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... > <br /> __ ,. , ... <br /> . , � ,. <br /> rhrEve�� �. ' � �'�R.UCTION � �� ., . . �` � <br /> �V�� • P�RMIT . '' , , PERMIT NO. 07041 <br /> c.�i�wu�noa��s •' . <br /> e�nErr,w� eezo� ❑ COMSINATION . � OUILWNG C�7MECNANICAL ❑ PLtIMSMiO <br /> � . . . • <br /> S.P.O.E. 479 2731 Rucker <br /> ARGHITEGTORDESIGNER M�IL�DDRE55 CITY ZIP M�O�E <br /> GENEML LONTRACTdi <br /> MAIL�ODPE55 CItY 21P P110NE LIGENSE/ <br /> MEGH�NIUI CONTNI�GTOR 1MIL ApDRE55 CITY 21P RIONE IICENSE� <br /> A Wilcox Co. 704 N34 Seattle 98203 632-0314 <br /> PLUMBING CONTRACfON <br /> MMIADURE55 CI7Y 21P PNOM[ LICENSEI <br /> GU55OF WdtK <br /> ❑NEW ❑ADDITION ❑NLTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN GAMGE <br /> VALU�TION OF WOPI( <br /> f <br /> pESCPIBE WONR <br /> PPOPOSED USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGAL DESCRiPTION OF VR01'ERTV�SHOW OElO\YOP ATTRCN FOURCOMESI PLICATIGN AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior e�x�_ov _ TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE P/6FIFORMANCE OF CANSTRUCTION. <br /> SIGNRTUPEOF NTRA6iOPOPAVfM0ai2EDAGENt 1���3/79 <br /> �oe3q9��ssRucker X `.-��1 � r � � <br /> 9 <br /> PLUMBINO I�ECXANICAL <br /> I NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> ! WATER CLOSET(TOILET) AIR COND.UNITS—H,p,EA. <br /> FEFRIGERATION UNITS—HP EA <br /> BPiHTUB <br /> r LAVATORY(WASH BASIN) BOILERS—N P.EA. <br /> G/.S FIRED AC.UNITS—TONNAGE EA. <br /> SHOWER <br /> KITCHEN SINK 6 DISP. FORCED AIR SVSTEMS—�T.U. M EA. <br /> WALL�iEATEPS—B T.U. M <br /> UISHWASNER M <br /> UNIT NEAiERS—B T U. <br /> � LAUNDRY TRAV EyqppqqT�VE C(K1LER5 <br /> CLOTMES WASHER <br /> CLOTH[5 DRVERS <br /> WATER HEATEP <br /> V[NTILATION FAN <br /> URINAL <br /> RANGEHOOD <br /> DRINKING FOUNTAIN C F.M. <br /> AIR HANDLING UNIT— <br /> FLOOR DRAIN <br /> VACUUM BREAKERS STOVE <br /> METAL PIREPLACE 8 CHIMNEV z�'j OO <br /> ppOFDRAINS—RA�NLEADERS 1 Surner 4�200���0 BT�1 <br /> SINK�SER�'ICE—BAR,ETC.) <br /> . SUB TOTAL f 2 00 <br /> SUB TO1AL PEPMIT f 3 00 <br /> PERMIT � TOTAL FEE s 28 00 <br /> TOTRL FEE s p�AN CHECK PEE , <br /> SIDE VARD SETBACK STREET SET�ACK REAR VARD S[T6ACY. PLAN CHECK NUU�ER FEE RECEIPi NO. <br /> USE ZONE LOT AREA VACANT SIiE FEEi VALUATION FEE <br /> f1YES L'NO <br /> NPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDIN3 b <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMOING <br /> FIFE ZONE BASEMENT qEOUI�iEp KLERS MECHANICAI ZB OO <br /> IlYES CNO <br /> APPPOVALS <br /> BY DATE �TNER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTV U.BC. <br /> SEC.303(a) <br /> 2. BUILDING PLANS TOTAL - 28 00 <br /> 3. FIRE HYDRANT <br /> 4. FIRF PROTECTION SVSTEM PEPMIT VIILI�IITON <br /> WHEN PROPERLV VALIDATED�M TM'S SPACE)TNIS IS YOUfl PERMIT <br /> 5. GRAOING ' S 9 S• . ���O ( �.Y Y �� �, <br /> 6. DRAINAGE . . � • .� <br /> 7. ENVIRONMENiAI-IMPACT STATEMENT � ' . r � <br /> 8. HEALTH OISTRICT •O•V R 'R��iEIr, . � <br /> qPPLICATION ACG.BY PlANS CHECKED BY APPR.FO{i I$SUANCE BV TH ANK YO U � <br /> r.,c, . <br /> ADDRESS I • I M � ,79, <br />