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<br /> 7 A L . ..,7:; ,'•:,..,
<br /> .• v.:::,•:,,. A 18.'i.7,7 COMBINATION 4 BUILDING • MECHANICAL • PLUMBING (VT
<br /> ',..:WINIEP,
<br /> c.,,,:l .,i):)..:;
<br /> Curtis Haugen ..,
<br /> 3623 Rockefeller . ;•:••:.,,,E
<br /> 252-7108
<br /> Do
<br /> •7\ T-i -T-TC-F Uic.;1'.1..•',,...:,. ..i.i pccc",...;.' • - '-i•. ..;''--
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<br /> ,5ET\Eii41..&7.Wfii.cC'f,:-•,k • - - • • ,.,..,..;•• ,,•bDs ' - • • •-•-i-q()Nf. :A:DENISE NO
<br /> Z
<br /> Shoopy_poofing. 328-75th Street 355-4153 .. SN.00_138 2.32.10.. . C
<br /> MECHANICAL CONLRACTOH . : I,' ; :,L•N:,::, N,,. g
<br /> . CO
<br /> . . fl'i . .
<br /> 74:--'1:-!-5,-1-1-3--i-N--CT-e-D.k.:'rr-F1:a.ei's:Y-R. - I'...sA:!..At.1C;RESS PH:::::.E • ti N1:!:. - ......•
<br /> • :
<br /> ...
<br /> PERMIT • -T-CILASS r 1.^:O17.K - .. .
<br /> .
<br /> El CONWINATION ' . . .
<br /> •
<br /> .5V BUILD:NG 0 PLUA.,!C:NC.; Ft
<br /> • L....:NEW 1_._ ,ADO!:'I ON Et AL T E F:A I:ON1:eEP AIR
<br /> :
<br /> \rALUATION OF WORK— ' . ----------------------- -
<br /> S 770.00 .
<br /> ,
<br /> E.oE mc,A. :h '7 ii.-,NCE IT;SIGN :,72S`:".;;r.D..1IN:", Po: t.
<br /> DESCRIBE WORK ..
<br /> , . .
<br /> composition reroof .
<br /> . .
<br /> PROPOSED USE •
<br /> MECHANICAL . •
<br /> single family residence ____.. E . .
<br /> •
<br /> TYPE OF NERGY
<br /> LEGAL DESCRIPTION DIT PROPERT Y•SHOW BELOW OR AT TACT, El.,.-3 as • 7-,
<br /> L.ELEC.
<br /> FOUR COPIESI
<br /> 1411.1. . : . ...TY.P..E.9.f._ .;!!4:r ... ....... _.,.L.........._._FEE ._ _ •
<br /> • LOT 1 l'.12/11.0c k,)82:_r_oF______Eyerett_Diy,._.1‘,1_,....„.........._........... •••
<br /> Alp.Cor:lo. L.J.N-IITS
<br /> BIC E RA 1'ION UNITS H P. EA. .
<br /> , . I,.
<br /> ... ... . ..
<br /> . .
<br /> BOIL ER', 11.P EA. .
<br /> --r
<br /> FORCED AIR SN STEMSL_
<br /> :B.T.U.B.T.0MEA. :
<br /> . . -4- •
<br /> . . .,•;__ • 1 •
<br /> • . _
<br /> 'TOB ADDRESS . SPACE :N WALL REA rERS B.T.) •
<br /> 2623 Rockefeller . .
<br /> ,!-!r HE A T 1 4-75II -I-
<br /> I ..
<br /> . . •EVAP!:r.:ArIVE COOLERS'
<br /> PLUMBING . , ...
<br /> CI.O 7 HE:,1:R Y E BS 1
<br /> t . .
<br /> ,_,..
<br /> . . .
<br /> ..:
<br /> . ----T-4
<br /> . • YEN r'l I AT ION T AN
<br /> :RAN,Gt :,•....... —4-- I .
<br /> TYPE OF F;X/i/FiE OR ITEM , FEE ..,,,-: -,,:. . ., rNi.;!...IN:1 C p': ''..',
<br /> --4.-: ---i... ---.. . ..
<br /> TUBS 1 --1.--- I . .
<br /> - i CLOTHES wASHcF: --7--- I ..
<br /> WA T E R E R
<br /> r 4 : FAD !..;it.r F I R EP'_ACF 8: CH MINE s, I
<br /> DRINKING FOUNTAINS . .
<br /> ' i : r:',.AS. SN STEM NO OP OUTLETS
<br /> FLOOR DRAINS
<br /> KITCriEN SINKS ADISE'. : --t--
<br /> t . : . .... .,;P. T T A t. S ! .
<br /> . I .4- C Pi! t:.•!!'t ,-• . .
<br /> BAR SINKS .
<br /> -4-: .
<br /> ROOF DRAINS - RAIN LEADERSI
<br /> . • " t SHOWER BATHS -i--- --1- ---
<br /> Ti .i.!.; i'7-' 'I T 1',.t.:GI:17,14:S 4:U i::. ..Ni VG i B :1-: WORK OR CONS'RUC
<br /> : AU T"CTII4E.I.1 IS NOT' CC,%ImENcLD'.%)THIN 120 DAYS, OR IF
<br /> •
<br /> SERVIcE SINKS .
<br /> -+-- ---+----- ccNsTRUC710% OR WOP.r. IS SUSPE.INDED 01:T. ABAN1DONED ED R A
<br /> SUMPS -SEWAGE PUMP
<br /> PERIDO OF ln 0,AYS AT! ANY '1 IMF Ar TEP.WORK IS COMMENCED..
<br /> • URINALS --Ir . .
<br /> _..i.
<br /> WATER CLOSETS !" - ! EJ.,,E..:F:,,,, cE R.4:4 y :r 44A' ! HAVE READ AND EXAMINED THIS AP
<br /> ------ -4- PLICA PUN AND KNOW 1-HES•AVIE TO HE TRUE.AND CORRECT. ALL •
<br /> WATER HEATERS • ELECTRIC _ I. P2 eY:,!:.:1::ONS!OF LAWS AND GROIN^,NCES D.C.WERN:NC THIS TYPE '
<br /> WASH BASINS i Dr .VVORK WILL GE COMPLIED WI Iii WHETHER :PECIF:ED HEREIN
<br /> DI3 NOT. THE 41100NO!tie: Of- A PERNI'T DOES NOT PRESUME TO
<br /> f-------H•• G:',,E! AU THOPIT Y TO VIOLA TE OR CANCEL THE PROVISIONS OF
<br /> . . 4.._ ANY C,THE STATE OR LOCAL LAW ,'T.E.G:...II.A r INC CONSTRUCTION
<br /> . • : 0.---•!!I,14- PE P r, BMANCE OF CONSTRUCT ION.
<br /> .
<br /> i .
<br /> I i
<br /> , .
<br /> t - PERMIT , SI 1
<br /> -i ., , ... ...., . . .
<br /> IVIA TER SERVICE SIZE BLDG SUPPLY SIZE !:' ,: .•1,4*,.!RE Or CONTRAeTER013-4T:h,AGENT DATE ! .
<br /> SIDE YARD SETBACK !STREET SETBACK REAP YARD SE 1 BACK PL AN CHECK NUMBER ! PLAN CHECK PEE
<br /> RECEIPT" NO
<br /> .. .
<br /> . ! . .
<br /> •. r•USE ZDNE • F L.0 T A Al A :TV ACANT Si r E .
<br /> ,
<br /> . .
<br /> , . .
<br /> . , ,...._, • ... .... ...... ... .._. __—....... .
<br /> . • : u,,,ES NO ! ! FEES • • VALUATION FEE •
<br /> • :
<br /> • 4 — .
<br /> I . .
<br /> ., • . r-"F'-:—i PE OF CONi OCCUPANCY CROUP - :NO.OF OWE 1.L'NG -! ! •
<br /> :UN Il.S • . .
<br /> .: .
<br /> . .
<br /> . . . ! . .
<br /> --g2"-E--rp iF d'Eff.i;..t. - o.0 F.ST 0 Is i C,,.; 7 SAX.:DCIC. OA 0 E.1.1:1..1;!T1'11 , ...
<br /> • 770,...00 .
<br /> 8_ 00
<br /> . .
<br /> . . .
<br /> . • . I •,
<br /> • ,•-',,i..;m.F.,••••..,
<br /> '-i,•-•Tiii-r-25i"-------7-----7-----.7. ). EMI-NI .--,7 I IF:74:-P-WiKRT..E1,:.f---— . •
<br /> . . .
<br /> :RF cyu PE f.). . •
<br /> .
<br /> . i,,es , ,,,,,,,0 ,SOC:!....".:,':.:!C A 1 ..
<br /> • .
<br /> . : . ... -
<br /> SPEC%A!..C.0 ND,T D NZ : ri T HET.
<br /> . • . l
<br /> 1 .
<br /> . .•
<br /> . .
<br /> . .
<br /> ,E.N A LT Y ! Cr•C 30:::::,' . .
<br /> . ' . •
<br /> . . .
<br /> . . .
<br /> . .
<br /> • TOTAL • . •
<br /> . . .,. 1,00 • .
<br /> . , 8 .
<br /> . . .
<br /> .
<br /> PERMIT VALIPATION . .
<br /> . .
<br /> ..,.r!•-t,,,.:PC.,:r;',.R I !!!' ' A I ::,.:"!,!',.":4,.0,,,'4:11'14.9P AC E1.0141
<br /> . .. .. 411111 rrn.I I r
<br /> . . .. .
<br /> . . . .
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<br /> .... . ... . . . . ....... ... .
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<br /> . . .
<br /> . . .. , . .... .
<br /> .,. . ... . : .. .. .. . . . . . ... .
<br /> . .
<br /> niANK. . .. .
<br /> . . . . .
<br /> • r :Y0.11
<br />
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