3106 22ND ST 2018-01-02 MF Import

COMBINATION - BUILDING • MECHANICAL a PLUMBING OW MAIL H 21P PHONE ee.� �; 3 �44(VA' :. r� f� 9 rzs�p x?y-.2>>s , ,A CHITEC OR DESIGNER MAILADORESS PHONE LICENSE NO I I - GENERALCONTRACI'OR MAIL ADDRESS PHONE LICENSE NU. SA M e jr.0-1,,F-.y -C 3/z MECHANICAL CONTRACTOR MAIL ADDRESS I'FONL LICENSE NO. PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. - s P®_/mac.♦� ,9v e o ,Co A??i E MIT CLASS OF WORK " COMBINATION ❑ UILDING ❑PLUMBING ❑MECHANICAL ..J/ VLNEW ❑ADGIT ION ❑nLTERAtIUN- ❑HCI'nIH �f AN VLUATIOOF WORK ❑DEMOLISH ❑FENCE ❑SIGN ❑hVIMMIN(: PUOI. S DESCRIBE WORK PROP ED SE OTHER PERMITS OR APPROVALS Ireov m REZONE �j SPECIAL USE .VARIANCE Si'ORLIN�� r I OU �L E—s ci 1PTIU`N//oF PROPL FIT 1, HOW BELOW OR AT Al Lore[ocK�^`.EoFAdall0 ^� L 5EPA CHECK LIST REQUIRED 1:t YES [:I N O • ♦ 3106 A d 6 ,2,2 JOB ADDRESS /V�/MKT Ve �� (MECHANICAL •!J� PLUMBING TYPE OF ENERGY ❑nAS ❑ELE C. NO. TYPE OF EQUIPMENT ,. FEE AIR COND. UNITS-H.P. EA. REF RiGE RATION U_NIfS_•H.v_E A. OOIlERS H.P. EA. FOnCEU AIR SYSTEMS --"' - ---' ` SPACE b WALL HEATERS -- P.T.U. ?JD. TYPE OF FIXTURE OR ITEIA FEE µA1H TABS 5 O[J CLOTHES WASHER Ie3 f UISH WASHERS _ 1 U DRINKING FOUNTAINS FE.00H DRAINS f UNIT HEATERS -9. T.U. KITl:11EN SINKS & DISP. 1 'l f i µAR SINKS 1 EVAPORATIVE COOLERS �- --I ---------1� HOOF DRAINS PAIN LEADERS 1 CLT/1E5ORYERS I IC71 $HDSVEH HATHS O VENTILC ION FAN _ .`iEnVICE SINKS NGE HOOD SUMPS - SEWAGE PUMP ;AIR /IANDLINGUNIT C.F.M. ALE RH EATE't- URINALS 'I- %VAT ER CLOSETS_�.WATER _I HE ATEIIS -ELECTRIC BUILT FIREPLACE C. CH1t.1NEY AS. SYSTEM: NO OP OUTLf.iS --- - "GunTOTAL S ILAUNDRY - YJASM BASINSC. TfiAYS t ----, _- PERMIT S ZJ TOTAL FEE 5 __ _( I� THIS PERMIT BECO'JES NULL AND VOfb II WU/IK Off ST TION IUTHIORIZED IS NOT COMMLNCEO WITHIN 1?0 DAYS, OR IF CUNSTntICTION OR WORK IS SUSN NOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AI, TER WORK IS COMMENCED. PERMIT S <l TOTAL FEE $1 Irv1 HATER SERVICE SIZE_ SLOG. SUPPLY SIZE: A 1 HE FIERY CERTIFY THAT I IfAVE I4LAµ AND EXAMINED T111S AP SUACK HEAR YARD SE TUACK- S7D �RI AIiU .•t TH 5 PLICATION AND KNOW THE SAME TO RE TRUE AND CORRECT. ALL , ♦ ♦r./tl I �O I PnOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE IT� V OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN _ USC Of,{L LOT nAIILA VACANT SITE L /VO�� /� i XY ES ❑NO OR NOT. TIIE GnAN,ING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW HLGULATING CONSTRUCTION On THE PERFORMANCE OT CONSTRUCTION. e TYPE OF C_O/NST. OCCUPANCY GROUP NO, OF OWL LLING S - _/_ � 2 UNITS 2 J L //,i• L% - ��1 yr 9tlATE SSIJIIwZZEnqF BLOC. NO. OF MAX. OCC. LOAD /TORIES — xG/NIrA T��U 1E{I o�OF CONTRACT O1'bH AUTH. AGENT f EHL::I•IIINKLUIS - REGUIIILD �IrvO rr 11tE TONE IIA:iE ME NT ovr�u•�a I L,atl L; 11L GK NUMULH PLAN CHECK FLL �O ❑YFS C '-T �O ' CL FEES fLc RECEIPT NO J 116 C-0 VALUATION F[E_ • I SPECIAL CONDITIONS: - BUILDING- T y ./y�_00....i ! 'J....f�. v _-- SEPA REVIEW COMPLET•:' ❑YES ❑ NO °L11h1°�".".._—_�..__ ;ADO contact PlOnnlnq dept. MLCfIANICAL • _ I_l. �Q �• OTllctl 1 PENALTY SEC. 3071Y1 - L� )QQ �MIICAbON ALl1111U YY'. YlAN1 LNlL4UYY: ANNOVIC roll AN[IYY C_ TOTAL I r I