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. <br />CA I Y pi <br />vVIVJn [ I�I{�VV I IVIV F�'t <br />e <br />f,'\r�L'itel, <br />CITY IIA(1 7:r•.1'a'• <br />E V11U 11, WA 'n1AO COMBINATION BUILDING MECHANICAL PLUMBING"' <br />_ OWN[ H <br />MAIL AUGHL' (� ZIP PRUNL <br />OESIG <br />fD <br />YiONEARCDFTECT <br />IDi LILT N.'.F. NI <br />GENE NAL CONTII.1CTOf1 MAII. AUURLS$ �/�� PITON UCENSC Nf <br />cby1r� <br />s •s • •i <br />ME.CI IANICAL C O N fR ACTUI I <br />'MAIL ADOSilr PHONE LICENSE NC <br />I'I.UM0I NGCONTRACT On MAIL AUDRES5 PHONE LICENSF.NO <br />P_flb51T <br />CLASS OF WORK ' <br />❑—/CO MOIN ATIO N <br />&3UILDI NG ❑PLUMBING <br />Cl MECHANICAL <br />❑NEW ❑ADUITIUN 0AL7[14ATION pn[PMR <br />VALUATIONOf WORK <br />— <br />El DEMOLISH ❑FENCF. ❑SIGN ❑.SWIMn1IN POOL <br />S D7dD Q7 <br />DESCRIBE WORK <br />11 •C�Il��-�"f <br />PROPOSLD USE <br />d - <br />LrEHANICAL <br />L <br />JOB <br />)CSE511PTION OF PROPERTY (SHOW BELOW OR AFT <br />TRESS n — <br />PLUMBING <br />011111 SERVICE SIZE_ BLDG. SUPPLY SIZE <br />DE YARD SE I BACK STHELT SETGACK JHEAR YAROSETRACP <br />SPECIAL CONDITIONS, <br />I'1 <br />OYES LINO <br />Er. ❑NO <br />. ... _. .__..-.. ❑GAS ❑ELF.C. <br />N_O. r TYPE OF ECUIPfAC_!JT __ - FEE <br />_1MIT COtiO, UNITS-II.R EA. S I <br />.._ .P...—.. .. ..- UNITS <br />II.r�.-cA. _---T-- <br />-----l-ntrnlccnnilnNTs_ n.---- _--J--- <br />nOiLEW; H.P.-F.A. .• I <br />FOIi CFO AIR SYSTCMS Il.1.U. <br />SPACE f. WALL HEA7EFIS -- R.T.U. �— <br />_—�IUNIT <br />VAPCIIIA71VE COOP ERS-- <br />CLOlIH:SNIlYE11S ---. 1 <br />VENT ILn T IDN FAN —�— <br />HANGI <br />---_t Alll IIAN(ll ING UNIT_---_ C. F. PA— <br />FAC. BUILT Fln_LPLACC_ P. CHININFY 1 <br />GAS SYSTEM NO OP OUTLETS ----- --T <br />�SUR tOTnl�51 I <br />PERMIT Sl <br />�_—_--- -- TOTM. TLE S I <br />THIS PCI4MIT OFCOPALS NO[ L ANO VOID IF WORK CPR C014STFIUC <br />THIN AUTHORIZED IS NOT COMMENCED WITHIN 170 DAYS, On IF <br />CONSTRUC710N OR WORK IS 5USPLNDED OFT AIIAP.DONLD FOR A <br />PLRIOD OF 170 DAYS AT ANY TIME AFTCRWORK IS COMMENCED. <br />1 HEREBY CFFITIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />P LI CATION AND KNOW TIIP SAUL TO TIE TRUE AND CORFILCT. ALL <br />P(IOVISIONS OF LAWS AND ONOINANCCS HOVE FINING THIS TYPE <br />Or WORK Wit L OE [OMIT ILH WIT,: ViHETHE It ;iPFCIF IED HE 14L IN <br />On NOT, 111E GRANNNU OF A PERMIT Or1LS NOT PRESVMIF TO <br />GWL AUTHORITY TO VIOLATE OR CAr4CEL THE PROVISIONS OF <br />MAY OTHL R GTATE OR LOCAL LAW RECUT ATING CONSTRUCTION <br />Off THE PCHI ORMANCE 01- CONSI RUCTION <br />1 <br />SICNATURE-15F CONTRACTOR OR AUTH. AGLNT oAT, <br />I'LAN CHI CK NUMFIEn PLAN CHLCK F EE <br />FEE ISEC C IPT NO, <br />FEES I VALUATION I FEE <br />BUILDING S 1 <br />PLl1MOING <br />I <br />MECHANICAL 1 <br />1 <br />OTHER 1 <br />PENALTY SEC. 303 faI I <br />— I <br />TOTAL <br />PERMIT VALIDATION <br />WIZEN PROM HLY VAL IOA'IF.11 FIN THIS SPACE) THIS is YOUR I'EnnIIT <br />J.l <br />AUURCSS FILE <br />A 11111 I"Ah1l"P nnnv <br />