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. , <br /> ������,�;�;�oF C('ySTRUCTION " <br /> everett PERMIT PERMIT N0. OS621 <br /> CITV HAIL 259�87A5 <br /> evea�*t wn sezoi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBINO <br /> OWNkN M�IL�[IDRE55 ❑1" Z�1' PIIUNL <br /> Wealey A. Hackworth 2414 Cleveland Ave . Everer* 98201 252-9390__ <br /> •ncHrtEcioRo[5�3NER M��l�noR[55 cm i�r rNON[ <br /> CENER�I CONiRhCLOR M�q ADDRE55 pLV ZIP P��ONE IICENSE I <br /> Same <br /> MECH�NiCALCONiRRC10� MMlR0�Nk55 CitY 21P PNONE I�CFNSC� <br /> PLUMBINGCONiPACiOR MAII�DDRE55 CRY IIP PHONE LICFNSEI <br /> CUSS OF WOPR <br /> ❑NEW ❑ADDITION ❑ALTERATION I��EFA�R ❑DEMOUTION ❑FENCE ❑SIGN ❑GARAGE <br /> V�IU��ION Oi WORN <br /> f 400. �� <br /> DESCRiBE W0�1N <br /> replace akirting and rebuild porch <br /> PPOPoSED USE OF 6UIlDMG <br /> einqle family residence I HEREBY CERTIFY THAT I H.4VE READ AND EXAMINED THISAP� <br /> iece�oescumnoNovcnoveervwHowoeiowonnruo��ouecoan:sr PLICATION AND KNOW THE SAME i0 BE TRUE AND CORRECT. <br /> LL PROVISIONS OF LAWS AND URDINANCES GOVERNING THIS <br /> ��1y21-2���K 53�,, Mitchell land im roveme �YPE OF WORK WILL BE COMPLIED WITIi WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> -- VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTAUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> �oeeooness sr,r' ui+rorro�+ia onon rHonize naeHr o�re <br /> 2414 Clevela d Aven e X �, 11/25/BO <br /> PLUMBINO HANICAL <br /> N0. TYPE OF FIXTUHE OR ITEM FEE N0. TYPE OF EOUIPMENi FEE <br /> WATEfl CLOSET�70RET) AIR COND UNITS-� 11 P EA <br /> BATHTUB REF�IG[RATION UNRS— ��P CA <br /> LAVATORV M14ASH BASIN) BOIlCRS —N P EA _ <br /> SHOWEH GAS IIREU A C UNIIS— TONNAGE E� <br /> NITCI:'f:Si�iR 8 OISP fORCID AIP SYSTEMS— B T U M EA <br /> DISMWASHER WAII MFATERS—B i U M <br /> LAUNDRY TR4Y UNIi I16A7ER5—B T U M <br /> CLOTNES WA:iHEfl EVA!'ORATIVE COOLERS <br /> WA7ER HEATEW C�OtHEE URYFRS <br /> URINAL VENi1LA7IJN FAN <br /> DRINKING FOUNTAIN R�NGE HOOD <br /> fLOOq DRAIN AIR HANDLING UNIi— C F.M <br /> VAWUId flREAkEPS STOVF <br /> ROOF ORAINS--RAINLEADERS MEiAt FIREPIACE d CFIIMNEY _ <br /> SINN�SERVICE —BAR,ETC� <br /> SUETOTAL SUPTOTAL f _ <br /> PERMIT i PERMIT � <br /> TOTAL FEE i TOTAL FEE f <br /> SIOE YARD SF.TBACN STREET SETBACK REAR VARD SEIBACK PL�N CUECN NUM9ER PLAN CN[CN FEE <br /> � F[E �ECEIPT NO <br /> USE ZONF LOT�I1CA VACANT 51!E <br /> IlYES i'NO FEES VALUATION FEE <br /> 7VPE OF CANST. OCC�IPANCY GROUP NO OF DWELLING UNITS <br /> BUILOhVG f 40�. 1� � <br /> SIZE OF BLDG NO.OF STOFIES MAx OCC LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT qEpUIREp NLERS MECHANICAL <br /> I�VES I1N0 <br /> APPNOVALB er OATE OTHER �- <br /> 1. ENVIPONMENTALCHECKlISi PENAITV UBC <br /> SEC. 3071a1 <br /> 2. BUILDING PLANS <br /> 3 FIREHYDRRNT TOTAL LO O <br /> <. FIRE PROTECTION SVSTEM PENMIT VALIDATION <br /> WHEN PROPFRLV VAI.IDAiEO pN THIS SPACE)THIS IS YOUR i'ERMIT <br /> 5 GRADING <br /> 6 DRAINAGE O � � � � O I O. O O -- � <br /> 7 FNVIHONMENTALIMPACiSTATEMENT � <br /> -- _ � <br /> B. NEALiN DISTPICT . i I r T <br /> A^PLICAiION ACC.BY PLANS CNECNEO BV APPR. FOR ISSUANCE BY � �� � � O <br /> � � �•. �.\- �� <br />