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'"°' E�,''„�'.'„ CONS�'RUCTION <br /> �,�� <„ evereYt <br /> ' everett PERMIT <br /> cirv iin�� wo ;iiar, <br /> eveE�e� i, •,vn sr+zoi COMBINATION • BUI�DING • MECHANICAL • PLUMBING <br /> OINNER MAIL AUI�RtSti LIV PFIOFJE <br /> Grace Leonard 1631 Lombard 98201 259-2609 � <br /> m <br /> ARCHITECT OR ClE51GNER A1AIL ApOH[ti:i � PHONE LICENSE NO. � <br /> � <br /> G6Nf.RnLCCNTFtACTOR MNLADOflE55 PHONE LICENSF. NO. � <br /> S3me z <br /> rotECHANICAL CONTRACTOR MAIL ADDqESS PHONE LICENSL NO. � <br /> W <br /> m <br /> PLUM(31NG CONTRACTOR MAIL ADDNESS PHONE LICENSE NO. . �� � <br /> PEFMIT CLASSOFWOI:R -----"--- --�--"- � ... .• <br /> �COM6INATION <br /> ��UILDING � PL JM61NG �MECHANICAL <br /> ❑New ❑n�>uinoN ❑n�_�ienniioN ❑ri�vnia <br /> VALUATION OF WOfiK - ---- <br /> 5 1, 400. 00 ❑o�nao�isi� ❑«rvr.r. ❑sicN ❑swimniiNc noo� <br /> ------ ----------- -- ----- <br /> DESCRI�E WORK � <br /> re-roof composition <br /> PROPO�ED USE <br /> single family residence MECHANICAL <br /> LEGl�L DESCRIPTION OF PqOPERTY (SHOW[3E�OW OA l�TL1Cl1 TYPE OF ENERG V � <br /> FOU(iCOPIE51 ❑GAS ❑ELEC. <br /> Everett D1V. N NO. TVPEOFEQUIPMENT FEE <br /> LOT 1S-1�LOCK 3� ___-_—_ - �� --_- _— <br /> AIR COND. UNITS-H.P. EA. $ � <br /> REFRIGEHniION UNITS �Ii.P. EA. <br /> ___ 6011Eq5� II.P. F.A. � <br /> FORCED AIR SVSTEMS-O.T.U. MEA. <br /> __ _ � <br /> JOR AOURESS SVACE & Wl�LL HEAT[RS - B.T.U. <br /> 1631 Lombard UNIT HI'AT[RS -G.T.U. � . <br /> LVI�PORl�TIVE COOLERS <br /> PLUMBING � c�orHesonvEas � <br /> - vENrii_nrioN FnN T—� <br /> " - NnNGE HOOD � �� <br /> NO. TYPE OF FIXTURE OR ITEM FEE AIP HANDLING UNIT- C.F.M. �, <br /> BATH TUBS g �"--------- <br /> CLOTHES WASHER i - - ---. � <br /> DISH WASHERS � ____ WATER HEATER <br /> FAC. HUILT FIREPLACE ri CHIIANEV <br /> DRINKING FOUNTAINS i .._..._ ._- ___ _-___._ I <br /> FLOOR DRAINS � GAS. SVSTEM_NO DP OUTLETS __� � <br /> KITCHEN SINKS h. DISP. � SU6 TOTnL 5 � <br /> BARSINKS 1 --.______.____ P[fiMIT 5 ' . <br /> ROOF DRAINS - RAIN LF.ADERS i � TOTnL F[E 5 � <br /> SHOWER [3ATH$ THI; PERMIT f3ECOM11[S NULL AND VOID IP WORK OR CONSTRUC� <br /> SGHVICE SINKS IION /1UTIIOftILED IS NOT COMMENCEU WITHIN 120 DAVS, OR IF <br /> $UMP$ - SEWAGE PUMP CONSTfiUCTION OR WOl�K IS SUSPLNUED OR l�BANDONED FOR A <br /> UHIfJl1L$ � �ERIOO OF 120 DAVS !�T ANY TIME AFTEF V10RK IS C0�IMENCED. <br /> WATER CLOSETS I I HERLFIV CEHTIFY THI�T I HAVE READ AND E%AMINED THIS /1P <br /> WA7ER HEATERS -� ELECTRIC � �uCm ioN nNo KNow rHE SnnnE 7o uE inUe nND Conr�ECT. nL� <br /> -- PROVISIpNS OF Ll1W5 AND ORpINANCES GOVE-RNING i'HIS TYP[ <br /> WASH E3ASIN5 � OF` WORK WILI_ [3[ COMPLI[O WITH WHETH[R SPECIFIED HERLIN <br /> LAUNURY TNAYS T OR NUI, TH[ GfiANTING OF A PEPMIT OOES VOT PNESUME TO <br /> � GIVE AUTIIOfiITV TO VIOI_/1TE UR Ct�NC[L THE PROVIFIONS OF <br /> ANV OTII[R S1ATE OR LOCAL I.AIN fiEGULI�TING CONSTflUCiION <br /> � OR THE PEHf-OHMANC[ O� CONSTRUCTION. � <br /> _ 1 <br /> SUB TO7AL � -� <br /> PERMIT $ x O/ ��y ��. � 6/11� 9 <br /> TOTAL FEE �i�� <br /> WATERSERVICESIZE BLOG. SUPPLVSIZE SIGNATUfl@UFCONTHq(;TUROliAUTH.AGENT Dn7E <br /> SIDEVMIDSET�ACK STAEETSET6l�CK qEAftYARDSETlIACKPLANCHECKNUMI3CH PLANCHECKFEE <br /> PEE RGCEIPT NO. <br /> USEZONE LOTAREF, VAC;,NTSIT[ <br /> � <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING <br /> UNITS � <br /> � SIZE OF [3LDG. NO.Of- STORIGS MA%. OCQ LOAD RUILDING S 1QOO. OO �.�}I OO <br /> PLUMBING i <br /> FIREZONe �ASEMENT FIIi[SPRINKL[HS <br /> REOUIfiEp � <br /> ❑VE$ ❑NG MECHANICAL � <br /> SPECIALCONOITIONS: � OTH[R � <br /> I <br /> _-_-- �_ <br /> __ .-_—.--.- PF.NALIY 54.C. :IO:ila) I <br /> .._ ._ .-__ ._-__-___-'__ ___ -___--- -�__ <br /> TOTA L 14 I 0 0 <br /> _ PERMIT VALIDATION 7 p � p �� ��.���, <br /> - wn[Nv�vorcqivvn��oni[unNdii9 Pnc ii , s nnit � <br /> - -- - _----- - --- YO U R RtCEiPT` , � <br /> ��.��,�,:,,�„�,.,,,,,����,,..,— ,���,,,.,:,,�������,� ���„�,��„�„�,��:�,���,:<�,�„� Tf-iANK YOU ���: <br /> ,, <br /> ' I ! �p�i19 <br />