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F <br /> '� ; ,,,,, , �.vivj i KU(�TION Y- <br />� ����., "� �evercYi <br /> ���rett P�RMIT <br />' �'nil !I�1LL 'T69AlAL � � <br /> r� ti;�,rr, wnu�a�u� COMBINATION • BUILDING • MECHANIC.4L • p��inngin.� ` v ` <br /> I � � <br /> owrvea nani�nonite:,s zir �.�i�,,,.� " <br />� rtarvin Bunch —�315 lOth Ave. S.E. 98204 - � <br /> m <br /> /�RCHITECT UH UE;IGNER -- -�-�'-- -- - --'-------�-- 7J <br /> A�AIL AODHESS PIIONF. LICFNSE NV. � <br /> I <br /> �GNEPALCOP:TH�CTOfi -_.--_._—.-"_----"__'_. __. . -y <br /> NAIL �:LJDqESS PHONE LICENSC �:G. � � <br /> Same <br />! MECNANIC.IL CONTRACTOR MNL ADDFiESS PHONE LICENSE �'o. � <br /> W <br /> m <br /> PLUM8ING CONTqACTOR MML ApDRE55 FHONE LICENSE Nt). � <br /> P[FMIT Cll�SS OF WORK — --- <br /> ❑COM�INATION � <br /> �'[tUILDING []PLUM�ING �AtECNANICl�L <br /> ❑NEW ❑AUqITION ❑qLTER(1TION ❑REVAil9 <br /> �'nLUAT10N OF WORK ---'---'--' -- <br /> 5 500.00 _. - ---_I_-- -❑oea^oi.isri ❑i��_raa� ._.❑-ir�N ❑s�vininun:<; rno� <br /> DESC(iIHE WORK � - <br /> remodel basement area <br /> F'FOVOS[D USE <br /> single family residence MECHANICAL <br /> �EGl�L OESCRIPTION OF PpOPERTV I511pW RELOW pR /�iT.1C11 TVP[ O� EN[HG V <br /> FOUFlCc�I[51 ❑�/�� ❑ELEC. <br /> 1 BYoadtaay Dfanor NO. � TVPE OF EQUIPMENT <br /> LOT _ gLOCK_OP__________ _.__._. _... _. FEE <br /> _ �Alfi CON�. UNITS-HP EA. � � <br /> 'iRflFRIGERALIpNUNITS N.P. EA. -�T— <br /> . .. _ -_-___- — <br /> —"----.. .- .. ��OOILER$ II.P. EA. � <br /> i M1UNCED Alp SVSTEMS-B.T.U. MEA. <br /> - --'-- - _ ._ ___. . I <br /> JOBADDRE55 - <br /> � SPACE & WALL Hf:ATERS - p.T.U. <br /> 9315 lOth F�venue S.E. -� - �urviri�enrer�.s n.r.u. i — <br /> PLUMBING i t-vnr�onnTive coo��r�s T— <br /> iCLUTHESpfiVERS � <br /> � T -_'____ _ .. _ . __ ____ <br /> IVLNTILATION FAN T- <br /> '� HnNG[ HOOD � <br /> NO. TVPE OF FIX"NRE OR ITEM FEE � nna HnNDUNG UNIT- c.F.M. <br /> BATH TUPS S -�- i --'-- ---- � <br /> CI..OTHES WASHEH i • __.-_----_- .__ . ._ . _ __ '—'- � _- <br /> DISH WASHEH$ i '- �'�'�1iEfi HEATER -��� - <br /> DRINKING FOUNTAINS — if.�C. NUILT FIREPLl�CE R CHIMNF.V � � <br /> � . . ._.._. .-'_-' _ <br /> FLOOR URAINS � I ����ti. SYSTEM: NO UP OUTLFTS --- <br /> -__ . ___.. _..- '_.._'___ <br /> _ KITCHEN SINKS & DISP. �- - � ,Uf3 iOTnL 5 � - <br /> QAR SINKS � PEFiMIT 5 <br /> ROOF DRAINS - R/UN LEAUEflS i � TOT/V. fEE 5 � <br /> $HOWER 6ATH5 1H15 PCF;M1IIT I;ECOMES NU�L ANO VOIO If WORY, O(; C �i i�.n_ <br /> SERV�CE SINKS �— 1IDN i1UTHOfiIZED IS NOi rOMMENCED WITHIN 120 DAVS, OR IP <br /> SUMPS_S[lVl1GE PUMP — CONSTHVCLION OR WORY. IS SUSPLNOED OR A6(�NOONFO FOR .� <br /> URINALS — � — �'EfLO[] OP 120 Dl1V5 AT ANV TIME l�FT[R WORK IS COMM[NCCf). <br /> WATER CLOSETS -i I HEREI3Y CERTIFV iHAT I I�1l1VE fiEAD ANO E%AMW[� THIS AP <br /> WATER HEATERS - ELECTRIC � �LICl�T10N AND KNOW TFI[ ;AME TO[3f TRVL ANO CORRGCI'. nLl <br /> -- � __y PfiOVI51pN5 OF Ll�WS I�ND ORDINl1NCES GOVEI3NWG THIS TVPC <br /> _ _ WASH BASINS I OP WOPK bVILL 6[ COh1PLIFD WITH WII[TI1EH ;P[f.IPIEf] HERL�N <br /> LAUNDRY TRA`!5 OH NOT �I1E GRANI'ING Of A PERMIT DOES NOT PNL,;UMF TO <br /> GNP l�L '(iRITY TO VIOLATE OR GANCl.I. T11@ PHf)VISinNS O� <br /> - --�-- �1NV Oi ;Tl�TB Ofl LOCnL LlAW REGUL�A�tING CONSII;UCIiC�fV <br /> _ � OR fnF PE UFYMf�NCE OF CONSiFiUC11oN. <br /> I <br /> SUBTOTAL i <br /> PERMIT 5 <br /> TOTALFEE $ �— X . � �-... . �' lI1Q��� <br /> WATER SERVICESIZE 6LDi7 SUPPI.Y SIZE sicrin�URecil-CONrRncTORORnurH.nc[Nr �on?E---- <br /> S�f�[ VAftDSETUACY. STRF[TSETBACK REARYl�ROSETBACK PI nNCHECK NUh16@fi PLnNCIiECK FEE <br /> FLL RECEIPT NU. <br /> U`tE ZONE LOT I�REl� Vl�CANT SITE <br /> ' ❑vE5 ❑No FEES VALUATION FEE <br /> 1'/P� OF CONST. OCCUPANCV GROUP ND.OF �WF_LLWG - � ' —��--- <br /> UNITS <br /> I <br /> SIZ[ OFtlLDG. NO. OFSTORIES MAX.00C. lJAO fiUILDING 5 SOO.00 S � OO <br /> -'. --- �-- .. <br /> YLVM131NG I <br /> I�illf: ZONE pASEMENI �-�-- FIR[SPHI'....��LRS __ � <br /> REQUIFiH.. -- � '-- - <br /> ❑Vf5 ❑NJ �.A[CHl�NICAL I I <br /> 1 <br /> SPECIA�CONOITIONS: aT����� I . <br /> _.-___-_-__ __ . __ I <br /> _-___-'— T_ . <br /> ..-'--"- '--'-"--. . . -.-- . -- PFNALTY SEC. 3091a1 I � <br /> .-. __ . -..-_ . <br /> ._"__. .._ ' <br /> _ _-."_ <br /> _ _- 70TAL . I <br /> _ _ ._ _.—_ �.� '0.._. � <br /> PERMIT VALIDATION � � <br /> ..._ ---'-" - WIIINPNOPCRLYVAI.II]t1TED (INTI1I:::SPACEITHISISYDURPLRM1IIT <br /> ___ _ '___-"_'- <br /> - -- KOU ft REC�1�G <br /> - -- - - �,�: �Q� � <br /> 4 <br /> �II , . �. tfl.11'11�111Y 1�1f.�:'�.IIIICKIII�IY �I'flll]\111 .1 � . I1� Y � a ) <br /> r F J <br /> - --- _ ������� . <br /> � : - � <br />