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«,,, � > .; ,,.,.,; <br />������ <br />eve r�tt <br />��,� ,����„��,., <br />LVLHEiT.ANA 98901 <br />CONSTRUC:TION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />.b1fJl AI]DHFS`: JIV 1'11i1NL <br />Jerrm:e S�e`_. <br />nRCHITECT OR DE9�`,N[ i1 � � 61,�iL A <br />GENERAI_ CONTf1ACTOfl MA�L A <br />JP�.S� <br />��,jtrrynNICAL CONTRACTOR MNL A <br />PLUM[iING CONTFlACTOR MNL t� <br />PERMIT CLAS'. <br />��pM61NATION <br />�] 6UILDING ❑ PLVMBING � WECNI�NICAL <br />�I <br />LEGAL OESCFIPTIDN OF PROPERTV ISHOw f; <br />FOUft CON',(E51 <br />LOT �-J-�'V �LOCK 2 OF i?Ol'ffL_17Lr,iI <br />JJp ADDflESS <br />2G01 19th St. <br />PLUMBING <br />FIXTUR <br />:I�; <br />HE55 <br />LI <br />❑NEW ❑ADDITION ❑I�LTENATION ❑REfAIH <br />�DFMOLISH ❑FlENCE ❑SIGN ❑SWIA1",tiWh PUnL <br />everett <br />� <br />"i <br />z <br />C <br />MECHANICAL <br />— TYPE OF FNERGV <br />n(ini�!l�t:�� ❑GAS ❑ELEG. <br />T; ,�, NO. TYPE OF EQUIPMENT FEE <br />�V"�`�y----� AIP COND. UNI75 H.P. EA. 5 � <br />�—�.._ ..._-__- ' "_' "- _ _ --_ ___-f <br />- �FlEFRIGERl�TION UNITS H.P. EA. <br />HOIlERS-HAEA-�---- � <br />j POFGEn AIR SYSTEMS-e.T.U. MEA. � <br />_ _ _ - � <br />� � ' VACE & WAL� HFATERS - B.T.U. � <br />_ ___�— - __- I <br />�UNIT II[ATERS-fI.T.U. <br />PVAPURATIVECOOLEFS <br />ICLOTUCS D�iYERS � <br />I VLNTILAiION FAN �— <br />- 1 _ - — <br />RANGEHOO� � <br />FEE nlrt HnNnLfVG uNIT- GF.M. �— <br />_ L <br />� —r_ _ _ _ -- _. __. _. -_- � <br />i__. - _'_.. __- ____--'__ ---f— <br />WIITER FIFATEfl <br />� FAC. IiUILf FIFEPLACE & CHIMNEY I <br />�GAS. SVSiEM' NO OP OUTLETS T—_ <br />�' _ _ _ _ _"_.__ _-___._' _ _ — I <br />- --- - ;il[7 TO'�AL 5 I <br />.. i -'_ --___ .. . . . _ ... ._- PtRMIT 5 —T— <br />I."- _"__'___"'__-__._ � - <br />-� TOTAL F[E 5 I <br />—T— 11U; PLfiMIT p[COA1L; NULL AND VOID IF WOfiK OR CONSTqUC <br />- �— TION l�UTHORIZED IS NOT COMMCNCED WITHIN 120 DAV`.OR If- <br />�� CON;TRVCTION OR WOHK IS SUSP[NO@D OR Al3ANDONLD fOFi A <br />PEfiIOU OP 120 DAV; l�T /1NY TIME AI'TEPINORK ISCC'MMENCED. <br />1— 1 HFfiGPV CEIiTI('Y 11inT 1 IIAVE R[AD AND E%�1MW[D THIS 11P <br />� PLICl�TION f�NfJ KNOW TIIE SAME TO !IE TFlUE ANU CORRLCT. ALL <br />� PHOVIiIONS Of 1_4W5 ANO ORDINAHCES GOV@RNING THIS TVP[ <br />j OP WORK WILL 6[ G7MPIJED WIT11 WHf2lH[R ;PECIfIE1J IIEREIN <br />pH NOT, TH[ ciRANTING OF A PERM1IIT f)O[S NOl VFESUME TO <br />� (:IVL' /�VTHORITY TO VIOLATE Ofl C�NCLI_ THE fROVIS10N5 UF <br />� PVY pl'HER STATE 6R LOCAL L/�W HEt1Ul r1TING CONSTfiUCT19N <br />� OR TI16 PI �iFpHMANCF OF CONSTRUCTIDN. <br />. ^ � <br />PERMIT S � }, /� <br />�-- TOTAL FEE $I X ��/J'LL'( <br />'fEF� SEflVICE SIZE_ BLDG. SUPPLY SI7[ si niUft[ or CON%i <br />)E VAHDSF'(3ACK STi1FEI SETRI�CK FlC.AFiYARDSLTRACK PL� IC11f CY. NUM111tLR <br />SIZE OF ULOG. NO. <br />Illtf'LUN[ �/�� <br />:i'f[CIAL CONUITIONS: <br />.. I .i �. . � ': N:1:11'1IL111Y�. "lA'1 <br />FN <br />� <br />VACANI Slih <br />❑vEs CNo <br />YF.: ❑NO <br />IItO'T'AU111 AGtNi Unie .. <br />P�i AN CHECK FE[ <br />FLE I IiECEIPT NO. <br />FEES� VALUATION FEE <br />— --- i <br />----- -1— <br />_ _ . . . _ _'__ '— I <br />�OUIL[]WG 5 - .,� <br />H-- <br />PI.UMRING � <br />- L <br />-' __ I <br />MCCHANICAL � <br />- _ '__- j <br />UTHEN I <br />__ — —T <br />- VEN(1LiY SEC.7071.�1 � <br />__ '_ .- _ .-_ _-- - _ ___--__ '—' .—_J-- _ <br />TOTAL Ii0 ��'�C <br />PERMIT JALIDATION �ij� <br />-- vnn n� i�n��i•r ni � vni inni � u nN9 g'�sf'.uu$���:� y�p <br />fi <br />YQi7R RECcEPT, <br />'i � I/�ISK YOUr,.� <br />� <br />i <br />