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�: .nc�E�rrKrern -^ONSTRU�TIQ�"� � <br />; �.. <br />' � c� �,oc <br />e�erett PERMIT PERMIT N0. 161$3 <br />GTY HALL 259�BId5 <br />17 `u��Tyw��2m p❑ �bM�INATION F.x BUILDING ❑ MECHANICAL ❑ PLUMBING <br />pWA?R MAIL AOpRESS CITY ZIP PNONE <br />CTOW�W2C}'PY11 � <br />RRCMRECT OR DFSIGNEN MAIL ADOPE55 CITY 21P PMONE <br />GENEHAL CONiRAGTOR MAIL ADDRE55 CITY ZIP PMONE LICENSE Y <br />MECHANIGAL CONiPACTOR MAIL ADDP.ESS CITV ZIP PMONE LICENSE � <br />PLUMBING CONTRACTOR MAIL ADPRESS pTY ZIP VHONE LICENSE � <br />rCI NEW ❑ A�DITION O ALTEPATION O REPAIR ❑ �EMOLITION ❑ FENCE � SIGN O WOOD STOVFJFIREPLAGE INSEflT <br />VAWATION OF WORN <br />S%z��Q0.�0 <br />Construct recreation building <br />PPOI'OSEO USE OF BUILDING <br />LOT_BIOLK_OF <br />Buildiny <br />PLUMBING <br />TYPE OF FIXTU <br />WATER CLOSET (TOILE7) <br />BATHTUB <br />LAVATORV�WASH BASIN) <br />SHJWER <br />KI7CHEN SINK 8 DISP. <br />Q LAUNDRYTRAY <br />6 GLOTHE54YFSHER <br />1 WATER HEATCfI <br />0 URINAI. <br />O DRINKING FOUNTAIN <br />4 FLOOR DRAIN <br />2 VACUUM BREAKER�hOSOk <br />O ROOF DRAINS — RAINLEADE <br />1 SINK (SERVICE — BAR, ETC.) <br />YARD SETE <br />ZONE <br />: OF GON57 <br />V —N <br />OF BLDG. <br />2384 sf <br />SUB TOTAI <br />TO7AL FEE <br />A-3 <br />OF S70RIES <br />1 <br />APPROVALS <br />i. ENVIRONMFNTAL CHECK LIST <br />2. BUILDING PLANS �' <br />7.FIREHYDFANT - <br />4. FIRE PROTECTION SYS7EAV <br />5. GR.4DING <br />6DRAINAGE -,.� <br />"7:ENVIRONMENTALIMPAGTSTAT <br />:B.HEAL7HOISTRICT -- <br />APPLICA7104 ACC. BY >� PLAt <br />r _ c-� <br />�` :� <br />� � <br />- - 1 <br />� <br />FOUR <br />FEE <br />6 <br />4 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APr'LICATIOfJ AND KNOW THE SAME TO 8E TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL B[ GOMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF P. <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />I.00AL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />X`lATURE /'/'/'LL�O!/.IYA// A�1/O�I! <br />!, <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT <br />� AIR COND. UNITS — H.P. EA. <br />0 REFRIGERATION UNITS — H.P. EA. <br />p BOILERS — H.P. EA. <br />0 GAS FIRED A.C. UIJITS — TONIr'A!iE EA. <br />p FORCED AIR SVS7EMS — B.T.U. M EA. <br />p WALL HEATERS — B,T.U. M <br />0 UNIT HEATERS — B.T.Ii. M <br />Q EVAPORATIVE COOLERS <br />( CLO7HES DRYERS <br />tj VENIILATION FAN <br />Q RANGEHOOD VEntless <br />� AIR HANDLINa UNIT — C.F.M. <br />Q STOVE — WOOD <br />± METAL FIREPLACE 8 CHIMNEY <br />Q FIREPLACEI�SER7 <br />HEA7 PUMP <br />s 46 00 <br />� 46 00 <br />REAR YARO SETBACK PLAN CHECK <br />VACANT SITE <br />.'YES ;;�NU F <br />NO. OF DWELLING UNITS <br />0 Bll!LDING <br />MA%. OCQ LOAD --- <br />53 PLUMBING <br />FIRESPRINKLERS MECHANICAL <br />REOUIRED <br />::YES �_:NO <br />BY DA7E aTHER <br />PENALTY <br />BY I APPR. FOR ISSUANCE BY <br />DATE <br />sue rorn� a qg <br />PERMIT f <br />TOTAL FEE S 46 <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />VALUATION FEE_ <br />g72 000.00 349 <br />46 <br />46 <br />u.a.c. <br />SLC. 303 (al <br />TOTAL I � � 441 GO <br />PERMIT VALIOATION <br />WHEN PROPERLY VALI�ATED IIN THB SPACE) THISV�S�VQ�U� P�RI�AIT _ � <br />a � � <br />ADDRESS FILE <br />