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� .�•�v — ev�rett <br /> rtRMIT ` <br /> ...�MBINATION • BUILDING • MECHANICAL • PLUMBING <br /> Ol\'NLN MAll .1UD13L;:5 21P PNON[ � <br /> FSCfIAI2D SLTLS,IVAN 316 N 82 LVERf.Tr 96203 259-3656 � <br /> ARCHITECTOI2 'JESIGNER M11AI� ADOIlL;S PHONE LIC[NS[ NO. 3 <br /> S�� � <br /> GENERAL CONTR/1CTOR MAIL A�DRE55 �HONE LICENSE NO. z <br /> �`� C <br /> MECHANICi1L CONiRACTOF AAAIL ADORESS PHONE LICENSE NO. � <br /> W <br /> i_, m <br /> PLUMOINGCONTRACTON MAILA�DRE55 PHONE LICENSENO. -� � <br /> � , <br /> PERMIT CLASS OF WORK ' � <br /> ❑COM9INATICN <br /> �]CUI�DING ❑PW'n6�NG ❑MECMANICAL <br /> ❑NEW ❑nDUITION ❑l1LTERAT'ION G�PEPAIR <br /> VAWATION OF'NOftK <br /> $ ZiOOO.00 — ❑D[MOLISH ❑FENCE -❑'iIGN ❑SWIMMWG PDOI_ <br /> DESCRILiEWORK <br /> RUII3J POUiVIu:TION 0I�1,Y <br /> PROPOSFD VSE MECHANICAL <br /> � TVP[ OP FNERGV <br /> �EGAL DESCRIPTION OP PROPERTV ISHOW f3[LOW oR PTTFCH ❑GAS ❑ELEC. <br /> f-O V F COPI ESI <br /> Lo7� BLOCIA2Z.-.oF—E�E���-��Ci� _ NO. _ TVPE OF E�UIPMENT FEE <br /> AIP COND. UNITS-H.R EA. S I <br /> Rf-fRIG[RATIDN UNITS N.P. FA. <br /> __ 1301LLR5 11.P. EA. I <br /> FORCED AIf1 5�'STGMS-6.T.U. MEA. <br /> — � <br /> � JOD ADDRESS SP/�CE & WALL H[ATERS - O.T.U. <br /> 201 GRAND A _ uNiT i�enreAs -e.r.u. � <br /> EVAPOR•VIVECUOLE�S � <br /> PLUMBING c�on�cs o�vens i <br /> - VENTILATION �AN <br /> RANGEHOO� I <br /> NO. TVPE OF FIX7URE OR I7EM FEE r�.�ra i+nNDUNc uNir _ _ C.F.nn. <br /> BATH TUBS � 5 I <br /> CLOTHES WASHER � WAtER HEATEP � <br /> DISH WASHERS _� �qC. BUI�T fIH[PI.ACB & CIIIMNEY I <br /> DNINKING FOUNTAINS � Gns. SYSIEM: No oP oUTL�Ts <br /> FLOOR DHAINS � — -- -- -- - " <br /> KITCHGN SINKS & UISP._ �_ __ __ . ,vLry�OTAL 5 I <br /> RAr751NKS � __'-----_- — -' -- <br /> NOOF DNAINS - RAIN LEADLRS i TOTPL PEF S I <br /> SHOWER BA7H5 �HIS PERMIT' 8&COMES NULL ANO VOiD IF IYOqK OR CONSiRUC- <br /> SERVICE SINKS TION AVTHORI2ED IS NOT COIdMHJCED WITHIN 120 OAVS, OR If- <br /> SUMPS - SF-WAGE PUMP CONST(lUCT10N OR WONK IS SUOPENDLU OP A[�ANDONED FOR A <br /> � PLfiIUU OF 120 DAv: AT /1NV TIML AFTER W011h ISCOMM[NCGD. <br /> URINN�S <br /> WATER CLOSETS I � ��������� CBRTiI`V 1HAT I IIAVE fiEAD AND EXAfA1NCp THIS AP� <br /> PLIf.ATION ANI) KNUW iH[5l�ML 1'O �C I'RU[ AND fOfiR[CT. ALL <br /> WA1ER HEATBR� ELECTRIC _� PROVISIONS UI' LAW i �NO OHDINANC[5 GOVERNING THIS T-VPE <br /> WASN BASWS � OP K'ORK WILI L3E COMPIJCO N9T11 WHEI�H[H SP[pFIED HEREIN <br /> LAUND�Y TRAVS O�� NOI, I�HE GftANiING Uf A P@RMIT l)OES NOT Pfi[SVME �O <br /> __ � GIV[ 11VTHORITV TO VIOLl�if' OR CANC@L T11[ PROVISIONS OF <br /> __� l�NY Ol ll[R iTM[ OR LOCAL I.l�W �iLGUI-I�TING CONSTRUCTION <br /> � OH THE PEIiPORMANCE OP CpNSTRGCTION. <br /> __ 1 <br /> SU6 TOTAL �_ <br /> PERMIT 5 ! ' � � <br /> TOTALFEE —� �:� Wi��i-��-�r�{ (_$� <br /> W�TERSERVICES4E___OLDG. SUPPLVSIZE SicrvnTunco�coiilincr nor,nur��.nctNr �onT� <br /> SIOE Vl�RD SETpACK. STf�EET SGTUl�CK RGAR YAfiDS[TOACK 1'LAN CN[CK NUMR@R W�AN CHLCK FE[ <br /> PL[ RECEIPT NO. <br /> USE ZONE LOT AfiEA VACNNi 51iE <br /> ❑vEs ❑No FEES VALUA710N F[E <br /> TVPL OF CONST. OCCUPANCV GfiOUP NO.OF OWGILING � <br /> UNI15 <br /> -"- I <br /> 512E OF OLDG. PJO.Of STURIES MA%.00C. IOAO [IUIIDING 5],�OOO.00 ZOjOO <br /> PLUMRING � <br /> flli[ ZONE f3l�S[MENT FIH[SPfiINKL@RS _. _. � <br /> REOUIliCO � <br /> ❑V[S ❑NU MBCMANICAL � <br /> 1-- <br /> I <br /> SPECIIIL CONDIilONS'. OiHER � <br /> — - --i- <br /> Y[NAL1Y S.C. 9031a1 � <br /> __.--___ _ _ - _- L__ <br /> _ .- -.—__ -- � <br /> --- TOTA� 10. Q <br /> - � PENMIT VAUDATION <br /> ___ __ WNGNPfiOPFRIVV/�IJDAI[I] Ii��I11f�;PACt�.ill�:;y^,�'O�Ilil=_LHh11T 1 <br /> 8 �Q v+A � <br /> — YO U R R�CE{!p'T <br /> �,•,�,���,��,��«:��,��,�,. �,���s�.,,�„�,,,. �,.,��,,,�,�,��,,,��-,--�,�,��� ,,. � THAt�K YOU ' <br /> � <br /> � � � <br /> ` . — Q .�v, 7.R <br />