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i <br />�'�° F��°����'��� CONSTRUCTION <br />�", "` PERMIT <br />everett <br />CIl V Hl1LL 26't H]4v <br />evenErr.wn �inzoi COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />JWNEF MAILAOUNESS ZIP PHUN[ <br />Kevin Dahl 2934 Nassau 98201 252 2295 <br />n1acNITECr OH DESIGNLR —__-_—_ ._. n1nIL nnnRFSS aunw�� ....�..... , <br />Same <br />M11[CHANICALCONTRACTOR MAIL� <br />❑COMBINATION <br />[�ji0U1LDING ❑ PLUMOING � MECHANICAL <br />— ❑NEW ❑AODIIION ❑ALl'ERM-ION "�RGPAIR <br />/AIVATION OF WORK � <br />An <br />5 <br />L�OOO.00 ❑OF;dOLISH ❑F[NCF ❑SIGN ❑SWIMMING POOL <br />)ESCRIDE WORK <br />interior repair of existing structure <br />MECHANICAL <br />TVP[ OF GNEFGV <br />LtGAL OhSCRIPTION OF PFOPEfiTY ISIIOW UELOW OR ATTACH ❑GAS <br />POUP COPIE51 ❑ELEf,. <br />Lor 6❑LOCK 14 op ViCtO� He14ht5 NO. TVPEOFEDUIPMENT FEE <br />AIR COND. UNITS--Ii,P. EA. S I <br />f:[FRIGERMION UNITS -H.P, EA. --�— <br />HOILERS � H.P. EA. � <br />FORCEO AIR SYSTEMS-U.T.U. MEA. <br />—' _ ' I <br />JOO AO�RE55 SPACE R WqLL HEATERS - H.T.V. -�— <br />9402 Grand uNir �unrens-�e.T.u. i <br />evnvonnTive coo�er+s <br />PLUMBING c�onies onvEr�s i <br />V[NTILATION Ft1N T— <br />NANGE 1100D � <br />NO. TVPE OF FIXTURE OR ITEM FEE AIR HANDLING UNIT- C.F.M. � <br />BATH TU85 $ — ' - <br />CLOTHESW�SHEIi i -----�----- � <br />OISH WASHEHS — i __ WnTER HEATER �— <br />FAC. BUILT PIREPLACE ft CHIMNEY � <br />DRINKING FOUNTAINS i — - _ <br />FLOOH DflAINS GAS. SVSTEM: NO OP OUTL[TS � <br />i_ -- _ _'_. __'__"_ <br />KITCHEN SINKS & DISP. i SUn TOTnL 5 � <br />BAR SINKS —j P[RMIT � 5 <br />ROOF DRAINS - flAIN LEADENS i TOTnL FEE 5 I <br />SHOWER �ATHS THIS PERMIT 13[COMES NULL AND VOID I�' WORA OR CONSTRUC- <br />SERV�CE $INKS TION AVTMOHILE� IS NOT COMMENC@D WITHIN 120 Dl�VS, OR IF <br />SUMPS - SEWAGE PUMP CON`.iHUCiiON OR WOta� IS SUS�ENDED Oli A13ANDONED FOR A <br />URINALS � �6fi10D OI' 120 DAYS 4T ANV 1'IME AI'TER WORK IS COMMENCED. <br />WATER CLOSE7S 1 I 11[HEBV CERTIFv iHAT I HAVE qEAD AND E%AAIWED TII15 AP- <br />�'UCATION 11ND KNUW TII[ :AM[ TOl3[ T(iUG AND COfiRECT. ALL <br />WATER HEATEH$ ELECTHIC � PIiOVI510N5 OF LAW; nND OHDINANC[5 GOVERNING THIS TVPE <br />WASH BASINS � OI' WOHK WILL U@ COMPU[D WI711 WHETHEA SP[CIFIGD MEREIN <br />LAUNDFiV THAYS ��a NUI, THf' tiRANTIIJG Of !� P[PMIT DOFS NOT PRESUME TO <br />— i GIV[ l�UTIIOfiI1�V TO VIOLAT[ O!i CANCEL THE PfiOVISIONS OF <br />—_ nNV OTHER tiTI�TG OR LOCAI LAW R[GULAtING CONSTRUCTION <br />_ � OH THE PG(if-ORMANCC OI" CONSTRUCTION. <br />SUB TOTAL —� <br />PERMI7 5 8/22/78 <br />OTAL FEE x <br />NATER SERVICE SRE [3LDG. SUPPLY SIZE sicN i r�e o� coNnincto�H. AGENi onre <br />SIDEVI�ROSETiSACK STREETSET6ACK R[l�RVAflDSGTIlACKPLANCHECKNUMIIER P�(�NCHECKFEE <br />P[G IRECEIPT NO. <br />everett <br />SPECIAL CONUITIONS: <br />��,� ���:� <br />h <br />„� <br />❑v[s ❑No I FEES <br />eb <br />❑NU <br />VALUATION <br />IlUILDING 5 1 OOO.00 <br />PLUMOING -- <br />A1ECHnNICAL <br />OtH[fi <br />PENALTV SEC.�071a1 <br />TOTAL <br />PEFMIT VALIDATION <br />w��rNNrvoreni_vvni_iont�on ii.,.,rn <br />FEE <br />T <br />� <br />I <br />10 I �� <br />I <br />� <br />—� <br />I <br />I <br />I <br />I <br />10 � 00 <br />���i � <br />YOU�R R6GElP'�o, <br />TNANK Y�UV �'� <br />. � <br />, . <br />� ' , <br />f �L��� ' .� <br />/ 1 <br />