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die Evergreen ' C{� � ST R U CT I O IV <br />GTY OF <br />eVQr�l.l� PERMIT PERMIT N0. O76%3 <br />CITY NALL 259�8745 <br />eveaetT. wn ,ezoi ❑ COMBINATION i� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />pµryE�� MAIL AU�HE55 CIiY ZIP PHpl1[ <br />Rubatino Refuse Removal 2818 Hoy* 98201 259-0044 <br />FRC�UTECi Of GESIGN[H MRIL/UDRESS CitY ZIP PHONE <br />GENEPALCON15Vil�`�eneral Contractin MAILPDDRE55 CITY ZIP PHONE LICENSE/ <br />nricx g 98201 259-6672 <br />IAECNANICA�CONiRACiOH MAILhDDRE55 CITY ZIP PI!ONE UCENSE� <br />ER IC K2260I <br />PLtIMFiINGGONiRALTOR MARA�DRE55 CITY ZtP PNONE LiCENSEs <br />_'.__ _. .._ <br />❑NEW ❑ADDITION L��LTERFTION ❑REPAIR ❑DEMOLITION ❑FENCF ❑SIGN GAPAGE <br />VAWATION OF WORK <br />S %2��.�� <br />office <br />LEG�L DESCRiPiiON OF PROPERiv <br />N 5 C <br />ior o�a� 669 oF <br />J00 AODRE55 <br />2818 Hoyt <br />PLUMBING <br />NO. 7YPE OI <br />WATER CIOSET QOILI <br />dATHTU� <br />IAVATORVIWASH BA: <br />� SHOVJER <br />K17GHEN SINK & OISF <br />DISHWASHER <br />U+UNDiiY TRAV <br />CLOTHE.i WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />I HEP.EBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />�ee�owoannncNFouacor-��esi PLICATION AND KNOW 1HE SAME TO BE TRUE AND CORRECT. <br />Tunnel ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF `NORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OF NOT. THE GRANTING OF A PERMIT DOES NOT <br />PFESUME TO GIVE AUTHORITY TO VIOLP,TE OR CANCEL THE PRO� <br />VISION ANY O R STATE OR LOCAL LAW RECULATING <br />C RUC ION HE ERFORMANCE OF CONSTRUCTION. <br />,cr�n�urr � r .ar vu � norr on�[ur oni[ <br />� , � 6/2/80 <br />VACUUM 6REA!:ERS <br />ROOF ORo,;NS — RNNLEADERS <br />SINH :iFRVICF — RAR FTC 1 <br />SIDE YARD SEi�ACK <br />1 <br />OR ITEM <br />SUBTGfAL <br />PEAMIT <br />TOTALFEE <br />STREEi SETdACK <br />LOT A,IEA <br />OCCUPANCYGF: <br />$-2 <br />No. oF sroaiEs <br />BASEMLNT <br />1 ENVIRONMENTAL CHECK U5T <br />2. BUILDING PLANS <br />� 1IPE HVORANT <br />a FlRE PROTECTION SVSTEM <br />5 GRA7MG <br />6 DRAINAGE <br />7 ENVIRONMENiAIIMPACTSTATEMENT <br />0 HEALTH DISTRICT _ <br />APPUCAT;ON ACC. OV PLANS CHECKED BV <br />V.C. <br />RLAR YARD SETBACR <br />I.;VES <br />APPR FpR ISSUANCh B1 <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT <br />AIR COND. UNITS — H.P, EA <br />REFRIGERATION UNITS — HP EA <br />BOILERS — HP. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSiEMS — B T U. M EA <br />WALL HEATERS — � T.U. M <br />UNITH[AT[PS—E7.U. M <br />EVAPORATN[ COOLEr7S <br />CLOTHES DPYEPS <br />VENTILfQION FAN <br />RANGEHOOD <br />AIR HANDL�NG UNIT — C.4.N <br />FEE <br />� TOTAL FEE SI , <br />! CH[CK NUMP[R PLAiI CHECK FEE <br />80/7673 FEE 28.6� RECEIPT NO. <br />PEES VALUATION FEE <br />owi.oiNc <br />PLUMBING <br />MECHANICAL <br />OTIiER <br />PENALTv <br />TOTAL <br />5 72��. 0� <br />U.B.C. <br />SEC.3031a) <br />44 I 00 <br />94 I 00 <br />PEHMIT VALIDATION <br />LVHEN PROPERLY VAIIDATED Ilry THIS 5^:.Cq THIS IS YOUR PEFMIT <br />2y;s �04d.00— 4'> <br />r- <br />i.o <br />1'�,UR, f?ECEIPi o <br />i I..i r..�\�� i'�J U <br />�S+,. d , ,� '.'-.��p��,—y '�:.. i r '"� .� �' t �^�.s�. ��� < :-e <br />"A� �:ch��p�.'%� `� ri « ti � t ' P �, � ��� <br />.ny,. �d�`'tiyn..s�a R��.���� ��r� ..�t lh«��1��Itm�..R'� �A4��.���.�'�.P`�.._ _ <br />� t <br />