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�"��L`CTYeOF ��NSTRUCTION <br />evere�t PERMIT PERMIT NO.OH456 <br />CITV H4LL 259�0745 <br />eveaerr.wn sezo� ❑ COMBINATION ❑ BUILDING � MECHANICAL � PLUMBING <br />OWIIFH AIAII AUUf�(55 CIIY ZIV f NOlIL <br />Cloyde Hillis 8304 Beverly Lane <br />ARG1111ECi0iI�ESIGNLP MAIUODRC55 CIiY 21P P��OtlC <br />GENEPALCONIRALiOR M/II RDOPESS CI1Y 21P F:101![ LICENSE 1 <br />A!CGIIANIGIfANiPAL10R MRILAO��E55 CIIY ZiP PHONE LiCENSEI <br />PLUMOINGCONiRALTOR MAIL�D�RE55 CttY 2iP YHONE LICENSEI <br />Same <br />K ❑NEW LADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN L,GARhGE <br />WORK <br />S <br />�or__eioc�_o� _ <br />aoenooaess <br />8304 Beverly : <br />PLUMBINO <br />N0. TYPE OF <br />WATER CLOSET (TOIIE <br />BATHTUB <br />�AVATORY(WASH BAS <br />SHOW:R <br />KITCHEN SINK 8 DISP. <br />OISHWASHER <br />LAUNDRYTRAV <br />CLOTMES WASHER <br />WATER HEATER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />nwr unnina — <br />SINK ISERVICE — <br />SIDE VARD SETBACK SiPEET SE <br />USE ZONE LOT AREA <br />TYPE OF CANST. OCCUP,IN <br />SRE OF BLDG. NO. OF 5T <br />FIFiE �ONC BASEMEN <br />� i. ENVIRONMENTALCHECKLIST <br />2. �UILDING PLANS <br />3. FIPE MV�PANT i,� <br />d. FIRE FROTECTION SVSTEM <br />5. GRADING - <br />�y. DRP.INAGE `� _ <br />�.ENVIRONMENTALIMPAQTjTATEMENT <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />nr1Ac�� vouacories PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS nF LAWS AND ORDINANCES GOV[RNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. TNE GRANTING OF A PERMIT DOES NOT <br />FRESUME TO GIVE AU7HORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CON,SZRUCTION OR THE PEAFORMANCE OF COIJSTRUCTION. <br />sia Ltuhe oF cor+rnncroa on aun�oaize nce�T onte <br />v����a—�S f'v ��-������ �C�i��X�� <br />REAR YAND <br />VACANi SITE <br />IIYES I1N0 <br />N0. OF DWEL <br />MA%. OCC. <br />�PPLICATIOy ACC� �V �NS CHECHED BY I APPF. fOR ISSUANCE UY <br />� • \ � <br />�1 <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />AIR CONU UHITS — H P EH <br />REFRIGERATION UNITS — HP EF. <br />BOILERS — H P EA <br />GAS FIRED AC UNIiS — TONNAGE EA <br />FORC[D AIR SYSTEMS — � i U M <br />WALI HEATEPS — 0 TL M <br />UNIiNEAT2R5—OTU. M <br />FVAfY1RATIVE COOLFPS <br />FEE <br />VENiILAT10N FAN <br />RANGEHOOD <br />AI(7 HANDLING UNIT — C F M <br />S10VE <br />M1IETAL FIREPIACE 8 CNIMNE� <br />SUB707AL f 6 00 <br />PENMIT S 3 00 <br />TO7ALFEE S 9 00 <br />'lAN C 1ECK NUM�ER PLAN CHECK FEE <br />FEE RECEIPT NO <br />FEES VALIIA710N FEE <br />BUILDING f <br />PLUMBING S OO <br />MECHANICAL o nn <br />PENALTV <br />TOTAL <br />U.B.C. <br />SEC. 903 (a) <br />19100 <br />PROPERLY VAIIDATED �1N THIS SPACE) THIS IS VOUR PENMIT <br />si25 $005.00—�u'3 <br />� <br />�. �. R; Ci:IP�° <br />. � ��V ���\U <br />... I <br />