />C'TY oP � <br />everet�t P�FiMIT pERMIT NO. 09997 <br />CITY HALL 259�8' 45 <br />eveaen wn eazoi ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />01'RIEH �� I,IqILA00F°5$ CIIY ZIP PIIOb[ <br />Pic a Dllly 19C2 S.E. �verett Mall Way <br />FRCHIiECiOR�E51GIlER MAILADDPE55 Giv IIP pNONE <br />GENERALCONiRAG10F MAILAO�PE55 �IiT ZI� VHONc lICEOSE/ <br />MECIIANICwLCANfFACTOR MdILApOPE55 LITY ZIF PIIONE IiCENSE/ <br />Arctic Sheet Metal 5309 H. Albina Portland 97217 285-9261 <br />PLOMBINGC9NfRACiOR MAILADDPE55 qiY ZIV PHONE IICENSEi <br />❑NEW ❑ADG:TION ❑ALTERATION ❑REPAIR ❑DEN�OLITION ❑FENCE ❑SIGN ❑GARAGE <br />5 <br />OESCPipE WOiiN <br />FRpPO5E0 USE OF ppILDING <br />l0i__BLOCr�OF <br />19q2 S.E. Evere�t Mall <br />PLUMBING <br />NO. TYPE OF FIXTUflE OR ITEM <br />v <br />A <br />SIDE VARD <br />USE ZGNE I LOT AREA <br />OCCUPANCY GROUP <br />NO.OF <br />FEE <br />VACAHTSRE <br />LiYES L:;M1O <br />NO.OF DWELLING UNITS <br />Mnx.occ.�ono <br />APPflOVALS BY DATE <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECLON SYSTEM <br />5. GRADING <br />G. Of7AINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CNECKED BY APPR. FC �. ISSUANCE BV <br />I hIeREBV CER7IFY THAT I H4VE READ AND EXAMINEC THIS AP� <br />PLICATION F�ND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND OFlDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIEU WITH W'IETHER SPECIPIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TI�E PRO� <br />VISIONS OF ANY OiHER STATE OR LOCAL LAW REGULATIN�3 <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTFUCTION. <br />SiGNAiUR FCONt ACTO �AIIiNCRRE� FGENi GAiE <br />X�� � -w�..�� 11/9/81 <br />MECHANICAL UV . <br />NO. TYPE OF EOIIIPMEN7 <br />z AIP CpND. UNRS — HP. E$ <br />RFFRIrFRATIl1N I INITS — H G Gp <br />C4S FIqtD A1C. UNITS — <br />FORCED AIfl SYSTEMS — <br />WALL HEA i ERS — B T.U. <br />UNIT 11EATERS — B T.U. <br />EVAPORATWE CAOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HMD <br />AIR HAN�LING UNIT <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />PENALTV <br />IJTAL <br />M <br />FEE <br />5 <br />U.B.C. <br />SEQ 303�a) <br />RECEIPT NO. <br />22 I00 <br />T VALIOATION <br />PROPERI Y VALIDhiEO QN iHIS SPACE) THIS 15 YOUR PERMIT <br />7Z"' — -i� <br />Q�i <br />rn <br />� <br />� 0 <br />ADDKESS FILE <br />