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,,"."""`�`.,� ;- �ONSTRUCTIUP' <br />�, r�� <br />everett PERMIT PERMIT N0. 12977 <br />GITY NALL 259�B7d5 <br />eveaerr,wneezoi � COME"INATION � BUILDING ❑ MECHANICAL ❑ PL'JMBING <br />�:�r,EN n�n��� nooAess cin zia P�o�+e <br />Leonard G. Nash/Mdrew M. Hall 9201 Rucker Avenue 98203 25�-086? <br />ARCMITECL Ofl DESIGNER 1dAIL ADDRE55 GITY ZIP PMONE <br />GENEFALCONiPACiOR MRILAOORF.55 GITY ZIP PNONE LICENSE> <br />Same <br />MECMPNICPL GONTNAQOR MPIL A�DRE55 GITY ZIP PHONE LICENSE � <br />FLUMBING LONTRACTOR MAIL NDORE55 GITY ZIP GM09E 4LENSE M <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ PEPAIP �EMOLITION O FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />S <br />OESCRIBE WORN <br />partia'. demolition <br />office building <br />S55' 8 22 South Park Addition <br />LOi __BLOCK __ OF __ <br />Rec!at of Blocks 19 thru 28 <br />�oonooaess <br />4206 Hoyt <br />PLUMBING <br />N0. TYPE OF FIXTUHE OR ITEM _ FEE <br />NlATER CLOSET (TOILEn <br />� nninlutf I <br />SHOWER <br />KITCMEN SINK d DISP. <br />IxUNDRYTRAY <br />CLOTMES WASMEFi <br />WATER HEATER <br />URINAL <br />DRINKING f�UNTAIN <br />FLOOR DRAIN <br />VACUUM BPEAKERS <br />FOOF DRAINS — FAINLEADERS <br />SINH ISERVICE — BAR, ETC.� <br />SUB T0T.1L <br />TOTALFEE <br />L ENVIRONMENTAL 7HECK UST <br />2. BUILDING PLANS <br />3. FIRE HYDHANT <br />, a.PIREPROTECTIONSVSTEM <br />S.GRADIVG ___ <br />fi. �RAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />tl. HEALTH OISTflICT <br />APPLICATION ACC. 8Y PLANS GHE <br />S <br />VES :.NO <br />LOAD <br />I HEREBY CERTIF'! THAT I HAVE REAU AND EXAM1IINED THIS <br />APPLICATION AND KNOW 7HE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCC-S <br />GOVERNING THIS 1YPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOC-S NOT PRESUME TO GIVE AUTHOR:TY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STAI'E OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE CO TRUCTION. <br />sicHatuaE cro� nurHoai on c� Z/9%$q <br />X � "�J <br />� TYPE OF EOUIPMENT <br />AIR GOND. UNITS — H.P. EA. <br />REFPIGERATION UNITS — N.P. EA. <br />BOILERS — H.P. EP. <br />IiAS FIRED A.C. UNllz — TONNAGf <br />FORCED AIR SY51EM5 — B.T.U. <br />WALL HEATE9S — 6.T.U. <br />UNIT HEA?ERS — 6.T.U. <br />EVAPOFATIVE COOLEFiS <br />CIOTHES DRYERS <br />VENTILATION FAN <br />RANGENOOD <br />AIR HAN�LINC UNIT — <br />STOVE — WOOD <br />METPL FIREPLAGE 8 CHIMNEY <br />FIRE?LACEINSERT <br />HEAT Pl1MP <br />CHECK NU� <br />FEES <br />BUILDING <br />PLUAIBING <br />MECHANICAL <br />OTHER <br />PtNALTV <br />TOTAL <br />EA. <br />M <br />M <br />C.P.M. <br />SUBTOTAL 5 <br />PEPMIT f <br />TOTAL FEE S <br />PLAN CHECK FEE <br />F_E RECEIPT NO. <br />VALUATION FEE <br />5 <br />uac. <br />SEC.70J <br />0� <br />WMEN PROPEflLY VALIOATEO �1N THIS�SP. QG TMIS IG ��{F�EB�.}�T _�� <br />�, 1 6 � U U il <br />(_'>') <br />�..i <br />•,� �;? ::^CI-.IPT ; <br />. _ i �.� i:� �:� �� <br />ADDIeEJS (II.1. <br />' � i �L 0 i <br />� <br />'t <br />