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E �T��� �.-.�. -- co�v�rRucTic.v <br />everext p�R��T PERMIT N0. 154H.� <br />CITY HALL 259�Bi-05 <br />�VERETf.WA9d201 ❑ COMBINATIQN ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILPOCFESS �ITV ZIP PHONE <br />Crown Photo 2107 33rd Street L'verett 98204 <br />AflGMITECT OR DESIGNEF MAIL ADORE55 CITY 21P PHONE <br />GENE9AL CONTRAGTOR MFIL AODRESS CITY ZIP PHONE UCENSE N <br />EvPrett Mr. Handy Man 80 Columbia Marlsville 98270 259-1616 <br />MECMANICAL CONiRACTOR MAIL AODRE55 QTV ZIP PMONE UCENSE N <br />PI.UMBING CONTRACTOfl MAIL AOORE55 CITY ZIP PHONE LICENSE M <br />O NEW ❑ AUCITION ❑ ALTERATION �REPAIR ❑ D'cMOLITIOV O FENCE � SIGN O IVnJD STOVFJFIREPLACE INSERT <br />s 3730.00 <br />re••roof hot mop <br />PflOPOSED USE OF BUILOING <br />commercial <br />LEGaL �ESCRIPTION OP PROPERTV �SHOW BELOW <br />LOT __ 6LOLN _Oi <br />JOB AD�RE55 <br />217 33rd <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILEn <br />BATHTUB <br />LAVATOFY�WASH OASIN) <br />SHOWER <br />KITCHEN S�NK 8 <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BReAKEP.S <br />ROOF DRAINS — RA�NLEADERS <br />SINK ISEtiVICE — BAF, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />SiZE OF BL�G. rvu. or : <br />FIRE ZONE BASfME <br />APPROVALS <br />1. ENVIRONMEN7AL CHECK LI57 <br />2. BUILDING PLANS <br />J. FIRE HYORANT <br />4.FIREPSOTECTIONSVSTEM _ <br />5. GRADING <br />6. DRAINAG� <br />7.ENVIRONMENTALIMPACTSTATE <br />8. HEALTH DISTRICT <br />I HEREBY CEF.TIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLIC^7!ON AND KP10W THE SAME TO BE TRUE AND <br />CORRECT. ALL PROV�SIONS OF �AWS AND ORDINANCES <br />GOVERNING THIS TYPe OF WORK WILL BE COMPLIED WITH <br />WHETHER SPcCIFIED HEREIN OR NOT. THE GRANTlNG OF A <br />PERMiT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PRGVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTInN. <br />SIGNATl1flE OF�cONTRACTOR OR AUTMORI2 D AGENlT DATE <br />X �iMA,CP %Yl i.11 �u-'f-�� �� 9/26/85 <br />FEE N0. TYPE OF EQUIP%;iVT <br />AIR COND. UNI7S — H.P. EA. <br />REFRIGERA710N UNI75 — H.P. EA. <br />BOILEFlS — H.P. EA. <br />GAS FIRED A.C. UNI75 — TONNAGE EA. <br />FORCED AIR SYS7EMS — B.T.U. M EA. <br />WALL HEATEflS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYEFS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />ME7AL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />S <br />S <br />S <br />YES ::NO <br />CNECK <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />FEE <br />PEES I VALUATION <br />BUILDWG b <br />MAX.00C.LOAD — <br />'LUMBING <br />FIRESPRINKL.ERS MECHANICAL <br />REOUIRED <br />VES NO <br />__ _.__ OTHEfi <br />BY IAPPR.FOR <br />S� <br />S <br />5 <br />CHECK FEE <br />RECEIPT NO. <br />FEE <br />44 50 <br />PENALTY SEC 309 (a) <br />TOTAL 44 50 <br />PEfiMIT VALIDATION <br />WHEN PROPERLY VAlIOATED IIN THI� `.�P9G�) THIS�S�'�.1� PFfi�IT-- <br />� <br />� <br />� ;. i:l.%� � �r� <br />BY � �v �'�U <br />. ..� � l�`: n <br />ADDRESS F�LE <br />'Z �, SEP 3 �) <br />