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rhe Eec,�,rcen <br />���� �t <br />e�erett <br />CITY HALL.!iJF3]4`S <br />Ev�aeTr, evn �i¢aoi <br />CONSTRUCTIaN <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />nnni�nooie[;s zir r�ioNE <br />Juanita 2 Hart P.O. Box 7k8 98206 <br />nnci+ir�cr ori oeacNEn ��-�--��- — nnai� nonr�i, �— vuc <br />GENERALCONTFiAC�Ofi MAILAODRESS N��� <br />Quality Roofing 6404 Beverly Blvd. 255-9345 <br />MECHANICl1Lf,ONTFACTOVi MAILl�DDIiE55 �'��� <br />PERMIT <br />�COM�INATION <br />[��IUILDING � PLUM�ING �] MECHl�NICl�L <br />VALUATION OF WORK <br />5 14 000.00 <br />DESCFI(3E WOHK <br />shingle reroof <br />PROPOSE� VSE <br />R <br />LOTz # 3 �LOCK_OF <br />816 35th Street <br />PLUMBING <br />259_2260 <br />QU AL IR 226BK <br />LICEN;E NO. <br />❑NEW ❑ADGITION ❑ALTEHM'IUN �RCPAIH <br />❑pEMOLIiH ❑FLNCF ❑SIGN ❑SYVIP.1M111N(1 POO� <br />MECHANICAL <br />---------. ._-- - �� -- <br />TVPE OF ENERG\' <br />OR ATTAGH �JGAS <br />g NO. TVPE OF E�UIPI1 <br />� AiR COND. UNITS-H.P_E!. <br />1 REFRIGEFATION UNITS 11 <br />601LEfl5 I�I.P. EA. <br />FOflCED AIR S�STEMS-�1 <br />SPqCF Fi W�1LL NEATER$ - B.T.U. <br />U'JIT IiEATERS �R.T.U. _ <br />EV.\PORl�TIVE COOLEfiS <br />CLOTHESURYERS <br />evereit <br />❑ELEC. <br />�_ <br />I <br />i <br />I <br />� <br />� <br />z <br />C <br />3 <br />W <br />T - _ vtNri�nrioN rarv ' _ <br />HANGE HOG)D � <br />TVPE OF PIXTURE OR ITEM FEE � niia HIINULING UNIT- C.F.M. <br />BATH TUBS 5 �_ <br />'_._. _- ____-__ <br />CLOTHES W/aSHER � wATER HEATEF _ _ <br />DIS41 WASHERS � FAC. BUILT FIFEPLACE 24 CHIMNEV I <br />DRINKING FOUNTAINS � ----� '---"-�"-"-- <br />GAS. SVSTEM' NO OF OUTlETS <br />FLOUR DFAWS ._ . � -- ------- SUtt 70TnL 5 I <br />KITCHEN SINKS & UISP. i -_ -- ----- -- <br />YEqM1T 5 <br />6AR SINKS � —.. �--- <br />ROOF DRAINS - RAIN LLADERS —Ti - iorn�. FeE � I _ <br />SHOWER D��T�iS —� iiiis NE�+rvtii �iEctit,nts Nu�� �Nu voin iF woah on coNS�rF �c� <br />SERVICE !iINKS TION AVTHO��ZEO IS NOT COMM[NCED WITHIN 120 Dl1YS, OR IF <br />$UMPS �- SF.WAGE PUMP CONSTRVCTION OR WOfiK IS SVSP@NDED OR /16AN�ONEO FOfl /1 <br />�'LRIOD OF 120 D�1V5 '�T ANV TIME AfTFR WORK ISCOMMENCED. <br />URINALS � 1 I�EIiCilY CEf111FY 1'III�T I HAVE flEAD AND Exf�MWED TIIIS AP� <br />WATER CL��SETS � PLICl�TION /�ND KIiOW THE SAME TO li[ TRVE l�ND CORRECT, 11LL <br />WATER HEATERS - ELECTRIC � PROVI`.ilONS OF I.I�W` ANU OF(IINANCLS GOVLRNING T1115 TVPE <br />WASH BASINS i OF WORK WILL 6L COM1IPLIF_O bVIPt WFIETIIEIi SPCCIFIED H[REIN <br />LAUNDRV TRAVS --�— �� NOl', THE GfiAVTING OP A PEfiMIT DOES NOT PHESUME TO <br />GIV[ l�UTIIOf11TY l0 VIOLl�T[ OR CANCLL TIIL PliOVI51pN5 OF <br />__� 11NY OTIIER STATE OR LOCl1L LAW HL(3UL��iING CONSTRUCTIOPI <br />� Ofi THE PEfiFOPMAN�[ OF CONSTfiUCTI<�:J. <br />_ I <br />SUQTOTAL --i <br />PERMIT 5—_' �: � /�<�f 8�21�7 <br />TOTAL FEE X ,f -• � <br />TER SERVICE SIZE BLDG. SUPPLV 512E SicNnruHeorcoN7ancroaofinun�i.nceN7 onre <br />iEYAFOSETUl1CK STREE�SETIlACK HEI�RVl�RDSETt3ACKPLI�NCHECKNUMB@H I PL�INCHLCKfEE <br />FEE �RECEIPT NU. <br />SPECIAL CONUf�lONS: <br />�,,., „_ ., ��,�� �� � �,,, �„„r <br />4CANT Sll t <br />❑YES ❑NO <br />E; ❑NU <br />eb <br />FEES <br />flUILDING <br />PWMIi1NG <br />M@CHANICAL <br />Otll[R <br />NeNn�rv — <br />VALUATION <br />5 14,000.00 <br />ec. ^os i:�i <br />FEE <br />.: �� <br />— TOTAL I 68 i00 I <br />i <br />_ PERMITVALIDAT�ON `g,�_y �j��/..�..(�A �� � . <br />� w����a rrvui�en�v vnuonl�u nq v y�panc V'Q V'FB�rrTnn�i - <br />. ' <br />- YO:UR PECEIP7 � <br />� �„ ; T�{�t�iK Y,OtI �;: <br />� . <br />. � � • ., <br />., �LA�M7g, <br />- . . .. <br />- - r <br />1.� <br />