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"'" F"`'"„"`'„ CONSTRUCTION
<br /> �'TY °' ee•erett i
<br /> � everett ��RMIT +
<br /> ,
<br /> CITV MAIL '269N]4G
<br /> r,ve��rT, wn ,a:o, COMBINATION • BUILDING • MECHANICAL • PLUMBING
<br /> U1VN[q
<br /> MAIL AUpH@tiS IIP PHpNE ' .
<br /> Ove Bergan 6107 Afanc- Place yg2�3 � `
<br /> rV:CHIIECT OR OESIGNER --- ---"' T I . - . �
<br /> AtAIL ADDf1E5:: PHONE �1 �� � �
<br /> IJCFNSE NO. 3 � - � '
<br /> GENLRALCONTRACTOR -- � ' i �• �
<br /> MAILADDRESS — PNONE � '�'' �"` �
<br /> L�CENSE NO. � -� � �^��'
<br /> Z i
<br /> V[CHANICAL CONTRACTOR MAIL ADDRESS C
<br /> PHONE LICENSE Np, 3
<br /> E�lander Electric P.O. Aox 1479 259-2161 225RE W
<br /> �'WMf11NGCON7RACTOR AtqILADDqESS - �� m
<br /> PHONE LICENSE IJO. �-� �
<br /> NERMII�—'— �\1
<br /> C Ll�SS O F WOIi 1: W
<br /> ❑COA181NATION
<br /> ❑DUILOING �PLUMOING �MECHANICAL
<br /> CNEW ❑qUDITION ❑ALTERATION ❑REPI�IR
<br /> VALUATION O° l:�'RK - _
<br /> 5 ❑DEMOLISH ❑F[NCE ❑SIGN ❑SWIMMWG Ppq� �
<br /> DESCRI�[WOliK
<br /> Replace gas water heater and boiler with electric
<br /> PROPOSED USE
<br /> MECHqNICAI
<br /> LEGAL DESCRIPTION OF P�OPERTY �SNOW 6ELOW OH ATiACII TVPE OF ENERGY
<br /> FOUR COPIE51 ❑G AS
<br /> _ ❑ELEC.
<br /> Lor BLOCK_pF _ NO. TVPE OF EQUIPMENT FEE 1
<br /> _ AIR COND. UNITS-H.P. EA. 5 � +
<br /> REFRIGERATION UNIlS IIP, EA. �
<br /> _ ], f101LERS� II.P. EA QI OO
<br /> _ FORCE� qIR SVSTEMS-�.T.U. MEA.
<br /> JO� ADDRESS — }I �
<br /> G.LO�I DSdIIOY P.LdCB _ I SPACE & WALL HEATERS - �,T.U. . ., '
<br /> ~UNITHEAT[RS-H.T.LL � ' . �
<br /> PLUMBING ____����'onnnvEcoo�eRs � � ;
<br /> — c�onres onver�s � • �
<br /> �---
<br /> _ VENTI�ATIONFAN . li
<br /> NO. TVPF. OF FIXTURE UR ITEM __ [��Nce IiOOD � I '. ,
<br /> FEE NR Hl1NnLING UNII � CF.M.
<br /> BATH TUB$ S _" _ _ _ ___._'____ I
<br /> CLO F'ES WASHER � ____ I i
<br /> DISH �VASHER$ � _ N1AiEH HEATEq � '
<br /> DHINKING FOUNTAINS �AC ItUILT FIPEPLACE R CHIMNEV �-- I �
<br /> PLOCR D(lAIN$ i 6A5. SVSiEh1: NO OP OUTLETS ' '.
<br /> KITCHEN SINKj � DISP. � � SU[i TOTnL 5 I
<br /> BAR SINKS --- - � ---- - -- 41 OO
<br /> � PERMIT 5 3 00 .
<br /> ROOF UFAINS - RAIN LEADEflS � --"---- — , .
<br /> SHOWER HATNS �oTn� FEE 5 � �
<br /> SEH`/ICE SINKS TIIIS PERMIT OECOMES NVLL PNO VOIO IF WOHK OR CONSTRUC
<br /> TION AUTHORILED IS NOT COMNENCE�WITHIN 12p DAYS, OR IF
<br /> SUM1iP$ - SEWAGE PUMP CONS-,NUCTION OR 1kpqK IS SU:V[NDED Ofi AHi1NDONE� POR A
<br /> URINALS � PERIOD 0�- 1?0 DAYS AT ANY TIf.1F. 11PTLR WORK I$COMMBNC£D. ' '
<br /> WATER CLOSETS j I HEREllY CERTIFv 7'HAT 1 HqVL READ ANO G%AMWED THIS AP� ���
<br /> WATER fiEATERS - ELECTRIC � �'LICATION AND KNOW TIIE SAMF. TO[l[ TRU[ ANO CORRECT. ALL -•T-�/ '
<br /> WASH BASINS '—' -Q- ��U����IONti OF �./�Wg /�ND ORDINANCES GOVERNING THIS TVVE -
<br /> LAUN�RY TRAYS � n�' �'�RK WILL QG COMPLIED WIT11 \l'll[TH[R SP[CIPI[O MEftEIN
<br /> OR NOl', THE GRl�Ni1NG OF (� pGRM17 00[S NOT PqESUME TO
<br /> � GN[ AUiIIp(i�TY TO VIOLATE OR CANC[L TME PqOVISIONS OF �
<br /> i ��NY O1H@R ;TA7[ pq LOCAL Lt1W N[GUL/1TING CONSTRUCTION
<br /> -- UR T��F P[RFORMqNCE OF CONSTfiUC1lON.
<br /> I
<br /> SUB TOTAL ?���J
<br /> PERMIT $ 3 00
<br /> 70TAL FEE � x � • 1/16/79
<br /> WATERSERVICESIZE OLDG. SUPPLVSIZE ic nrU�toi�c r��nCrondrLi T��.nceNr oATE
<br /> SIOE VARDSETUICK STq[ET 5[Tf3ACK REA�i VARDSGTRAC � n
<br /> '� ICHECK NUh1ItEq PL�INCHECK FEE
<br /> FE[ RGCEIPT NO.
<br /> USE ZONE LOT AREn VACANT SITE
<br /> OYES ❑No FEES VALUATION FEE
<br /> TVP[ UF CONST. OCCUnnNCV GROUP NO.OF DW6LLING
<br /> UNITS
<br /> �
<br /> . SIZE OF �LDG. NO. OF STOfilES �' '
<br /> Ml�X.00C. LOAD ❑UIIDING 5 �
<br /> I :
<br /> I
<br /> FIHE ZONE 13ASEMGNT FWMOING I .
<br /> F�RESPRINKLERS FJ IQ�
<br /> ' REOUIfiE� _ I
<br /> ❑YES ❑NO MECHANICAI. '� i�Q
<br /> SPEC�A1. CONDITIONG:
<br /> ,� ---•�'�f---__— OTHGR I
<br /> � .� I
<br /> � P[NALTV • SGC. 3011a1 �
<br /> � � — 'Q . . �;_,�;�; TOTAL __--_ _.___ i _
<br /> 121 00
<br /> d� ��...�'__fi� P[RMITVAl1DAT10N 7•� .� . ,
<br /> � _ � �+ — wi�t:rvrnor�n!vvni.ion�i,nn�i ��I�;Frnc� � i. i. � vEnnn�
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