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. ,���/1'r,KrC�n `/ONSTRUCTIO� <br />, , i �i'� (�r � . , �. ♦ �.._, f '�- <br />e�erett PERMIT pERMIT N0. 16175 <br />CITV HALL 259�B7d5 <br />V'{yF�'u L' �P�e�Q1J ���COM�INATION L�I` BUILDING ❑ MECHANICAL ❑ PLUMSING <br />OWNEP MAIL ADDRE55 CITY ZIP PNONE <br />CLOW-WfSC2TR <br />ARCMITEGT OR DESiGNER MAIL ADDRE55 GIiY ZIP PHONE <br />c <br />v <br />GENERAL GONTPACTOR MAIL AD�RE55 CITY 21P PMONE UCENSE • <br />came <br />MEGMRNICRL f,ONTRRLTOR � MAIL ADDRESS CIIY ZIP PMONE LICENSE I <br />PWMBING CONTRAGTOR MAIL AODRE55 CITY Z�p PHONE LICENSE � <br />� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ D'cMOLITION ❑ FENCE ❑ SIuN ❑ WOOD STIWFJFIREPLAGE INSERT <br />S 23%>5�a.�0 <br />Construct apartment building - 16 units - E <br />Rental. <br />LOT_BIOCK_OF <br />PLUMBING <br />NO. TYPE 0 <br />WA7ERCLOSET <br />�.� BATHTUB <br />SHOWC-R <br />KITCHEN SINK & DISf'. <br />Q LAUNDRVTRAY <br />$ CLOTMESWASHER <br />lp WA7ER HEATER <br />OR <br />Q ORINKING FOUNTAIN <br />Q FLOOR ORAIN <br />2 VACUUM BREAKEFS �I10Se b <br />� ROOF DRAINS — RAINLEADERS <br />O SINK ISEHVICE — BAR, ETQ) <br />PERMIT <br />TOTAL FEE <br />V ]P / /-��� R-1 <br />SIZE OF BLDG. NO. OF ST01 <br />17.888 2 <br />FIRE ZONE BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS " <br />3.FIFEHYDRANT � <br />4. FIRE PROTECTION SYSTEbt <br />5. GRA�ING <br />B.�RAINAGE . � <br />7.ENVIROhMENTALIMPAGLfiTATEMENT <br />B. MEALTH OISTRIGT � _ <br />APPLICATION ACC. BY - I <br />S <br />,NS CHECKED BY <br />J.L'.P. <br />COPIES� <br />IIB. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GO�IERNING THIS TYPE OF WORK WILL 6E COMPLIED �YITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT UOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORM NCE OF CONSTRUCTION. <br />SIGNATURE �J ACiO OR A 1HfO/RJ� D GENi DATE / <br />X . - /!!/!/�A?'�✓l.I�lL%G- �l��d 0 <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />� �[. <br />f __ <br />r �� <br />EAR VARD SETBACK PLAN <br />�ACANT SI7E <br />YES ..NO <br />YES <br />1G <br />FORISSUANCE <br />L.C. <br />FIR COND. UNITS — H.P. EA. <br />FEFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WA�L HEATEFS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHO00 vpn�less <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />ME7AL fIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL S <br />PERMIT 5 <br />TOTAL FEE S <br />FEE <br />FEES VAIUATION <br />RECEIPT NO. <br />FEE <br />BUILDING E23]�50�.0 ]]6 ]5 <br />PLUMBING 294.00 <br />MECHANICAL ZJ6 �0 <br />OTHER <br />PENALTY U.B.C. <br />SEC. 303 Ia) <br />TOTAL 12 fi. %5 <br />PEHMIT VALIDATION <br />WMEN PROPERLY VALIDATED pN THIS SPACc) THIS IS VOUR PERMIT � <br />CC',h t�%]�,.%)-r} <br />t--' <br />(Cl <br />. r. .. , .. � . . <br />I <br />.� <br />ADDRE55 FILE i 1 1�, <br />