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thc Ll�crxrcen Co �' ST R U CT I Q N <br />�.�TY �F <br />ever�tt PERMIT PERMIT NO.OE535 <br />ciTv r+n�� zse.e;+s q X� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />ev�aEi1. wr, ooaoi ❑ COh7_ INATION <br />@VNER MAILADDFlSS C IY 21N � . �.. <br />Christian Reformed Church 1931 McDougal 98201 <br />qR���rtECTORU[SiGNER MAILFDDFE55 CiiY Zi� PHONE <br />GENERALCANTAPGTOR IAAILADDRE55 CItV ZIP FNJNE LICENSE� <br />MfCMANICPLGONiRACTOR MAR ApDAESS CITY ZIP PHONE LIGENSEI <br />PWMBING ANTRFCiOR MAR ADOPESS GiY ZIP FHONE LICENSE � <br />❑NEW <br />VALURi1011 OF WORK <br />s 6�����„�a <br />oEscaioE woAK <br />Black top and <br />PflOPOSED USE OF BUILDING <br />church <br />❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIG'J ❑GARAGE <br />LEGAL �ESCPIPTION OF PPOPERiY �SHOW PELOw 1 <br />�ar 17-26 oia �� 286a,� Hilton' <br />0� �L`LRE55 <br />i431 MCDougal <br />PLUMBING <br />TYPE OF FIXTU <br />WAiER <br />__,_91NAL <br />FLOUR CRAIN <br />VACUUM �REAKER3 <br />POOF DPAINS — HA <br />v::v iCFPVIfF — R! <br />SIDE YARD SEiBACK <br />ZONE <br />CONST. <br />PERMIT <br />TOTALfEE <br />CiRLETSET�ACK <br />LOi AFEA <br />OCCUPANCY GROUP <br />1 ENVIRONMENTAL CHECK LISi <br />2 �UII.DING PLANS <br />3. FlRLHVDRANT <br />4. FIRE PROTECTION SYSTEM <br />S GRACNG <br />6. DRAINAGE <br />7. C1JyliiONMENTAL IMPAC7 STAIEMENT <br />P HEALTH DiSTRICT <br />lot <br />I HF!3EBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />rouacoPies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PFOVISIONS OF IAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL 8E COMPLIED N�ITH WHETHER sPEGFIED <br />HEREIN OR NOT. THE GRANTING OF A PER!dIT DCES NOT <br />FRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />`JISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERfORMANCE OF CONSTRUCTION. <br />SIGNniu�[ 01 -OI+THFcrpR oP AU1noRIZ�tO�GLNT � DAAiE <br />X ^. � � I � / (1 <br />MECHANICAL ,/' <br />FEE N0. TYPE OF EOUIPMENT FEE <br />AIR GOND. UNIiS — H P. [A <br />nomiu:nniinuiiUlTc—HP fA <br />REAR YARD aETti <br />VACANT SITE <br />L1YE5 CNO <br />NO. OF DWELLMi <br />MAX.00C.LOAD <br />FIRE SPFINKLEc <br />REOUIf7ED <br />�[1VE5 r7N�0 <br />9Y I DATE <br />oviuw — <br />GASFIREGAC VNITS—TONNAGEEA. <br />FORC[D nIH SYST[MS — 0 TL. M <br />WAIL HEATLRS — B T.U. M <br />UNIT H@ATERS — � T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRVERS <br />VENiILA110h FAN <br />RANGFMOOD <br />AIF HANOLING UNIT — C <br />STOVE <br />METM RREPLACE 8 CHIAMLY <br />PERMIT <br />TOTAL P <br />:K PLAN CHECKNUM�ER <br />79/495 F[� <br />FEES � <br />UNITS <br />i.rrn�rP�, ��n.!rrqV <br />BUILDING <br />PLUMBING <br />M[CHA4ICAL <br />OTHER <br />� <br />SG0,000 <br />U BL. <br />SEC.303�a) <br />FEE <br />RECGIPT N0. <br />207 <br />iai <br />EN PROPERLV VAL'DATED (IN THIS�POA 910 �{IS I5� � O�l. 0 D—�n <br />7 <br />M <br />� <br />'�'', U R RE':CEIPT o <br />.. . . . . . .. ,. ,�. t 1 <br />