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thrl:���rqrern �— CO�lSTRUCTION � <br />f.ITY Ot <br />ever�tt PER�AIT PERMIT NO.O%6O9 <br />c"V "A��:�'���'%'�� r ❑ MECHANICA� ❑ PLUMBING <br />tver�erT w� �szui ❑ COMBINATION Y�BUILDIN� <br />uvMtr� Aui��uJPF55 :�i. lil, n�urNk <br />Ben E. Harris 6701 Berkshire Dr. 98203 353-2658 <br />RRC111iFC� OR Uf SiGNf R MAIL �D�RE$5 CItY lil' PIIONL <br />GLNERF�COkIfIPULN MMIAUUAE55 GIIY )iP PNONE I�GLNS(� <br />Same <br />AR0�4Nn.:Ai CONiPAC10R M�II ADDRE55 C�.T� ZIP FNONE UCENS! � <br />�`IUMdINGCONlRAC10R MeIl�DO4E55 CIiY ziP <br />ClA55Of WORM <br />❑NEW ❑AUOIiION %F�fALTEFATION ❑REPAIR <br />VAW�iION O° WORN <br />t 3,000.00 <br />Df SCRIPE WORM <br />Build 1B'x22' addition with deck over <br />PPOI'OSEOUSEOf fIW�OiNG <br />aingle family residence <br />IEG�I DESLRiP11011 OI IWOPLNivISIIOW BLLOW OR AIIACN fOU�I IOPIf51 <br />4 12 Beverly Hills Div. 2 <br />LOi OIOCN_�O( <br />JOfl AUDRI SS <br />6701 Berkshire Dr1ve. <br />PLUN81N0 <br />NO. TYPE OF FI%TURE O <br />WATEH GLOS[1 (TORC7� <br />KITCHEN S:NK 6 f <br />DISNWAShER <br />IAUNOPV 'Rh� <br />CL07ME$'NAS��F� <br />WATER HEAT[P <br />URINAL <br />�HINNING lOUNi <br />iLOOR DRAIN <br />VACUUM BREAKE <br />N:X1F DHAINS — <br />ciuv �cmvirc — <br />SIDE VARD SETW[ <br />USE ZONE <br />7VPE OF CANST <br />V-N <br />517.E OF BLOG <br />18'X22' <br />FIRE ZONE <br />3 <br />SiREEi SE7H� <br />LOT AREA <br />OCCUPANCY <br />R-3 <br />NO OF STOF <br />1 <br />1. ENVIRONMENTAL CHECK LIST <br />2 BUILDING PIANS <br />3 FIRE HYDRANT <br />�. FIRE PflOTEC110N SYSiEM <br />5. fiRADING <br />6. DRAINAGE <br />7. ENVIFONMENIAL IMPACT STATEMENT <br />B HEALTN DISTRICT <br />APPLICATION ACC BY PLANS CHECNED BY <br />v.c. <br />HEAR YAfi� <br />VACANT <br />I rvLS <br />�O OF <br />1 <br />MN( O( <br />er <br />I �DEMOLITION ❑FENCE ❑SIGN ❑GAFAGE <br />AP{'R FOR ISSUANCE BV <br />LM.CNSC • <br />I HEREBY CERTIFY THAi I HAVE RFAD AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALl PROVISIONS OF LAWS AND ORDINANCES G(:VERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHE7HER SPECIFI[D <br />HEREIN OR NOT. THE GRA�ITING OF A PERMIT DOES NOT <br />PRESUME TO GIVE .,JTHORITY Tq VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTNFR STATE OR LOCAL LAW REGULATING <br />CONST ON OR THE PERFORMANCE OF CONSTRUCTION. <br />�I�yf�I 1111 U1 (I� �IIiAl.ttllyl t Fl1lll�l{II�� �1 '��f lll VA1f <br />�% .. _srJ �l� • 5/19/80 <br />MECMANICAL <br />TYPE OF EOUIf <br />I41i5 -- �� �' fA <br />lf1N UNITS — N P <br />DOILERS — 11 P LA <br />GASFIRFDAC UNIiS-1� <br />FORCED AIR SYSTEMS — U <br />WAI.L HCAiCRS — B � U <br />llNll HhA1ER$ — 0 T U <br />� <br />AIR MANULING UNIT -- C F M <br />SiOVE <br />MFTA1 FIRFPLACE d CMIMNEY _ <br />80/7609 <br />BUILDING <br />R <br />�Tr <br />1Cc i2.00 <br />: 3,000.00 <br />UBC <br />SEC 9031a1 <br />FEE <br />fEE <br />RECEIP7 NO <br />24 I 00 <br />T V.ILIDATION <br />PROPERLY VAUDATED �IN TMIS SPACE) TMIS IS VOUR PERMIT <br />2371 30 24.00 -- �; <br />� <br />� <br />1'OUR RECEIPT o <br />; I'��PJK YOU <br />ACJRESS FILE <br />20�r80 <br />