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TAP F:IYY T) (,Y )'II C INSTRUCTION <br /> LT, Y <br /> eVePett <br /> 259 - 8745 PERMIT PERMIT No. 21523 <br /> ❑ DEMOLITION ❑ COMBINATION 30 BUILDING 11 MECHANICAL FI PLUMBING ❑ SIGN <br /> OWNER MAIL AOp1E55 <br /> CITY IIS' fMONf <br /> Doryan Const. 6 Dev. P.O. BOX 40476 Belleuve 98005 641-8785 <br /> ARCHITECT DR DESIGNER MAIL ADORES CITY ZIP — <br /> AIpN[ <br /> GENERAL CONTRACTOR MAIL ADOMSS CITY bP RIaFC LICENSE <br /> Owner VrEI ACD 121 DS <br /> MECHANICAL CONTRACTOR MAIL ARMEW CITY ZIP <br /> PIIpNF IICFNSE. <br /> RUMBING CONTRACTOR MAIL ADDRESS CITY pp MPONE LMENSE I <br /> UAW OF WDRR <br /> ®NEW Cl ADDITION ❑ALTERATION Ll REPAIR [I DEMOLITION ❑BUILDING RELOCATION <br /> VALUATION M WORK <br /> 1 102.392.00 <br /> VIEWAME WGTIK <br /> Oonetruct new cvpleX <br /> MAT Sa RCE <br /> ❑ELECTRICITY ❑GAS ❑WOODSTOVE ❑OTHER <br /> FROPOS'D USE OP BUR DING <br /> ram <br /> Du lex I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEAN MSCRIPNON M PRa•fRTY(KNOW BELOWOR ATTACH COPIES) CORRECT. LL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_ME=_Ori GOVERNIN THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WH H CIFIED HEREIN OR NOT. THE GRANTING OF A <br /> See Attached PER IT ES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOL T CANCEL THE PROVISIONS OF ANY OTHER <br /> STA OCAL LAW REGULATING CONSTRUCTION OR <br /> THE R ANCE OF CONSTRUCTION. <br /> JM ADM[5K KIGNAt E TRACTOR AUTNaLIZEO AGENT.OR OVMER DATE <br /> 706 60th St. SW X _ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) NC-AMNDLG UNITS--H P <br /> BATHTUB REFRIGERATION UNITS-H P EA <br /> LAVATORY(WASH BASIN) BOILERS- BT UCH P. <br /> SHOWER GAS FIRED A C UNITS-B T U <br /> KITCHEN SINK A DISP FORCED AIR SYSTEMS-B T U M EA <br /> DISHWASHER WALL HEATERS-BT.0 M <br /> LAUNDRY TRAY UNIT HEATERS-e T U M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHES DRYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER <br /> ROOF DRAINS-RAINLEADERS WOOD STOVE <br /> SINK(SERVICE-BAR,ETC) METAL FIREPLACE A CHIMNEY <br /> FIREPLACE INSERT <br /> HEAT PUMP T <br /> OAS PIPING <br /> EKHAUSTFAN <br /> SUB TOTAL { AUB 60 D <br /> PERMIT i PER <br /> TOTALFEE t TOT <br /> FRORI%HIACR REAR GETBACA NIDE SLTBACK RAN CHECK NUMBER Ftg ALTEIPTINO <br /> bol Do <br /> 20 20 10 89/21523 q � 4560 <br /> M ZONE IGT AREA EL 6 <br /> VACANT SITE FEES ATION FEE <br /> R-2 6940 QrFn OAa <br /> TYR M CONST oCCMANCY GROUP NO OF MLUNI WRTs BUILDING92{ .82 <br /> V-N R-3 2 <br /> PLUMBING <br /> SNF M BLOC P.O Or STORKS MAX OCC LOAD E SRCH $1 CID <br /> TM���e�VINT <br /> 2888 2 N/A ML.:HANICAL VG $2 .BD <br /> CHECINVESTIGATION FEE Plan k Sec�3DEle1 123 82 <br /> 022 .21 <br /> FIRE SPRINK.L9S REQUIRED YE NO <br /> STATE BUILDING SURCHARGE <br /> APRIUNaRefitALC BY RANKCMCK[DOr APFOR ISSUANCE BY STATE ENERGY SURCHARGE <br /> DRIVEWAY PERMIT 20 O <br /> N.M. J.W. J.W. TOTAL all <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED DN THIS SPACE)THIS IS YOUR PERMIT <br /> M <br /> N <br /> L17 <br /> CV <br />