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GIY O! � <br /> "��"""�"' " C")NSTRUCTION - ^ - 21189 <br /> everert PERMIT PERMITNQ: -_ <br /> 259 - 874� <br /> ❑ DEMOLITION {r�COMBINATION ❑ BUILDING ❑ MECMANICAL ❑ PLUMBING ❑ SI6N <br /> ovm�n Mnnnnnn[se, uiv zm �+wNe <br /> Melba Sheppard 604 Warren Everett 252-6005 <br /> •RCHR[clOnnE9f.H[n Mni�4On1�L•:S crtr I�r RION[ <br /> GfN[R�LCONTn�CTO� MA�InPDPfSti GTY 11P P�10N1 LICENSE� <br /> Nalbach Const. 2132 H Iiighland Ave. LVerett 98201 252-7450 NALBACR2?OOH <br /> MCCHGNI^,At CONifiAC109 �A�R R�011055 CItV LIP W�ONL UCENSE• <br /> PIIM�BING CONTMCiOR Ma��DD�[S: CITY 21� fM10NE LICENSE� <br /> C�A950f WOPI <br /> ❑ NEW ❑ �DDITION ❑ JILTERATION C�REPIIIR O DEMOLITION ❑ BUILDIN6 RELOCATION <br /> v�iw*�or+or w�K <br /> fi3,000.00 <br /> DESC��B[WOnR <br /> New roof, livin9 room i�eam, slieetrock, window �s replacements, water line. <br /> ��E�T SOUACC <br /> ❑ElEC1A1CITV ❑ GAS ❑ WOODSTOVE O OTNER <br /> �mmp�os[ouseo�euaon.c I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Single family residence �PPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> iee�ioesenimionorrworcnirisHnwnuowoa�tuc�rouncov¢si CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPlIEO WITH <br /> im_n�oc� _ or WHETHER SPECIFIED HEREIN OR NOT. THE GAANTING OF A <br /> PEAMIT DOES NOT PRESUME TO GIVE AUTHOFITV TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> Sif.N�lUfiCG� CONiRnCiORnUTNORi2EDAGENLOnOW�+ER D�TE <br /> JOPApDRE55 <br /> 604 Warren X <br /> RUIMIN6 MECHANICAL _ <br /> ►p, T1�PE OF FIIfTUPE OR ITEM FEE NO. TYPE OF EOUIPMENT �E <br /> WIITER CLOSEi�TOIIET� A,C-�%MNDLG UNITS-N P <br /> BATHTUB PEFRIGERATION UNITS-M P EA <br /> UVATORY(WASN BASIN� OOIlE�S-!3 T U!H P <br /> SMOWER GAS fIPED A G UNIT$- B.T U <br /> qTCHEN SINK 6 D�SP FURCEO A�R SVSTEMS-B T U ��EA. <br /> DISHWASHER W�LL HEATEFS-9 T U M <br /> LAUNDRV TRAV UNIi HEATERS-0 T U M <br /> CLOTHES W�SNER EVAPOFATNE COOLERS <br /> UA�N�L GLOTHES DHYERS <br /> DRINY.ING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN �7/NGE NOOD <br /> BACKPLOW�7EVENTERS WATEIiHEATER � <br /> NOOF DFniNS-RAINIESDEAS WO00 5?OVE <br /> SINK�SERVICE-BAR.ETC 1 METAL FIREPLACE 8 CHIMNEY <br /> 1 WdtOI line S 0� FIREPL�CEINSERT <br /> HEATPUMP <br /> GAS PIPING __ <br /> - E%HAUSTFAN <br /> SU!TOTAI f S OG SUB TOT�L <br /> PERMIT t VERMIT <br /> TOTALFEE ! S OO TO <br /> rRONi 5[ie�CK nEan SETBACn siUE sCTBnCn PLAN CHECN NUMOER FEE � RECEIPT NO <br /> M�211� � <br /> WE20NE ��TAAEA yAWNi51T6 FEES An� �E <br /> ❑rEs Clr�o <br /> TYPEOfCONST OCCtIDANCVGROII�' NOOF�WEILWCUNI'3 <br /> BUILDING ��Q� 144 �0 <br /> PLUMOING CHECI( 11S .SO S OO <br /> sizeoreioc No or stoa�es �+ne oec �ono <br /> MECHANICAL <br /> �_ <br /> INVESTIGATION FEE Sec.JOdie) <br /> q fIRE SPRINKLERS REOUIRED ❑�ES ❑NO � STATE BUILDING SURCMAfiGE 3 SO <br /> STATEENERGYSURCHAPGE <br /> RPP�ICRTION�CC RY CLANS GHF.GNCU OY PPPR fOR ISSUANCE f1Y <br /> �RIVEWAV PERMIT <br /> TOTAL 152 <br /> S.H. <br /> PENMIT VALIUATION <br /> WH[N PROPERLV VALIDATED IIN THIS SPAC[�TNIS IS VOUR PERMIT Cn <br /> � <br /> � <br /> r' <br /> N <br /> i•.i�.: i�.i.SS L,L <br />