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� � <br /> �:�� � �� <br /> t�t)fV;�p'.F; U L�6�iV everett <br /> �verett P�RI��IT <br /> ���, ,,.,�.�_ ,,,�y,,., <br /> ��-eaerr, wn �;nu� COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> <1wNEfi Mn�L nDOHbsS !u' <br /> PFIUNL <br /> DON TIZD �O <br /> A�F 211_8 38th ST. m <br /> AflCHITECT pq DESIGNCfi- - N/iIL AUORE`.:5� --- PNpNE �-- -� <br /> LICENS[ Nn � <br /> GEP'EfiALCONTRACTOfl h1AILADDRE55 PFIONE --- � <br /> LICEN36 �dU. z <br /> �+iECHANICI�L CONTRACTOR MAIL AUDRESS PHONE - � <br /> LICENSE NO. <br /> W <br /> WLUMOINGCONTftACTOR '- ' m <br /> MAIL ADDRESS PHONE LICENSE Nn. �'.., � <br /> JIM'S FLL'MBING 568-4096 <br /> PERMIT CLASSOF WORK — <br /> ❑COMBINATION � <br /> ❑ [lUILDING �VLI�MBING �MECi1.4NICAL <br /> ❑NFW ❑I�DDITIpN ❑/�LTEFiATION ❑REPNR <br /> VALUATION OF WORK _ <br /> S ❑O[MpL1;H ❑�[NCE ❑SIGN ��WIMMINf; POOL <br /> DESCRIBE WOHK --------'-�---- <br /> PROPOSED VS <br /> MECHANICAL <br /> � LEGAL DESCFIPTION OF PROPERTV ISHOW BELOW OR /�TTl1CH TVPE OI' fNF.HRY <br /> FOVRCOPIES) ❑<�/�� ❑ELEC. <br /> �oT nLOCK_oF NQ� I_ _TVPE OP E�UIPMENT FEE <br /> ' Alft COND. UNITS-�li.P. EA. g � <br /> I Rf:PRIGERI�TION UNITS -H.P. Eq. �-- <br /> -- �IipILLRS H.P. Ell. � <br /> , FORCED AIR SVSTEMS-B.T.U. MEA. <br /> JO� ADOqESS i ;;VqCE & WALL HEATERS - I <br /> B.T.U. <br /> 2118 38th ST. � -'i��vitrienreas n.r.u. i <br /> PLUMBING � � `���'o��T�ve coo�ERs <br /> —_ _ __ 'cLprh�ES oRVERS I <br /> I V I:NTILATION FAN <br /> __ i HANGE HOO�] � <br /> P10. TVPE OF FI%TURE OR ITEM FEE � nui i�nNnuNc UNi7- <br /> BATM TU95 5 _ GF.M. <br /> CLOTHES \9ASHER i - � --__ I <br /> DISH WASHERS �-- - � `�'�iER HEATER — <br /> i _ <br /> DRINKING FOUNTAINS i - � ���C. BUIIT FIREPLACE & CMIMNEV � <br /> FLCOR DRAINS � -n,. SVSTEM� NO OP OUTLEiS T <br /> KITCHEN SINKS & UISP. � � _ SU6 TOTnL 5 � <br /> 3 O�1R SINKS 6 OO PFFMIT 5 — <br /> RDOF DHAINS - RAIN LEADERS �— - - �-------�--------- <br /> � TUTALFEE 5 � <br /> SHOWER BATHS 2 O T1�115 PLRM11l7 f3ECDMES NULL AND VOID IF WORK OR CONSTRUC <br /> SERVICE SINKS �e TION AUTHOflIZED IS NOT COM�IENCEU WITHIN 120 D�1Y5, OR IF <br /> &UMPS - SEWAGE FUMP CONSTFVCiIUN oR WORK I, SVSP[NOED oR nUnNDONEO FOR n <br /> URINAL$ --j N[RIO� OF 120 Ol1Y; l�T 11NY TIME nPT[R WORK IS CJMMENCED. <br /> WATER CLOSETS —�� �y,� I IIER[FtV CkHTIFY LHAT I HAV[ READ qNO EYIIMWED THIS AP- <br /> Z WATER HEATERS �- ELECTRIC n "a PIICATION AND KNOW T11[ SAME TU(1E TRVG AND CORRECT. ALL <br /> WASH BASIN$ -- N�tOV1510NS OF LnWS ANU CfiO1NANCES GOVERNING IHIS TVPE <br /> H O OR WOlIK WILL (3E COMP�IEC] WITII WHETh1E19 SPEGIFIED HERFIN <br /> LAUNDRV TRAYS OR NUT, TIiE GRANTING pF !1 p[NMIT DO[; NOT PRESUME TO <br /> i GIVC nUT110RITv TO VIO�AT[ OR Cl1NC[L THE FROVISIONi OF <br /> - - -�--i--__ 4NY OIHCfI S7'ATE OFi I.00AL LAW HEG�I�.nTING CONSTIiUCTION <br /> ____ __� UIi II11: �'ERFORMANCE OF CONSTqUCTiL.: <br /> _ _ I <br /> SU6 TOTAL --3(r��- , <br /> PERMIT 5 <br /> TOTAL FEE x <br /> WATFR SERVICE SIZE BI.OG. SUPPLV SIZ[ -- -- -�v�- - - - 6��78 <br /> ;I�J TUHE:UFCONTHACTOHOf� U H.nGF.NT UATE <br /> SIDE VARp SET[3ACK STRECT SETIiACK F1El�R YARJSE�RACK f'/_'A !GHECK NUMISE(1 PLAN C11ECK FEE <br /> � F[[ R[CEIPT NO. <br /> USl20NE L07 AREA VACANTSITE <br /> ���5 �N� FEES VALUATION FEE <br /> TVPEOFCONST. OCCUPANCVGROW' NO.OrOWb�LINO <br /> UNITS <br /> I <br /> —-- 1 <br /> SIZE OF [3LOG. NO. OF STOfaI[S MA%. OCC L011❑ I3UILDING § � <br /> 1 <br /> PLUM(31NG <br /> r�iraFzoNE� un.^,tnnErvi r�i��r.srr�iNKi�i�s; 39j00 <br /> iveouu��o -- �-- <br /> ❑YE i �NO ���-GIANICAL � <br /> I <br /> SPECIAL GONDITIONS. UTHBR I <br /> I <br /> — PENALTV .SEC. 309(a) I <br />� TOTAL � �j <br /> ._ PERMITVALIDATION . �� : � c7 <br /> WIII:N VROPEpL V V�ll II]M[D IIN T11155PT�CF.LT11i5IS VOUH PERMIT <br />, _ -- :YOUR REG�.f�7 <br /> � TN,�NK �OV ' � <br /> mmur,nntv�ncr.[r�u,nr rv,msancKunn arrnavtnini�ar.unru_i ur � . •' f � <br /> I . ` ,� <br /> � ( vM7 �� <br /> �� <br />