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u rucST rRL6S' Stettin <br />the EPCrpfC611 <br />CONSTRUCTION <br />ee�erett <br />CITY OF <br />� <br />pERl411T <br />cvcrctt <br />CITY <br />COMBINATION <br />, BUILDING a MECHANICAL • <br />PLUMBING <br />VEnETHALL A 91120n <br />CV EB CTT, WA onxol <br />UWNLH <br />MAIL AUDHLIS 21P <br />PIIUNL <br />-✓����iE�_s <br />G- oty�.y <br />c7. 'cccr-'._ <br />AHCHI7ECT OR DESIGNER <br />MAIL ADONESS ►IIUNE LICENSE NO. <br />yj✓�✓�O <br />_-, .__- __ _. <br />___.. �. la'../1T <br />!-� <br />�t'dX /72 J�l'I !./i7/F,lJNil'7 <br />/�/-✓O-�'.C'-� <br />%1 C�'i <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />rnvnc �•��•.+� ••�• <br />I <br />PERMIT <br />CLASS <br />OF WORK <br />❑CO MEIN A•i10N <br />p BUILDING ❑PLUMBING ❑MECHANICAL <br />Q NEW <br />❑ADDITION ❑ALTE HA'fION ❑REPAIR <br />VALUATIONOF WORK <br />❑OEMC'.ISH <br />❑FENCE ❑SIGN ❑SWIMMING POOL <br />t eo�,e'7 <G <br />DESCRIBE WORK <br />PHoPCSED USE <br />MECHANICAL <br />_ <br />JET-YJ �� �> <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTIONOFPROPERTYISHOWBELUWOR ATTACH <br />F OUR COPIESI, <br />y1 Tticd sy 5/+r <br />,--.�/ �HND <br />NO. <br />TYPE OF EOU_IPMENT <br />FEE <br />LOT BLOCK —OF <br />AIR COND. UNITS-H.P, EA. <br />S I <br />REFRIGERATION UNITS-H.P. EA. <br />y Z <br />/1 <br />BOILERS-it P. EA. <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />JOB ADDRESS <br />SPACE 6 WALL HEATERS - B.T.U. <br />UNIT HEATERS-O.T.U. <br />_32T-2 i_7C le,&2 <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTI/ES ORY�RS <br />�_ 1 <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR IIANDLING UNIT- C.F.M. <br />LATH TUBS <br />$ <br />I <br />I <br />CLOTHE$ YIA$HER <br />WATER HEATER <br />y <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE A CHIMNEY <br />I <br />1 <br />URINKING FOUNTAINS <br />I <br />GAS. SYSTEM' NO OP OUTLETS__ <br />C-LOOR DRAINS <br />I <br />SUBTOTAL t <br />I <br />KITCgENSINKS A DIS <br />I <br />PERMITBART;fTAIFEE <br />3 <br />ROD$ -VAIN LEADERS <br />THIS PLRMIT BECOMES NULL AND VOID IF WORK <br />OR CONSTRUC <br />SHOHS <br />TION AV T110R12ED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />$E NVICE $INK$ <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />$LIMPS -SEWAGE PUMP <br />PERIOD OF 170 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />URINALS <br />I HEHLnY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP. <br />WA7En CLOSETS <br />PLICATION AND KNOW THE SAME TO OE TRUE AND CORRECT. ALL <br />WATER HEATERS - ELECTRIC <br />1 <br />PROVISIONS Of LAWS AND ORDINANCES GOVERN114G THIS TYPE <br />OF WORK WILL nE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />I WASH BASRJS <br />1 <br />OR N07, THE GRANTING OF A PERMIT DOES NOT PR ESUME TO <br />nP <br />LAUNDRY TYS <br />01VT AUTIIOnITY 10 VIOLATE OR CANCEL THE PROVISIONS OF <br />_ <br />1 <br />0711E11 STATE On LOCAL LAW REGULATING CONSTRUCTION <br />1 <br />; IIE PERFORMANCE OF CONSTRUCTION. <br />I <br />SUR TOTAL <br />PERMIT <br />S <br />X .->rG,--•e_-w.cet-- ''c i % <br />70TAL FEE <br />WATER SERVICE SIZE BLDG. <br />SUPPLY SIZE <br />S IGNATURE OF CUNT RACiOB ON AVTH.AGENT DATE <br />SIDE YAn7!LTbACK <br />5IRLL75LTBACK <br />REAR YARD SLTUACP. <br />PLAN CnLCK NUMIIEB <br />PLANCIILCK FEE <br />FEE D C <br />RECEIPT NO. <br />/ / / <br />/ <br />�L" <br />0 <br />UGL ZONE <br />LOT AREA <br />VACANT SITE <br />.7 <br />,? <br />OYES ❑NO <br />FEES <br />VALUATION <br />FEE <br />i PPE-DF CONST. <br />OCCUPANCY GROUT'W5 <br />OF <br />UNITS OWELLI G <br />1 <br />1 <br />_1- <br />I <br />i <br />512E OF ULDG, <br />NO. UFOF STORIES <br />MAX. UCC. LOAD <br />BUILDING <br />t <br />1 <br />PLUMBING <br />1111E ZONE <br />UASEME NT <br />rIHE"P"'":e LE1—r <br />RLUUIHI.D <br />_-- <br />❑YES ONO <br />MECHANICAL <br />-- <br />_} <br />!,PLCIAL CONDITIONS: <br />OT11fn <br />1 <br />I <br />PENALTY <br />Sf C. 303 I+1 <br />1 <br />TOTAL <br />1 <br />PFRMIT VALIDATION <br />I'I1UI'I In Y VALIDAITO (IN THIS SPACLI 71415 IS YOUn PERMIT <br />-- <br />WIII N <br />