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, � <br /> ,,��.� ���,A,�.�.,, �'�NST�UCTIO�V <br /> ��,��F <br /> everett RE�Me� PERMIT N0. OH357 <br /> CITV IIALL 259�H7d5 <br /> eveHr.rt wn eezni ❑ COMBIii1TI0N � BUILDING ❑ MECHANsCAL ❑ PLUMBINO <br /> UWM1UV � N�pApU1115° LIIY ��� LiP i'��UNI <br /> t;lenn V. Wilson 2217 Baker Eveiet*. 98201 259-6A79 _ <br /> ANCIutLQp11UC51GNCP MAI�AUDN(55 .:IIY ilv Pr�JNt <br /> 4lNEMl WNtRnUOF 1A�i1 n,90BEbS -- CiIY Ii� PHONC UCEIiSE/ <br /> Same <br /> MCC11AN1ULCONiRRQOA M�I�ODPE55 CI1V ZIP VH(NIE LICEN5E1 <br /> PLUTABING fANTRACTOA M�f �UDR�SS CItV ZIP P��ONF U(:LNSE� <br /> CUSSOF WORK <br /> ❑NEW ❑AD01T10` ❑ALTERATIO� ❑REPAIR ❑DEMOLITION ❑FENCE L�SIGh �.�GARAGE <br /> VA W�f ION O�1VURN <br /> s20��. �0 <br /> D:SLRiBE WOPM <br /> Conetruct car-port <br /> PqOGOSEC USE OF BWLD�NG <br /> einqle family xesidence I F�EREBI'CER1lFY THAT I HAVE READ AND EXAMWEO 7HIS:�.P� <br /> ie;�ioese:eivuoNorvoortnrv�sNoweeiowon�n�a�rr ecor�ns� F�ICATIqN AND V.NOW THE SAME TO 6E TRUE AND CORRECT. <br /> ALL F�inVISIONS OF IAWS AND ORDINANCES�OVERNW(,THIS <br /> ;o� 9-lOoiaK 180, Ready Land Co' a lst TYPE OF WORK WILL BE COIdPLIED V.iTH WHETHER SPECIREG <br /> HER[IN OR NOT. 7HE: GRAhTW, OP A ?�HMIT DO[S '+OT <br /> PPESUME TO GIVE AUiI'OHITY TO�IOLATE OR CAiJCEL i itiE PRO� <br /> — -- YISIONS �F ANY OTHER STATE OH ICCAL LAW HEGULATING <br /> CONSTRUCTION OR TIiE PERFORMANCE OF CONSTfiUCTION. <br /> — SinN�f�li6iY �0!minCiUI�O�AUt1�O���2fU�GFN1 �RLE <br /> JOB�[lDRE55 � <br /> 2217 Baker Avenue X � , �/ /�/;�� � 10/6/GO <br /> PLUMBINO MECHANICAL _ <br /> N0. iYPE OF FI%TURE OR iTEM FEE N0. TYPE OF EOUIPMENT _ FEE <br /> WATER CLOSET(TOILET� AIR:OND JN115 �—M P LA __ <br /> BATMTUB R[FNIGEHAiION UNIiS— H P !A . _ <br /> LIVATORV(WASH 13ASIN) ____ BOI_$qS --�1 P EA __ _ <br /> SH01JcR _ GAS Ilq6U A C UNIi_ TONN._GE EA <br /> KITCNEN SI�K 8 DIbP. _ �ORCCD PIA SYST(IAS—B T U M EA <br /> DISHWASNER WA�l HEATt�iS—01 ll � �� � _ <br /> LAUHDRv TRAV UNi hcATE�S-- �i U M — _ <br /> CLOTHES�"ASNER ' EVAPOAATNCCOOLEPS , _ <br /> WATER HEATFH CLOiHES DRYERS , <br /> URWAI VEN11l4TION FAN <br /> ORINKING FOUNiAIN RPNGF N(bU _ <br /> FLOOR CRA�N AIR NAHULNC UNIi— C F M __ <br /> VACUUM BREAKERS STO��� <br /> ROOF DPAINS —RAINLEA�EHS _ ME1Al FIHEPIACE d CHIMNEY _ _ _ <br /> SINK�SERVIC[ --�AH,ETC 1 _ __ -- --^ <br /> SUBTOTAL ___ SUBTOTAL f _ <br /> PEHMIT f PERMIT S <br /> TOTAL FEE f TOTAIFEE ! <br /> SIDE YAiiD SETBACN STREET SETBACK �EAP vARD SEiflACK PL�N CHECN NUMFIER FLAN C��ECN FEf <br /> Hy8357 `fr 32 . 50 �'�'�'S�'�' <br /> USE ZONE lOT AfiEA VACAN7 SITE -- <br /> R—Z IIVESX!�NO _ FEES VAlUAT10N FEE <br /> TVPE OF CA4ST. OCCUPANCY GfiOUP NO.OF DWELIING UNI:S <br /> V-Iv M-1 1 <br /> SIZE OF 6LDG NO OF STOR�ES MA% OCC LOAD OUIIDING f 2 �OOO . 2 1 1 3 <br /> 14'X 2 2 ' 1 P;UMuiNG <br /> FlRE ZONE FfASEMCNT REOUIRED KL[RS MECHANICAL <br /> 3 i�ves . — <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST PENALTY UBC ' <br /> SEC 303�a� <br /> 2 BUILOING PLANS <br /> TOTAL <br /> 3 FI(lE NYDRANT <br /> a FIRE PROT[CTION SVSTEM PEPMIT VALIDATION <br /> _ WNEN PROPERLY VALIDATED ON iN�S SPACq iH1515 vGUq�EFlMIT <br /> !: GRADING _ Pldfl Cf10C�C Fee 2��}� �O � I. I �{ �� � <br /> fi DRAINAG BSCI(]. P2IN�L Fee3 5 � <br /> 7 FNVIRONMENTALIMPACiSTATEMENT � <br /> __ � <br /> 8 NEALT401STRICI - r ' <br /> APVIICATION ACC dY PIANS CMECNED BY RPPR FOR ISSUANCE dY � '��' ? ',4'� �' I pT � <br /> . � �„ �:: U <br /> v.c. , , <br />