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I �Ihrb�•rr�;recn �, - -�� - �pNSTRUCTlO�r <br />Gi1Y Of. .� . <br />eve�e�tt PERMIT PERMIT N0. 16176 <br />CIfV HAL 7�5 �B d <br />V�+E{f.�^` o� �❑ OdIIAB�NATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILADDRE55 CITV ZIP PMONE <br />Crow-Western <br />ARGNITEGT ON OESIGNEP MAII AODRESS CITV 21P PHONE <br />GENER�L CONTRAC.^dR MAIL AD�NESS CITY ZIP PNONE LIGENSE � <br />SAMC <br />MEGMRNICAL WNTPRCTON MAIL AD�FE55 qTY bP PMONE LICENSE � <br />PLUMBING CONTPACTOR MAI� ADORE55 GITY ZIP PHONE UCENSE / <br />�NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN � WOOD STOVFJFIREPLACE INSERT <br />f 237,500.00 <br />Construct apartment building - 16 uniCs - IIldg. il9 <br />P.ental <br />LOT <br />JOB <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />3z WATERCLOSETIf01LEn <br />i2 BATHTUB <br />SHOWER <br />1(7 KITCHENSINKBDISP. <br />16 DISHWASHER <br />(1 LAUNDRYTRAY <br />$ CLOfHESWASHER <br />1(7 WATER HEATER <br />� URINAL <br />Q DHINKING FOUN7AIN <br />Q FLOOR DRAIN <br />2 VACUUM BREAKERS�IIOSC' b <br />Q ROOF DRAINS — RAINLEADER,i <br />� SINK ISERVICE — BAR, E7C.) <br />PERMIT <br />TOTAL FEE <br />V-r l �F F� R-1 <br />SIZE OF BLDG. NO. OF STORIES <br />i�,asa 2 <br />FIRE ZONE BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CMECK LIST <br />2. BUILDING PLANS r' <br />J.PIREHYDRANT i.,, <br />a. FIRE PROTECTION SYSTEV41• <br />5. GRAOING <br />� 6. DRAINAGE -..� <br />7'ENVIRONMENTALIMPAOTSTATEMENT <br />�8. HEALTH DISTRICT `—" <br />navuCA7loN ACC. BY LANS CHECKE� DV <br />f. ;> <br />p l� <br />. I J.E.I'. <br />— � <br />�� <br />COPIES) <br />S <br />5 <br />REAR <br />.�.YES I:NO <br />NO. OF DWEL <br />MA%. <br />BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAM!NED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRl1GTION. <br />clfNnT11RFAOfffNtHACIOROBal1TH�A�2E0AGENT DATE <br />� <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />AIF COND UNITS - H.P. EA. <br />REFRIGERAi ION UNIT� - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNI7S - TONNAGE EA. <br />FORCED AIR SYSTEMS - 6.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEA1 ERS - B.T.U. M <br />EVAPORA7IVE COOLERS <br />CLO7HES DRYEfiS <br />VENTILATION FAN � <br />RANGEHOOD Vetll'LeSS <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />[Ij <br />U <br />SUB TOTAL 5 <br />PERMIT S <br />TOTALFEE S <br />PLAN CHECK NUMBER PLAN CI <br />FEE <br />FEES VALUATION <br />PECEIPT NO. <br />FEE <br />BUIL�ING $�3�'SO�.�� ��6 �5 <br />PWMBING 3OB OO <br />MECHANICAL 2]6 OO <br />OTHEFi <br />PENALTV U.B.C. <br />SEC. 303 (a) <br />TOTAL 1350 %S <br />FERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THI� Spf�C�) THIS�IS���q P6ji�M�lT`_ ((�1 <br />7 e � r� <br />�"'� <br />rn <br />,....� i <br />'.: <br />FORISSUANCE <br />L.C. <br />ADDC[55 PI�[ <br />;,� <br />