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:�"� F-���,,,,,���„ COiVSTRUCTi�O�V <br /> everett <br /> "T" °� pERMIT <br /> �����erett <br /> cirv rfn�L259-e�a� • gUILDING • MECHANICAL • PLUMBING <br /> r�-i:rj�Tr. wa �azoi COMBINATION <br /> �,wwer� mini�noo�acss ,•ir riioN� .Q <br /> Conrad Levin �308 Jade 98201 252-4626 m <br /> —_ 77 <br /> ARCI�IITECT ON DESIGNEII MAIL ADDftE55 �'MON[ LIG[NSE NO. � <br /> "'� <br /> GE'N[HAL CONTRQCTOF MAIL AD�FiE55 PHON[ LIC[NSE NO. z <br /> Jade Const. 223-01- JA DE C284M C <br /> MECHANICr1L CONTRAGTOR MAIL AOOF1E55 PHONE LICENSE NO. � <br /> W <br /> ; m <br /> PWMF3ING CONTRACTOR MAIL /�ODRESS PHONE LICENSE NO. , � � <br /> PERMIT CLA55OF WORK <br /> �COMBINATION <br /> �OUII�ING ❑ FLUMDING �MLCHANICAL <br /> ❑NEW ❑��DDI71�lN ❑ALTEftATION ❑REPAIR <br /> VALUATIOIJ OF WORK <br /> �DEMOLISH ❑PLNCE LSIGN ❑SWIMM1II�JG PO(il. <br /> UESCRI6�WORK <br /> Demolish single family residence and garage <br /> PROPOSED USE MECHANICAL <br /> TYPE OF [N[R�Y <br /> L@�AL DESCRIPTION OF PROPERTV ISHOW BELOK OR ATT/1CH �,qg ❑ELEG. <br /> FOURCOPIE5) -- ------ ' <br /> ��O'-1 �yLOCK 2zAF LiheYt}� Add. NO.i _ . TYPEOFE�UIPMENT FEE <br /> Alq COND. UNITS� H.P. EA. $ I <br /> - "�'_'__ _ _ _ _____— �— <br /> REFIiIGEHl.TION UNITS -N.P. EA. _ <br /> _ [301LER:i H.P. EA. I <br /> FORCED AIR SVSTEMS-B.T.U. MEA. <br /> I <br /> J06 ADDI3E55 �SPACE !L WALL HEATEFS - B.T.U. <br /> 1208 44th Street I uNir ��enreas-a.T.u. i <br /> _ II_VAPCFl�TIVECOOLEFS <br /> PLUMBING I r.i_onies o�veas i <br /> I vF-fVTILATION PAN —� <br /> � HANGEHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE � AIR IiqNDLING UNiT- C.F.M. <br /> BATfi TUBS 5 I <br /> CLOTHES WASHER j WnrEn NEATER <br /> I <br /> DISH WASHERS � _. f,1C IDUILT FIREPf.ACE R CHIMNEY � <br /> DRINKING FOUNTAINS � ��,n�. SYSTEM: NO OP OUTLETS <br /> FLOOH DRAINS � - --- - ---- — <br /> KITCNEN SINKS & DISP. —j _ __ _ _ __ `UO TOTAL S � <br /> [7Aft SINKS • _ _ _ PEnMIT 5 � _ <br /> ROOF DRAINS - RAIN LEADERS i ioTn� FEE 5 I <br /> $FIOWE �ATH$ llil:; P[HMIT l3LCOMflS NULL ANO VOID IF WORK OF CONSTflVC <br /> SFRVICE SINKS —� ��nN nUTNORIZ[[] IS NOT COMn9ENCEU WITNIN 120 OnvS, OH IP <br /> SUMPS - SEWAGE PUMP CONSTHUCTION OR WORK IS SUSPENDED OR AE3ANDONED �UR n <br /> P[filOD OF 120 Ol�V i /�T l�NY TIME �1FTLR WORK IS COMMENCED. <br /> URINALS � <br /> WATER CLOSETS j I IIEIi[!tV CEfiTIfV TH�1T I HAVE REAn AND E%AMWE� THIS AP <br /> PLICATION AND KNOW THE ;AM11F_ '1'O �@ TRUE AN�COfiRECT. ALL <br /> WATER HEATEHS - ELECTRIC � NRovisiorv; oF �nw5 nNu oRr.iNnrvCEs GOVERNING THIS TVPE <br /> WASH BP.SINS I OF WORK WILI_ 8L COMPLIEL WITH WLIETHEii SPECIFIED HEHEIN <br /> LAUNDRV TRAVS OR NOT, TIIE (iftANTING OF A PFRMIT DOES NOT PRESUME TO <br /> � GIVf AUTHORITY TO VIOLATE OH CANCEL THE PqOVIS10N5 OF <br /> I�NY OTHER STATE OR LOCAL Ll1W ftEGULATING CONSTRUCTIOIV <br /> � Oli T�IL -OfiM/�NC[ Of- CONSTPUCTION. <br /> SUeTOTAL i � ~ <br /> PERMIT S ' <br /> TOTAL FEE X f� IU IZ��B <br /> ' '�i �__ <br /> WATERSERVICESV_E f3LOG. SUPPLV5IZE , � UREO�CONf/t'nCTORcanUTH.nGENT DME <br /> SIDE VARDSETI3ACK STREET SET6ACK REAfi V/�RDSETOACK P�AN CHECK NUMf�ER "L1N CHECK PEE <br /> FEE RECEIPT NU. <br /> USEZONE LOTAflEA VACllNT51TE <br /> ❑vEs ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROVP NO.OF DWELLING � <br /> UNITS <br /> SIZE OF �LOG. NO.OF STORIES MAX.00Q L0/1D 13UILDING S OO � OO <br /> _'�— <br /> PLUMI3ING � <br /> FIREZOfvE FSASEMENT FIRESPNINKLEPS — � — <br /> REOUIftED � <br /> ❑Y@S ❑NO MLCHANICAL � <br /> I <br /> SPECIl�L CONDITIONS: OTFIER � <br /> NOt 071 Sewer System PENALTV SEC. J071a1 � <br /> _ __—.— I f1!1 1 <br /> -- -- TOTAL " - � ayi.. 1 � <br /> PEftM1T VALIDATION ' ' " � <br /> - WIIElJVqUPfRLYVALiD�TEDIINT11i5SNAC[ITHISIS�OU�ip�Hhtrt <br /> - Yf;�NR RECE4��+ <br /> �'FIANK YOt� <br /> hPr9�1'n�IGr�nliii��lui�.r ���n9SL1�tLKlllOv nnPnavlDf0111::i1;,tlCfl�v . <br /> eb I � ; , <br /> I � T�.:����� �� �' - ,. <br /> i ._".`_.__--_ __ _ _ " . . <br />