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rheLl�rrr:rern ',"i • CONSTRUC�I� � <br />r_�r; c: <br />���1�"" PERMIT PERMIT N0. 155G5 <br />GTV HALL 259-87e5 <br />eveaerT, v�n �azoi � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL R��RE55 CITY 21P F.�ONE <br />Inmaculate Conception 2501 Hoyt Everett 98201 <br />ARCMREGT OR DESIGNER AIAIL PD�RESS CITY . PMONE <br />GENEPAL CONTRPGTOR MRIL AODRE55 CITY 21V PNONE LICENSE / <br />Same <br />MECMANiCAL GONTflACTOR MAIL ApDRE55 CITY ZIP PMONE IICENSE x <br />P.UMBING CONTRACiOR MAIL AD�RE>5 CITY ZIP PHONE UGENSE x <br />❑ NEW ❑ ADDITION �ALTEAATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIqEPLACE INSERT <br />_UPPON OF WORN <br />S ZOO.00 <br />install partition wall <br />church <br />EGAL UESGPIPiION OF PROPE <br />11-12 7 <br />LOT_BLOCN_OF <br />J0� ADDRE55 <br />2501 Hoyt <br />NOW DELOLV OR ATTACH FOUR COPIES� <br />Climax Land Co.'s lst <br />PLUMBING <br />N0. TYPE OF FIXTURE <br />V✓ATER CLOSET (T01 LET) <br />BATHTU6 <br />LAVATORV(WASHBASIN) <br />SNOWER <br />KITCHEN SINK 8 <br />LAUNORVTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNfAIN <br />FLOOR �RAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR, ETC.) <br />SUBTOTAL <br />PENMIT <br />TOTAL FEE <br />SIDE YARD SETBACK STflEET SETBACI <br />USE ZONE LOT AREA <br />TVPE OP CONST. JCCUPANCY GRi <br />SRE OF BLDG. NO. OF STORIES <br />FIPE ZONE 9ASEIAENT <br />APPHOVALS <br />1. ENVIRONMENTAL CHFCK UST <br />2. BUII�ING PLANS <br />3. FIRE HYDRANT <br />a. FIRE PFOTECTION SYS7EM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENI <br />B.HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHI <br />� <br />f <br />S <br />REAR <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO OE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WI! L BE COMPLIED WITH <br />WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNAT11Rfi9R 70NTRACT6A OR A ENT OATE <br />X •�l^z-:.L:(�' � - :. ,.� 9/30/85 <br />MECHANICAL <br />Fkc NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — M.r. EA. <br />REFRIGERATION UNI75 -- H.P. EA. <br />BOILERS — H.R EA. <br />GAS FIRED A.Q UNITS — TONNAGE Eh. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNITHEATERS—BT.U. M <br />EVAPORATIVE COOLERS <br />CLOiHES DRYERS <br />VENTILATION FAN <br />RANGEHO00 <br />AIR HANDI.ING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIFIEPLACE 8 CHIMNEV <br />FIREPLACE INSER7 <br />HEAT PL'MP <br />YES .NO <br />SI1B TO7AL S <br />PERMIT f <br />TOTAL FEE S <br />CHECK <br />FEE <br />FEES VALUATION <br />AECEIPT NO. <br />FEE <br />BUILDING g ZOO ZO OO <br />MAX.00G LOAD <br />PLUMBING <br />FIr7E SPRINKLERS �1ECMANICAL <br />REOl11iiED <br />YES NO <br />BV DATE OTHER <br />PENALTY U.B C. <br />SEG. 303 (a1 <br />TOTAL ZO OO <br />PERMIT VALIDATION <br />WMEN PROPERLY VALIDATED �M THIS 5PACE� THIS �S YOUR PERIAIT . <br />3'+�� �n I O.00 — 1 <br />BY I APPR. FOR ISSl1ANCE �v <br />i1C�DRC�S RlC <br />,..- .. '_,�..,i�•'� <br />. ��', ,�i <br />_ ; ._�� 07 <br />