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:,,, <<,,",�,.,, CONSTRUCTION <br /> - everetl <br /> "'v °' PERMlT <br /> �verett <br /> CITY IIALL2S7A]4G <br /> �-� cr.eTr. wn oezo� COMBiNATION • BUILDIfJG • MECHANICAL • PLUMBING <br /> OWN[R MNLAUVNB:;; )iP I'110NE <br /> E.L. Icavli — �+Theeler 9027 S.L. 60 St. , Mercer Island 232-4637 � <br /> ARCHIlE7T ON DESIGNLR M11AIL AOf�NE55 PIIONE LICLNSG NO. 3 <br /> � <br /> G[NENALCONTRACTOR MAILADDR[55 PHONE LICENSLNO. Z <br /> Same � <br /> MECHANICAI.CONTFACTOR MAILADDRE55 PHONE UCENS[ NO. � <br /> W <br /> (, m <br /> PWM�INGCOVi(iACiOR MA�LADORE55 PHONE LICENSENO � <br /> i,.: <br /> PERMIT CLA55OF WOFK - - <br /> ❑COMBINATION <br /> � [3UIL�ING ❑ PLUM�ING ❑MCCHANICAL <br /> ❑N[W ❑ADOITION ALT@RATWN �REPAIft <br /> VALUATION OF WORK <br /> 5 ZZS ❑n�MOL1511 ❑�CNCE ❑SIGN ❑SWIh1MING POOI. <br /> DESCfl16E WORK <br /> install Fire Doors <br /> PROPOSED USE <br /> MECHANICAL <br /> TVPE OF ENCRGV <br /> LGGAL DGSCFiIPT10N OF PROPERTV ISHOIN �EIOW OR ATTl�CH ❑(;/�5 ❑ELEC. <br /> FOUR COPIESIp <br /> LOT 14-11S�ocrc664 oF �verett Plat N' NO. TVPE OF EOUIPMENT _ FEE _ <br /> AIRCOND. UNITS-NP EA. 5 I <br /> R[FRIGERATIONUMTS H.P. EA. <br /> iioiter.s �Ceen. i <br /> fORCEU AIH Sv5TEM5-U.T.U. MEA. <br /> — -.1__. 1 <br /> JOO ADDRE55 _� $P/�CE A. WAL� HEMGRS - B.T.U. <br /> L915 [-Ie(altt, �UNIT IIEATF:RS 13.T.U. I <br /> LVAPORATIVECOOLERS <br /> PLUM8ING c�oT�+�s u�veras i <br /> V[NTILl�TIUN FAN <br /> RANGG HOO� I <br /> NO. TVPE OF FIXTURE OR ITEM FEE niq ��pNuilN,UNIT- C.F.M. <br /> BATH TUBS 5 �— — ---����--� ~ <br /> CLOTHESWASHER � --- -- - - - - -- - ---— —- � <br /> WATER HEATER <br /> DISH WASHEHS � -- - --- - - —-- — <br /> FAC. f3UILT fIFEPLACE i4 CHIMNEV � <br /> DHINKING FOUNTAINS � - - <br /> FLOOR DRAINS � GAS. SVSTEM�. NU OP OUTLETS <br /> _ -_ _ '__.-_—_-'_. <br /> � KITCHEN SINKS & DISP. i SUIt rorqL S � <br /> -_. _______-_ __ _ _-_ <br /> BAR SINKS j— PGnMiT 5 <br /> ROOF DRAINS -- RlUN LEAUERS i TOTni_ fF.L 5 I <br /> SHOWER BATH$ THI; PI�HMIi ❑LCOM[: NUL� ANU VOIn IP WORK OH CONSTfiVC- <br /> SERVICE S�NKS 1 iOP1 AUi110HILLD I; NOl' COMMLNCLU WITNIN 120 OAYS, Ofi IF <br /> SUMPS - SEWl�GE PUMP CUN;tIiUCTION Ort WORK IS SUSr[N[)LD OR n13nNDON[D Pofi n <br /> URINALS � PERIOp OF 170 D/�VS AT ANV TIME /1PTCR WOfiK ISCOMMENCED. <br /> WAiER CLOSETS i I II[NH3V CLRTIPV 111AT I HAVL R[Af) AND LXAMWED T1115 AP� <br /> WATER HEnTBRS - ELECTRIC � r�_ICnT�oN nNO KNow 1H& SnMe rn u[ rnu[ nNp CORR[Cr. nL� <br /> PROVISIONS UI'- LAWS AND OIi�INANCLS QOVERNING TH:S iVP@ <br /> WASH BASIN$ --j OI' WONK WILL L1L COM1IPLIBO WITN WHITHBR ^vP[CIFI@p H[R[IN <br /> LAUN�RV TH/1VS Oli NOT, TH@ GIiAN7�NG UP !� PEf1MIT UO[S NOT PR[SUME TO <br /> � GIVL AUTHORITV 10 VIOLr1T@ OR CANCEL iHE PROVISIONS OF <br /> _- ANV OTHER iTATL Ofi LOCAL LAW N[GULATING CONSTIiUCTION <br /> � OR THE PENFONM�NCE OI' CONSTIlUCTION. <br /> I <br /> SUB TOTAL i <br /> PERMIT S , <br /> TOTAL FEE �� x � ��_ � ZO�19�77 <br /> e J _ y,�__ <br /> WATERSERVICFSIZE GLUG. SUPPLVSIZE SIGNI1TUIiF.OFCON�RACTORORAUTH.AGGNT DM'E <br /> SIDGYARDSETOACK 5T(i[[15ElRAGK NEARVARDS[T[tACKP�pNCHECK ��UM0E11 PLl1NCHECKFEE <br /> FEL RFCEIPT NO. <br /> USG ZONE LOT /1q[A V/1CANT SITE <br /> ❑YEs ❑No FEES VALUATION FEE <br /> � TVP[ OF CONSi. OCCVPANCV GFOUP NO.OF OWELLING <br /> � UNITS 1 <br /> 512E OF ULDG. NO.OF STURIES M!�%.00C. �OAD ❑UIL�ING S ZZS S �OO <br /> -_—' � <br /> 1'LVM[3ING � <br /> FIqEZONE BAS@MENT FIR[SPIiINKLLHS � <br /> liE0U1NLD I <br /> ❑V[S ❑NO MECHANICAL I <br /> SPECIAL CON�ITIONS: pT��gµ � <br /> — I <br /> -- ---' — PF.NALTY Sl[C.7W Inl 1 <br /> I <br /> - - — -- TOTAL -�- ���— — S �OO <br /> PERMIT VALI�ATION p[ <br /> -_.__ Wu�Nrivoru�i.vvaiioniru�in't6�r�jrnCeihp�U�J.B��j�,Jy�+n� , <br /> av <br /> ---- -- - — YOl1R RECE{PT , <br /> �,",��:�„�����:�:�P,�„�,� ,��„�,:,,,�K,,.�,. - �,,,��„���„��„�:::����<� �,. TMANK YOU <br /> s <br /> --- I 9 ocT 77 <br />� <br />