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r <br />r <br />r <br />L <br />L <br />L <br />,,,�. ",,.""`�`�,� C 0 N ST R U CT I O'� <br />ever�tt PERMIT PERMIT NO. 123g9 <br />CITV�ti. i :,_�;45 <br />eveaE,.:;��rze+ � COMBINATION R�BUILDING G MECHANICAL ❑ PLUMBING <br />ONNER NAIL 4pDPE55 CITY ZIP PMONE <br />JADIES RUNNELS 2402 STATE ST F.VGRETT IVA 98201 258-2113 <br />ARCMI�EG� OR pES�GNEP MML AppRE55 Cliv 2iP PHONE <br />��ENERAL CONiRAG10P MAiL PDORESS CiiY 21P PNON[ IILENSE • <br />PHRMA-BILT INDUSTRIGS 341G GVGRGTT .4VG EVERETT 98201 258-4171 <br />MECHRNIGALCONiRALiOR MAiL A�OPESS GITY ZIP PHONE UGENSE� <br />PEitAtABI179JR <br />PLUUBING CONTRACtOR MAIL A:ORE55 CITY ZIP PMONE LICEYSE • <br />CLA55 OF \YORR <br />'�NEW ❑ ADDITION ❑ ALTERATION � REPAiN ❑ DEMOLITION ❑ FENCE <br />f 5465.�0 <br />Lor_Blocrc_ OF <br />JOB n��PESS <br />2402 STA'CE <br />PLUMBIN(3 <br />N0. TVPE OF FIXTUHE OR ITEM <br />WATER CLOSET �iOILEn <br />LAVATORV IWASM BASIN� <br />SHOWF.�i <br />NITCHEN SINK 8 DISP. <br />OISHWOSMEP <br />LAUNDRYTRAY <br />CLOTMES WASMEfi <br />URINAL <br />FIOOR DRAIN <br />ROOF DFAINS — <br />siuu iccaviro — <br />SUBTOTAL <br />PEpMIT <br />TOi�LFEE <br />APPROVALS <br />1. ENVIRONMENTAL CMECK LIST <br />2. BUIIDING PlANS <br />3. FIRE MYDRANT <br /><. FIRE PROTECTION SVSTEM <br />5. GRA�ING <br />fi. ORAINAGE <br />❑ SIGN O WOOD STOVFJFIREPLACE INSERT <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APi LICATION AND KNOW THE SAME TO BE TRUE AND <br />FouncoviEs CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES <br />GOVERNING THIS TYPE OF WORK W'LL BE COMPLIED WI � H <br />WHETHER SPEGFIED HEREIN OR NGT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE.4UTHORITY TO VIOLATE <br />OR CANCEL TNE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE' 1OF CO'�STRUCTION. <br />SIGNAWAFABL�qTry.CiORORAUiHO'IIZE�FGENi O<LE <br />FEE <br />f <br />f <br />f <br />YES NO <br />164�3 <br />6.MEALTM DISTRICT <br />APPLICATION ACC. BY PLANS CRECHED BY APFd. FOR I <br />nnu Dna <br />DATE <br />MECHANICAL <br />AIR CON�. UNITS — M.P. EA. <br />REFNIGERATION UNITS — N P. EA. <br />BOILEPS — H.P. EA. <br />GAS FIPED A.G UNITS — TONNAGE EA. <br />FORCEO AIR SVSTEMS — B.T.U. M EA. <br />1YAL1. MEATERS — B T.U. M <br />UNIT HEATERS — O.T.U. M <br />EVAVORPiNECOOLERS <br />CLOTHES DRYERS <br />PANGEMOO� <br />AIP HANDLING UNIT — <br />STOVE — WO00 <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />MEAT PUMP <br />83/12399 <br />FEES <br />GF.M. <br />SUBTOTAL f <br />PERMIT f <br />TOTALFEE S <br />PLAN CHECK FEE <br />FEE 36, 73 AECEIPT N0. <br />64724 <br />VALUATION FEE <br />BUILDING f 5467 <br />PLUMBING <br />MECMANICAL <br />OTIIER <br />PENALTY U.BC. <br />SEC. 305 �a� <br />rorni 56 50 <br />PENMIT VAlID11ilOH <br />WMEN PqOPERIV VALIDATFD�IN TM1S�SiA4E� THI��O 5 6 5 pMIT � <br />L <br />,�DUHESS RLE <br />M <br />N <br />1',�UR RECEIPT '� <br />!l_�,1�.^i� ��QV <br />�3sEP83 <br />a <br />1 <br />J� <br />J <br />� <br />