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rn,� r-�,,,,,,���,,, <br />�:�,�� <,� <br />everett <br />QTV IIALL l'!�9 UJ4S <br />F�.��eFlFrT. va:, ��azo� <br />CONSTR UCTION <br />PEIRMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />MlVLADORES:; ��o <br />Gordon W. I�ia-quarclt 4432 }Ioyt 98203 259-1550 <br />n�:c�1�TEci i�li [iLSi(,rvEn nan�L nooaEsS .-- i•r1c�NE -- <br />LICEN <br />GhNERAL CONTRACTO�i MqIL ADORESS PHONE � � LICEN <br />Same <br />ViEC��nNirni rnmranrrnu ...... _______ <br />❑ COM� W ATION <br />(�a(UILDING �PWMf31NG ❑MECHANICnL <br />/ALVl�TION OF WOFK <br />s 900.00 <br />1ESCRIBE WORK � <br />re-r00f <br />wn� utSGqIPTION Of PRC <br />FOVP COP�E51 <br />LOT �-�=1SpLOCK 5 OF <br />S. 2'-19 <br />JOUAJDRE: <br />4932 <br />PLUMBIIVG <br />ITEM <br />13E <br />O <br />WO <br />❑NEW ❑ADOITION ❑f�LTEflATIGN ❑REPAIH <br />❑ DEMOUSH ❑F[NCE ❑SIGN ❑SWI\1MIN , POpL <br />Tncii <br />everet( <br />v <br />m <br />� <br />S' <br />� <br />I MECHANICAL <br />�1YPF OF EN[RGV--- �-- <br />❑G�15 ❑ELEC. <br />N�� TVPE OF EQUIPMENT FEE <br />AIR CON�.VNITS-FLP.Eq. 5 I <br />REFRIGERf�TION UNITS ILP. [A. —� <br />BOILERS--H.P.[l�. ----�--- � -- <br />FORCED AIR SY,qT[P.15--P..T.LL MEA. T— <br />-- —_- _ . I <br />SPACE & WALL HEATERS - B.T.U. <br />_ �UNITHEM[q5-F1.T,U, � <br />}I LVl1PORr1TNE COpLERS —� <br />I CLOTH:S DRVERS -�-- <br />i <br />i vENri�nrioN FnN �-- <br />.. _ � ranNce i�000 � i — <br />� /�IR Hl1NDLING UNIT QF.M. —��— <br />_ _ .. I-_ - �__ �_ <br />W.1TER HEATEft —T <br />FAC.�UILT FIqEFLACE & CHIMNEV � <br />GAS. SVSTEM�. NO OP OUTLETi �— <br />_. - - __._ "'_ ____ - —SUCt TOTP.L 5 _�—_— <br />----____ - I <br />PE:�PAf� $ <br />TOT.LFEE 5 � <br />THI; PfRMIT B[COMES P;ULL l�N6 VOID I� WORK OR CONSTRUC <br />TION AUTHUHILED :S NOT COMMENC[� VJITHIN 120 �AYS. Oq IF <br />CONSTRUCt;�)V OII WpRK IS SUSPFNDE� D�i f�pANOONED FOR A <br />PENI00 OI 120 DA"5 !�T l�NV Tli\1E AFTER WORK ISCOMMENCEO. <br />1 IIERE(iY CERTIFY TNAT i III�VE R[AD AND [Xl,MINF.G THIS AP� <br />VI.ICAiIOiJ l�ND KNOW THc SAME TO 8F TRUF nND CONR�CT. ALL <br />FROV�;IpNti OF L�WS AND OROINANC[S GOVERNIAIG Ti'IS TVPE <br />OF N.�ORK WILL fi[ COM1iFLIEO WiTN WHFi'IIG� SV[Ci�ILD HEREIN <br />O(i NOL TIIE Gq/�NTiNG OF A PEfiMIT OOG; NOT PRGSUME TO <br />GIVG AUTHORITY TO VIOLATB pR CANCEL T�I[ PlinVISiONS Uf- <br />ANY OTHLH STr11[ pq LOCAL L(�W RLGUI.N'ING CUNtiI�FiUCTION <br />OR TIIE P[FtFORNANCE OP CONSTFUCI ION. <br />TER SERVICE SIZE �BLDG. SUPPLV SIZE 1 xriM� nE of� �pNT <br />)EYARp5ET6ACK ISTR[ETSETBACK REl�qVAqDSBTRACKPLl�NCHFCKNUA9pEq <br />ZfJ <br />SP6CIAL CONOITIONS' <br />�.:�.� ,�„ ��,���,,,.- <br />n <br />,�,<<.�,,,�.— -- <br />f[E <br />���5 �N� FEES <br />J.CF UWELI_ING <br />VI�S <br />I1./�GENT U�1iE <br />PLAN CHECK FFE <br />�RECLIPT NO. <br />VALUATION � FEE <br />. occ �ono uuii.oiNc 5 900.00 9� 00 <br />i <br />rw�noi,vc i <br />�.SPRINKL[HS __ � <br />ui�en <br />YES ❑NO h��CHINICAL � <br />OTIIGR I "—� <br />— I <br />— T <br />- — r�r�nrrv s�c-aoa�.d i <br />_... - -- - -- - --- - - -- - --�-- -- <br />� TOTAL J j 00 <br />PERMIT VALIDATION ry �L <br />— - win�vi�iv�>rr�i�ivvniiuniio�ir�itiGSi�nce.y,rry�U��<U�U;luf���= <br />�� � �1 U <br />r <br />-- YQt1 R RECElF�' <br />,,,���„�,�„�,�,,.,:�� �.. 7HANK YOIi : � <br />eb <br />,; + <br />� � �'ti <br />� -a 7 �, <br />_ , ,n _ - - <br />