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,,�� ; �".;.:° � CC�NSTRUCTIOI� � <br /> evere <br /> 1:t PERMIT PER��T �:o. _ : <br /> ��iiY iiALL 299�87t5 <br /> rr;��rr.v✓n �-,zoi LI COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING <br /> l.14iL FUJ��L55 CITI' ZIP �� �. <br /> Bl.son 2505 Lombard <br /> �.—rnoubeer"r.u+ �.�nanooaEss cnr ziP ���c+� <br /> ._��'�llOH19��Q0:! IANLNDDNES$ QTY ZIP PHONE LiCi��._'�. � <br /> %�IIICf�I CONiRnCiOR l.1AI�ADpflE55 QiY ZIP PH�uE ULi:�` <br /> Natural Gas Equipment 1G11 East Grand Everett 98201 258-2411 <br /> �amccoN�r�ncroa r.inaaooness ciTr ziP v�ior�e i�,c�r,<, • <br /> "�,+55 OF YJOfiK <br /> ❑HEV✓ ❑ADDITION ❑ALTERATIpN ❑REPAIR ❑DE�dOLITION UFENCE ❑SIGN ❑GARAGE <br /> , nilON OF\YORK <br /> i]!��_:aOE WOFK <br /> �, ;i US[D USE OF B W LOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> -_.�,:.,uescaiarror+oFrnoPearvisrowee�owor+nrrna+FouncoPiesr PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ��LL PROVISIONS OF I.AWS AND ORDINANGES GOVERNING T!-fiS <br /> � n�ocK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHEF SPEGFl[D <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NuT <br /> PHESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE P,0- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATIFIG <br /> CONSTHUC110N OR THE PERFORMANCE OP CONSTRUCTION. <br /> ..:h fGVf55 SGI�P U•VE Of GOMR4C10R OP�Ui110PIZED A(3E�lT DATE <br /> 1 10/3/79 <br /> 2505 Lombard X l�, `,• l <br /> PLUMBING MEC ANIC <br /> IVO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> VJATER CLOSET ITOILET� AIR COWD UNITS— H.P.EA. t <br /> �ATHTUB f7EFRIGERATION UNITS—HP. EA _ <br /> LAVAiORY�WASH BASIN� OOILERS—HP GA. _ <br /> SHOWER GAS RRED Af,. UNITS—TOIJNAGE[A. _ <br /> KITCHEN SINK 8 DiSP. FORCED f.lP SYSTEP,15--BS.U. M EA. <br /> �ISHWASHER VJALLHEATEFS—�T.�. M _ <br /> LAUNDRY TflAV UNii HEATERS—B.T.U. 61 _ <br /> CLOTHES WASHEii EVAPORATIVE COOLER i <br /> l'rATER HEATER CLOTHLS DRYEHS <br /> UPINAL V[NTILATION FAN <br /> �FINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HFND�iNG UNIT— C.F.M11. <br /> VACW�d �REAKERS STOVE <br /> ROOP DRAINS—RAINLEAOERS METAL FIqEPLACE&CHIMNEY <br /> SINK�SERVICE—9AR,ETC.) Conversion <br /> _ �3� <br /> SUBTOTAL SUB 70TAL 5 6 00 <br /> PERMIT S PEFMI7 5 3 00 <br /> TOTAI_FEE 5 70TAL FEE S 9 00 <br /> 6iUf= VARD SETBACK STREF�SETBAGK REAR YAPD SETBAGK PLAN CHECK NUMBEH PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> . ZONE LOT AFEA VACANT SITc — <br /> I IYES '�.:NO FEES VALUA710N FEE <br /> TY!'E OF CONST. OCCUPF.NCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 5 <br /> 5!;i_OF BLDG. NO.OF STORIES PdA%.OCC LOAD <br /> PLUA7BING <br /> 1-IR;: ZONE BASEMENT FlRE SPHINKLERS <br /> REOUIRED MECHANICAL 9 OO <br /> !-!YES I':iNO <br /> 'A APPHOVALS BY DATE OTHLR <br /> 1 ENVIRONM[NTALCHECKLIST PENALTY U.BC. <br /> SEC.303(a) <br /> '.' [3UILDINGPLANS <br /> ; FIRE HVDRANT TOTAL 9 00 <br /> : RRE PROTECTION SYSTEM P?RMIT VALIDATiJN <br /> NHEN PRGPERLY VALIOATED p�J THIS SPACE)TNI�IS YOUR P[Rh11T <br /> I. G�ADWG Q <br /> G Dl�AINAGE �O� � � O Q !. O O �; �7 <br /> i f-NVIRONI,IENTAL IMPACT ST.:TFMENT �' <br /> !i7 <br /> .�. �'.i.ALTH DISTRICT p [�' <br /> �.i�'LiCATION ACC �Y PLANS CHECKED OY APPF.FOR ISSUANCE BY ��UsR � RGG L�i'�, �� <br /> , . ��-f,��7 K '; ��� Lt <br />