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`'"' F`°,,,�°�°,� CONSTRUCTION <br /> ��,Y �,�- everc�tt <br /> everett PERMIT <br /> CITY HALL 259$)4'_ <br /> eveaeTr. wn oezo� COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> OIVhER MNL �IUDNE55 LIP PHONL <br /> � <br /> Otto J. Salamonsen 2018 Lombard 259-2826 m <br /> AflCHITECT OR �ESIGIIER MAIL ADORE55 PIIONE LICENSL NO. � <br /> � <br /> GENEPAL CONTRACTOR MAIL ADUR[SS � <br /> PHONE LICENSE ND. <br /> Same z <br /> C <br /> AfECHANICALCONTRACTOR MAILADDftE55 PHONE LICENSENR � <br /> � <br /> m <br /> PLUMHING CONTRACTOR MfUL ADORE55 FNONB LICENSE NO. � <br /> 1 <br /> PERMIT CLASSO�WORK . <br /> �COM6INATION ' <br /> � �UIL�ING � PLUMOING �J. MECHANICl1L <br /> l}�NEW ❑ADDITION ❑qLT[RM'IUN ❑q[Pq�q <br /> VALUATION OF WORK <br /> 5 37 000.00 ❑�EMou,i� ❑r-eNce ❑sicN ❑svainaniirvr, roo� <br /> OESCRI[3ENJORK ---'-- "---'.-..'-- � <br /> Construct single family residence <br /> FFOPOSED USE <br /> sing7.:: family residence MECHANICAL <br /> LEG�1L OESCRIPTION OF PROPEHTY ISHOW BELOW OR ATTACIi TYPE OF ENERt;Y <br /> �OURCOP�ESI ❑GAS ❑ELEC. <br /> � 0�3-14-1�Lb�K 447oF hlinn�_sota Add NO. TVPE OF E�UIPMENT FEE <br /> AIfl COND. UNITS-H.P. EA. 5 I <br /> REFRIGERATION UNITS -H.V. EA �— <br /> -- - AOILERS -H.P. LA. � <br /> FORCED AIR SVSTEMS-[3.T.U. MEA. <br /> JUO AODRESS � �----- - � <br /> SPACE & W/�LL H[ATEHS - B.T.U. <br /> 2127 Fulton StYeet UNITIIEATERS-p.T.V. � <br /> PLUMBING __ evnroRnnvecoo�e�s <br /> CLOTHESDRYERS <br /> .._I —'-__—_ 7 � (1(1 <br /> � VENTI�ATION FAN —T'— <br /> _ _ _ 1 RANGEHO00 � n <br /> NO. TVPE OF FI%TURE OR ITEM FEE nia i1nNDt.ING UNi7- aF.A�. <br /> BATH TUCS — -- <br /> CLOTHES VIASHER 5 2 1 OO _ _ _ __ � <br /> DISH WASHERS ��-- NIATER HEATER <br /> i . . _ _.._. '-- ____ — ! _. <br /> ORINKING FOUNTAIN$ i FAC. dU1LT FIREV�ACE R CHIAINEY � <br /> FLOON ONAINS � GAS. SVSTEM: NO OP OUTI.[TS —T— � <br /> KITCHEN SINKS & UISP. � p_ _ SUf)totnL 5 ___a � (�(� <br /> [1l�R SINKS _� �----- PhRM1T $ Z�- <br /> ROOF DRAINS - RAIN LEADERS i roTn� �°E[ 5 <br /> SHOWER 6ATHS THIg FEHMIi fiGCOMES NULL ANI) VOIU If WORK OH lUNI-S�TR t <br /> SERVIfE SINKS �D TION AUTIIONIZED IS NOT CJMM[NCEO WITHIN 120 Dt1VS, OR IP <br /> JUMPS - 5[WAGE PUMP CONSTRUCiION OR WOHK IS SUSVENOEO OR AE3(1NDONED FOR n <br /> UFINALS �- PERIOD OF 170 �AV$ M' qNV iIM[ t1FTER WOf1K IS COMMENCEO. <br /> WATER CLOSETS �- � REREfiY CEfiiIPV TIIAi 1 11l�VE RGAD l�NO G`(nMINED THIS AP <br /> WATEH HEATERS - ELECTRIC '� �LICnr10N nNn KNOw 711F. SnM[ TO IlE TflvE nrvo COHRECT. nLl. <br /> PIIOVISIONS OF LAWS AND OliDINANCBS GOVERNING THIS 7yPL <br /> WASH BASINS i OQ_ OF Wpq� W�LL [3[ COMPLIED WITH WHFTHEH ;PECIFIEO HERFIN <br /> LAUNDRY TRAVS � OR NOT, THE GRANiING OF A PLRh11T DOES NOi PRESUME TO <br /> GIVE AUTHORITY TO VIOLAT[ UR CANC@L THE PROVISIOfVS OP <br /> — —i_ 4NY Ol'H[R STATE OR LOCAL LAW RECULI�TING CONSTRUCTION <br /> - � � OR THE PERfORMANCE Of CONSTRUCTION. <br /> i <br /> SUO TOTAL �' <br /> PERMIT $ � � �� �.! /J <br /> TOiAL FEE ±�� x . �'���:- l�i�l/G��1���J/��J�/ � <br /> Wn7ERSERVICESIZE BLDG. SUPPLVSIZE s!�1u�Lor-cuN7rtnCrOnoRnVTH.nGENr iXnT[� <br /> SIDE YqRD SETBACK STREET SETOAGK RLAR YARpSET6ACK PI.AN CHf-CK NUMRHR PLAN CHECK FEG <br /> S� ZO� ZQ� ,78/�92 FEE 74.00 RECEIPTNU. <br /> USE20NE LOTAfiEA VACANTSITE 3��Z7 <br /> R-2 �}yEs ❑No FEES VALUATION FEE <br /> TVP[ OF CONST. OCCUPANCV GROVV N0.0F OW[LLING � — <br /> UNI15 � <br /> V-N 2 — <br /> SI7'� OF ULDG. NO.OF STUftIES Mnx.oca �ono OUILDING 5 37,000.00 198 i 00 <br /> 28'x42' 1 PWM(31NG ZS � �� <br /> FIHEZONE U/�SEMENT FIRESPqINKLENS <br /> 3 none R�DUIRED <br /> ❑�t� �� nneciinNicn� 11 i 00 <br /> SPECIAL CONUITIONS: � <br /> __ �,___ UTIiER � <br /> I <br /> � __ <br /> -- �,'�. ' -- PFNALT� 5@C. �071a) I <br /> --"-.— "__-_—_ —' _-I-_'- <br /> �. '�- TOTA; . . 184 I 00 � <br /> / T G � ERMIiV N . 'R7. •. • � � <br /> � - WIII.N PHUP[!il Y VALIIIATI�.[)(IN TIIISSS'ACli TIIIS 13 YUI�R PEfi�111 <br /> i'� . <br /> �--��-�- YOUR f�EGE{PT Y�UR RECElPT . <br /> --�-o- T'r1:1P;K YOU�' . 7HAt�tK YOU�:`; <br /> nrrucnnnu �i �uv � nr�tirwcK�uur nrrnnviuiunT:��v.r:,inr �. � �, <br /> �`" <br /> ---1 . ` <br /> i3wr� xceb - j YAY ]$ . � .. 3 RbY �$ • <br /> � <br />