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�'�� ` ����������.° � C(�I ST R U CT I O N � <br /> everett PERMiT PERM,�, ���. <br /> CO�dBINATION BUILDING MECHANICAL ; PLUMBING <br /> -.. . � a•c,, ,, .. _ a,v . ....�,n <br /> DENNIS CARLSON 6918 S1stN E I�77�RYSVILLE 659 2962 _ <br /> ... .� �f�q:'�.:�o�_ Ul.ILhl:UqfS. GTY .i P�.L�V <br /> —__ <br /> —� ' ��+ M/•i�qDPP[SS Git ]iP Cv0 li. <br /> SELF <br /> . � n'nCAICONiRACTON N�4iLADDR65 qiY iIP PN04[ LICENSE� <br /> . "N����GCONTRACiOB MALLAO�RE55 CiTv ZiP PNONE � <br /> ,�'�'�Of V/ORY <br /> ❑NEW ❑P.ODIiION ❑ALTERATION ❑REPAIP. ❑DEMOLIiION C�FENCE ❑SIGN ❑GAAAGE <br /> . � !:IDN OF WOPK <br /> 400.00 <br /> ---�u�,p6 wonv. <br /> F F[`T FFN 6 °f in rnar �drd nnd 42" iII�r - <br /> �-�t o usc or�u.�ort+, <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> -,�.i ucscnivr�oiuorrnorterr�snovioc.ov+one�rnwrou�vccras� PLICATION AND KNOW THE SAME TO BE TRUE AND CORREGT <br /> ALL PRCVISIONS OF LA'JJS AND ORDINANCES GOVERNING THiS <br /> . �_ 22 riuc-.K_o= _ E�7ERETT DELLS TYPE OF WORK WILL BE COMPLIED VJITH WHETHEF SPECIFIED <br /> HEREIN OR NOT THE GRANTING OF A PERMIT DOES NG1 <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> "� "- VISIONS OF ANY 07HER STAT[ OR LOCAL LA1V REGULATIFJG <br /> GONSlRUC110N OR THE PERFORMANCE OF GONSTRUCTION. <br /> -- — ��/��_ . �..,nvc � ndu.�i, ��,..-,�,a�. w.n. <br /> . . � � 5208 SEAHURST 7C`'"`��w� �jz�ry (�'}� 12/28/79 <br /> PLUM9ING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � " WA7ER ClOSCi iTOILEiI f.�G<ulID UhIiS-P,P I l _ <br /> pFTH7UH IiE�NIGCNFiIGNUNIiS-HP EA ,_ <br /> � � LAVATORV(1VASN�ASIN) k301LCR5-H P LA _ . <br /> . . . $HOWER GAS HPGU AG Ut11T5-TONNAGE EA <br /> KIiCH6N S�NK B DISP. FORCE�PIP SYSTU.15-�T U M EA. __ <br /> DISHWASME9 WtiLI.HEAIEHS-OTU M <br /> LAUNDRV7f7AY UNITHtATEHS-[3TU M _ <br /> CLGiHfS WASIiEP EVAVO�7ATNE COOLERS <br /> WATER HEATEA CLOTHES DRVLRS _ <br /> URINN. VENTILATION FAIJ _. <br /> �RINHING FOUNTAIN �ANGE NOOD <br /> �LGOH DPAIN /�A���NUUNG UNIT - C F M _ <br /> VACUUM BRCANERS STOVE _ <br /> ROOF DPAMS-RAMLEADERS MRFL NRE�LACE R CNIMNEV _ <br /> SINK ISERVICE-CAR,F.TC� � <br /> SUBTO7AL SUB70TAL f . <br /> PERMIT S _ PERMIT f ___ _. <br /> TOTAL FEE f TOTAL FEE ! <br /> i . -�l.FU SeT6��CF S1PLffi JEiANCK RLf�N'/AIiU SETPACK PLAN f HFCK NUMBER PlA�1 CIIECK FE[ <br /> f EE �7ECEIPT NO. <br /> i.l,l ZONE lOT AREn VACAN7 iITE ' <br /> � i.YES � �NO FEES VALUATION FEE _ <br /> ��PE OF CONST. OCCUPANCY GFOUP NO OF DWELLIIJG UNIiS _ <br /> :�'dl OF�LD� NO OF STO{11E5 MA% OCC.LOAD �WLDING E QOO.00 S OO _ <br /> PLUM�ING <br /> i;�..il ZONE BASEMENT F!Rc cpq�r;v��n,� - <br /> REOUIR[D MECHANICAL <br /> ..YfS IiNO -� <br /> APPROVALS BY OATF OTi�ER <br /> t F h\'IRONMLNTAL CHECK 115T PENALTY U 0 C. <br /> 5[C.303 la� <br /> . PUILDING�'lANS <br /> , �IHE HYDRONT T�TA� S OO <br /> I IRE PROIECTION SYSTEld PERMIT VALIOATION • <br /> __ --- NlH6N fROPERLY VALIDATED(IN THIS$PACE)THI515\OUR PGRMI7 <br /> ' GRA�INO (�_ <br /> ,. U��AINAGE 6 i 8 7 s� n 5. 0 0 --�1 <br /> ' LNVIRONM[NTAL IMPACi STAiEMENT �-� <br /> __ �`..- <br /> �d:.l'.�� U'L1PIf 1 -. <br /> - _ . -_ -_, ,.�,s��E�rE��, A,.�� �o���s�A��E�Y ti�o u R REc E i ri` <br /> � , <br /> Lc TF-iANK '(:' U <br /> _ I_ --- — - <br /> � lA"�C i y <br />