Laserfiche WebLink
.. �,����,,� �;;, ` , �ONSTRUCTION`. <br /> � e �.T� F r-- r�, �. <br /> , .. <br /> c,n.,,��h.�. � PERMIT PERMIT N0. 16031 <br /> d �^�+�""0'7� SS� �d��INATION ❑ BUtLDING ❑ MECHANICAL ❑ PLUMBINCi <br /> ��SI <br /> MAIL 110DRESS CITY ZIP PHONE <br /> QOSE C. HARRISON-LEE 4328 FOR ST DRIVE V RFTT WA oa� 3 5 0»7 <br /> A NI T R ixwi�wu�neal CITY ZIP PXONE <br /> N AL GONTM 70R MAI��DDRESS <br /> CITY 21P PNONE LICENSEI <br /> SAME <br /> MEGMANIC�L CONTRACTOR MqIL AODRE55 CITY ZIP PHONE LICENSE I <br /> PLUM�IN�CONTIUCTOR MAIL�DDRESS CITY ZIP PHONE LICENSE• <br /> CLASS OF WORN <br /> ❑NEW ❑ ADDITION C�ALTEHATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVE/FIREPLACE INSEHT <br /> VAIUATION OF WORK <br /> ' 3.000,00 <br /> OEBCPo9E WORM <br /> Remove artition wa11 to enlar e bathroom <br /> PROPOSED USE OF BUILDING <br /> Residence I HEREF3Y CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LE6�LDESCNIPTIONOFPNOPERTY�SHOWBELOWOflATfACXFOURCOPIES) APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_e�ocK_oF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME 70 GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL �EGULATING CONSTRUCTION OR THE <br /> PEFF ANC F NS UCTI N. <br /> JOB�DDRESS SIGN URE OF CON AC R A H R12E ENT DATE <br /> 4328 Forest Drive X 2 4 86 <br /> PLUMlINO MECHANICAL <br /> MO• TYPE OF FUCTURE OR ITEM FEE NO. TYPE OF EUUIPMENT FEE <br /> WATERCLOSET�TOILE'f) AIR COND.UNITS— H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P. EA. <br /> LAVATORV(WASH BASIN) BOILERS— H.P. EA. <br /> � SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCMEN SINK d DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISNWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRYTRAV UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER MEATER CLOTHES DRVERS <br /> URINAL VENTILATIOY FAN <br /> ORINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL t SUB TOTAL S <br /> PERMIT S PERMIT f <br /> TOTAL FEE t TOTALFEE S <br /> SIDE VARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT EI7E <br /> ❑YES CNO PEES VALUATIOH FEE <br /> TYPE OF CONST. OCCUPANCV GROUP 1.10.OF DWELLING UNITS <br /> eui�oiNc E 3,000. 38 50 <br /> SIZE OF BLOG. NO.OF STORIES MAX.OCC. LOAD _ <br /> PLUMBING 6 OO <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL 9 OO <br /> REOUIRED <br /> '�YES ❑NO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2.BUILDING PLANS SEC.303(a) <br /> 3.FIREHYDRANT ,,o T�TA� 53 50 <br /> 1.FIRE PROTECTI(1N SYSTEM PERMIT VALIDATION <br /> 1 B.DMINAGE ' WHENPROPERLYVALIDATED(INiHI���CF��THIS�Sx��P�M1T_ :`�j; <br /> i au u � <br /> �- 7.ENVIRpN1.�ENTAL IMffICT STATEMENT �-1� <br /> 'T� B.HEAL7H DISTRICT , n;_ ^ � I� ' <br /> f:'. <br /> � APPLICAAOM�� CC. BV PLANS CHECKED BY APPR.FOR ISSUANCE BY . . �� � � ���-�—�- �� � � ' <br /> � f"�; . <br /> °� St9('� � �C . �I '. i i� <br /> =i <br /> - 1� i ED °o u <br /> :� ADDRESS FILE <br />