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„"�`"`.'T;r”' COIVSTRUCTION <br />� everett PERMIT pERMIT NO. Ocz�g <br />Giiv Hnu : ba-5�a5 <br />�eer�n. �;�a :�s=o� ❑ COMBINATION L� BUILDING Cx�tMECHANICAL ❑ PLUMBING <br />,...�..il 1'FiLAf)DPLSS i�i1 DP <br />pu•iGt <br />Gary �9eston 5509 South 2nd <br />-- a' fl LP CLSi3h[R A141L ADDRESS G1Y ZIP PNONE <br />-��.�=�t,OM1lqnCiOR I�aIIApDtiC55 CIiT ZiP q10NE uGrryq• <br />.�'.9i�AL CONiRACiOli MAIL AppPf55 �IiY ZIP PHONE LKCNSE � <br />Natural Gas Equipment 38�flXSMtlXMX8Ci8 98201 258-2441 <br />�.. �+.:CONiPACiCa �,IpiLAUU�E55 CiiY Zia PHONE UCENSE � <br />1611 East Grand <br />--. . r woaK -- <br />❑NEW ❑ADDITION LALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />. . iL��i OF N'ORN <br />G:SCRiOE \VGRK � <br />OR <br />RB@XBRSMXSKSt X%HIY <br />PLUMBING <br />N0. TYPE OF FIXTURE OF <br />SMOYlFP <br />RIiCHEN oINK & DISP. <br />UISH1•�A°HER <br />IAUNDRYTHAV <br />C�OTHES\V:SMER <br />H'ATER HCAT[R <br />URINAL <br />DFINKING POUNTNN <br />FLOOR DNAIN <br />V�CUUM BREANERS <br />ROOF DFhRJS — RAWLEADI <br />SINK (SEFVICE — 9AH. QTC 1 <br />SUBTOTAI <br />PERMIT <br />TOTA�FEE <br />SIDE YARD SEiBACK SiREH SETfiM <br />USEZONE LOTAREA <br />TYPE OF CONST. OCCUPANCY G <br />NO. Of STORIGS <br />FIqE ZONE <br />1 ENVIRONMENTAL CHCCK LIST <br />2 9UILDING PU1N5 <br />3. FIRE HYDRANT <br />: FlRE PROTECTION SVSTEM <br />5. GRADING <br />G ORNNAGE <br />7 ENVIRO.JMGN7AL IMPACT SiATEMEHT <br />B NEALTH DISTRICT <br />APPLIG:TICN ACC. BV PLANS CNECKED OY <br />I HEFEBY CERTIFY 7 HAT I HAV[ READ AND EXAMINED THIS AP� <br />;i�raincoPicsi PLICATION AND KNOW THE SAME -i0 BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND OR�INAIJCE3 GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF � PERMIT DUES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REC;ULATING <br />CONSiRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />s��cvnru�vEorconranctoaonnu���omzennaeHr unrr <br />5509 South 2nd X L'(/��i _,�J ./ 6/22/79 <br />MECHANICAL <br />A FEE NO. TYPE OF EOUiPMENT FEE <br />AIR COND. U41T5 — H P EA <br />PEFPIGLRATION UIJITS- HP. EA <br />�OILERS — HP. E0. <br />GAS FlRED AC. UNITS — TONNAGE EA <br />PORCCD AIR,^YSTEldS — � TL. M EA <br />1'JALL HEAiERS — � T.0 M <br />UNITH&ATFRS—�T.U. M <br />REARYARD <br />❑YES ;.:NO <br />NO. OF DWRLING <br />MA%.00C IOAD <br />APPq. FOR ISSUANCE �Y <br />VENTILATIGJ FAN <br />RANGEHOOD <br />AIR HANDIING GNIT — <br />STOVE <br />METAL FIPEPL�CE 8 CHIMNEY <br />Water Heater <br />SIIB TOTAL <br />PEFMIT <br />TOTALFEE <br />CHECK NUAIOER <br />FkE <br />DUILDING <br />PLUId91NG <br />MLCHANICAL <br />OTHflR <br />PENALTV <br />b <br />FLAN CHECK i[[ <br />I AECEIPT NO. <br />UB9 <br />SEC.303�a) <br />`��r <br />� 11 <br />PROPBRLY VALIDATED (IN THIS $PACEI THIS IS YOUR PERIdIT <br />a5ts 5005.0'J-+� � <br />r r , � <br />� � ` � . <br />�'�?`U'I2 �REC'E,�P:±: o <br />TI-1,�1h,1�' Yl?U <br />, :�-�„ 22� 79 ' � � <br />