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,,��.�,�.,`�,:�.,� � �ONSTRUCTI�R � <br />e�erett PERMIT PERMIT NO. � J�� a�; <br />CITY HALL 259�9745 <br />EveaeTT. v�n eazoi j] COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUhYBING <br />OYtNER MAIL ADDRE55 CITv ZIP PnONE <br />Shaun & Lisa Mayruder 6220 LomUard Bverett 98203 353-2983 <br />ARCHITECT OR �ESIGNER MAIL ApORES� CITV ZIP PHON[ <br />..FNEFALGONTRAGTOF MAILADORE55 GITY ZIP PMONE LICENSEr <br />Same <br />MECMANICAL GONTRACTOR MFIL AODRE55 GTV 21P PMONE I.ICENSE x <br />PLUMBING CONTRAQOfI MAIL ADDRE55 CITY ZIP PHONE UCENSE x <br />CI NEW � AD�ITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN $$ WOOD STOVEIFIREPLACE INS=RT <br />VFLUATION OF WOflK <br />4 <br />Install wood stove <br />OR ARACH FOUR COPIES) <br />LOT _ BLOCK _OF <br />6220 Lombard <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />W ATER CLOSET (TOILEn <br />BA7HTU0 <br />SHOWER <br />KITCHEN SINK 8 D:SP. <br />CISHWASHER <br />LAUNDPYTRAY <br />CLOTHES WASHER <br />WATEH HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TO7AL i <br />PERMIT S <br />TOTAL FEE 3 <br />APPPOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br />e. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STAT <br />�.:YES ::NO <br />I HEREBY CERTIFY THAT ! HAVE READ AND EXAMINED THIS <br />APPLICA710N AND KNGW 7HE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNINu i HIS TYPE OF WOFK WILL BE COMPLIED 1NITH <br />WHETHEF SPECIFIED HEREIN OR NOT. THE GP.ANTING OF A <br />PERMIT DOFS NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNFTURE OF LONiPACTOF OR AUTHOPQED AGENI OATE <br />'fC'Z_ �. �'7-v� . C�,. 9/27/85 <br />MECHANICAL <br />TYPE OF E�UIPMENT <br />AIR COND. UNiT� �- H,P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS -- TONNAGE EA. <br />PORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HFNDLING UIJIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPL�CE INSER7 <br />HEAT PUMP <br />PLAN <br />BUILDING <br />PLUMBING <br />SUB TOTAL E <br />PEFMIT S <br />TOTAL FEE F <br />FEE <br />b <br />RECEIPT NO. <br />VALUATION I FEE <br />vn�ena MECHANICAL 1% �, �Jo <br />NO f — <br />DATE OTMER I <br />PENALTV U.B.C. <br />SEC. 303 (a) <br />TOTAL 1% SO <br />PEflMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THI$ �P(�Gf) THISNS1�YQUq F�WNIT � <br />I h I I U <br />B. HEC�TH DISTRICT � I <br />APPLICArION ACC. oY PLANS CHECKED BV APPR. FOR <br />no�Prss rn.� <br />,< <��-,.EI�'�� � <br />'1 I, i.t.. _ � - <br />, � < „ ,,,. i� <br />�.f�.i:. � �,. <br />. i ..�� �', ; <br />