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4 � <br /> `�"' f`,"`;,,'", CONSTR�ILTION <br /> "" °' everett <br /> �verett PE�MIT <br /> J CIiV 11.11L ?59p;).y <br /> ``" "F'T ��^ ��;:�� COMBINATION � BUILDING • MECHANICAL • <br /> PLUMBING <br /> ,•�vNta <br /> Amel Kroeze nini� n�ur�e;s ru- <br /> 2501 Iqlt�bard r��o rv t <br /> ,UiCHITECI'OR pLS;GNLR � <br /> __ __-_____'__._____MAIL AUDH[ti5 -___-----_-- m <br /> �'��ONE LI�LNSE No. � <br /> GLNERALCONTRACTOR- -"'---- 3 <br /> MAIL ADORL55 PHONE -- -I <br /> LICENSE NU. <br /> MECHANICALCONTRACTOq z <br /> MAIL �1DDRESS PHONE C <br /> Natural Gas Equipment �iceNservo. - 3 <br /> PWM�INGCONTRACTOR - W <br /> MAIL AOORESS PH�NE �,-�;� T <br /> LICENSE NO. `�-' �7 <br /> PEqMIT _± <br /> ❑COh1�INATION CLA55O�WpqK <br /> ❑ �UILDING �PLUM�ING �M[CHI�NICAL <br /> ❑NEW ❑ADDITION ❑qLTEflATION ❑qEPA1R <br /> VALUATION OF WpqK <br /> 5 ❑D[MOLI;H ❑FENCE ❑$IGN ❑;WIMMWG ppp� <br /> DESCRIOE WORK ----'--- --�--_ <br /> PROPO<EO USE <br /> MECHANICqL � <br /> LEGAL DESCRIPTION OF PROPERTV (SHOW gELOW OR ATTACII TYPE OF @NLRG V <br /> FOUR COPIESI � - <br /> �C'AS ❑EI.EC. <br /> ��r BLOCK_oF NO_ TVPE OF EDUIPMENT <br /> !Uft COND. UNIT&- FEE <br /> _ _ H.P. EA. 5 I <br /> REFfi1G[R/1TION UNITS-/I.P. EA. <br /> ' - _'._�.. ❑OILERS H.P. EA. <br /> _ FOqCED A�R SVSTEMS�-B.T.U. MEA. � <br /> .108 ADDRE55 - <br /> ZSOI LOIN7�r[I _ SPACE & W��LL HEATERS - I <br /> B.T.U. <br /> UNII HEAI"C'RS__.p.T.U. <br /> PLUMBING �vni•oivniive coo�eas � <br /> -fe�orries oavens <br /> VLP:TI�qT10N Fl�P! I <br /> - � <br /> .JO. TVPE OF FIXTURE OR ITEM17 - _ �+/�NGE HOOD - � <br /> BATH TUBS - S FEE AIN I/nNDLING UNIT- GF.,y7, T <br /> CLOTHES WASHER i I <br /> CISH W(�SHERS i WATER FIEATER <br /> �HINKING FOUNTAINS FAC. BUILT FIREPLACE & CHIMNEY <br /> FLOOR URAINS � � - ---- -'--- I <br /> � GAS. SVS�EM: NO OP OUT�ETS " <br /> KITCHEN SINK$ p� DISP. --" --------�---- <br /> f3nR SINI;S � -- --_______ SUQ To7nL 5 4 100 <br /> ROOF pqqlNS - RAIN LEADERS � -- ___ PFRMiT 5 <br /> SHOWER 6ATH5 � TOTnLFEE 5 <br /> THIS PERMIT BECOMES NULL AND VOID IF WORK OF CONISTRUC� <br /> SERVICE SINKS TION AUTHOHIZ[D IS NOT COMMENCED WITHIN 120 DAYS, OF IF <br /> $UMPS - SEWAGE PUMP CONSTRUCTIpN OR WORK IS SUSPENDED OR A�qNOONED FOR A <br /> URINALS �- PEflIOO pf- 1?p D/1VS AT /�.VY fIME AFTEF WORK ISCOMMENCE�. <br /> WA7EH CL05ETS � i if[q�nv ee�ricv ninT i �i�v6 nEno qNo exnrouNep ii�is nP� <br /> WATER HEATERS - ELECTRIC � �'ucniiorv nNu KNuw rrie snnne ro oe rq�[ nNo cot�qec-,. ni.L <br /> WASH BASINS �ROVISIONS OF I.AWS AND OliDINqNCES GOVLRNING THIS TVPE <br /> LAUN�RV 7FqVS � OP WORK WILL GE COM1IPLIEU bylTry WHETHER iPECIFIED HEREIN <br /> OR N07, TH[ GR/�ViING OP A P@R411T DOES NOT PqESUME TO <br /> - i GN@ 11UT1iOfiITV TO VIOLAT@ OR CANCEL THE PqpVISIONS OF <br /> __ � /1Nv OTHER $Til�(E Oq LOCnL LAW qF:GULAiING CpN$TRUCTION <br /> -- 01Y TIIL PERFOqry7/�NCL OF CONSTRUCTION. <br /> SUB 70TAL � <br /> PERMIT � <br /> 5 � <br /> TOTAL PEE �. � � <br /> WATER SERVICE SIZE x� 5.�.�, -�i,l:�.-. ,':�,>�L___ — 1/26/79 <br /> BLIJG. SUPPLVSlZE SIGNATURLOFCCANTFACTORURAUTFI.AGENi Dl1TE <br /> S�DEVqqDSE. '�.CK STRLLTSET[:qCK RLARVnqpS[T6ACKPLl�NCH@CKNVMRER <br /> �LAN CHECK FEE <br /> USE ZONE ._ �EE RECEIPT NO. <br /> LOTAfl�q VACAM-SITE <br /> ❑�ES ❑No -..-- FEES <br /> TVPE OF CONST. OCCUPl�NCY GROUP NO.Of- DIYELLING -- uALUATiON FEE � <br /> UNITS <br /> _ � <br /> SIZE OF �LDG. NO.OF STOflI[S - <br /> MAX. 00Q LOAD RUIL�ING 5 � <br /> I <br /> FIRE ZONE pqSEMENT �'LUM(31NG --y <br /> FIRESPR�NK�ER$ � <br /> REQUIRED -- � <br /> ❑YES ❑NO MI:CHANICAL I <br /> SP[CIAL CONDITIONS. 7 � OO <br /> O7HER � <br /> _._.--___ I <br /> _"_"_- PENALTY �FC. �071i) � <br /> ____ TOTAL , 7 100 <br /> --- PERMIT VALIDATION � <br /> WIICN PROPf qI.Y V!U iD/�l[f) IIN THI:;51'ACEI i. I,.Y � H PERMI� � <br /> — <br /> - YOUR RE tE�A�T <br /> �� ; THANK Y, !1 � � <br /> I�ClJIONPCCJIIi111Y P1A45�J11CK11111Y - <br /> amnovi u ron ir.y:imwn ur <br /> . : r- . <br /> � , t ? 6 ,►�t 1•y � <br /> , _ y <br />