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� <br /> '''` �1CTYOF � , �ONST UC�'ION � � • <br /> �verett PE MIT PERMIT NO. Ob475 <br /> CITV HAL�_759�8745 <br /> eveaEn wa �ezo� ❑ COMBINATION �7 78UILDING ❑ MECHANIGAL ❑ pLUMBING �I <br /> OA':1:lq hIqILAODRESS Cli1 iP <br /> Ga.-y Lar.;en 12909 Seattle Hill Road 982�0 337-6�2�3�4�� <br /> Aqq11iGC10RGC51GM1(R IAAILAOORESS CITY ZiP PHONE <br /> GEN '.CONTRACtJP IAAII ADDRE55 CRY 21P PHONE LICCNSE 1 I <br /> Same <br /> !d[CNFNICAL GONTqA�T:;q MAIL AUDRE55 CITY ZIP PHONE �ICENSE� <br /> PWM�INGCONiRACTOp M41lADDBESS CITY ZIP PHF:E IICENSL� <br /> C1A55 OF\VORR <br /> �F1EW UADDIiION ❑AlTERATION L�REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> \'AIUAiION OF WORH • <br /> SS7����.0� <br /> oescamE rvor+K <br /> Construct single family residence <br /> PROPOSED USE OF BUiI[1ING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �ecn�oescaiPnoNOFrwoPearrisHoerneio�var�nnna�wuacowesi PLICATION .aND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF U WS AND ORDINANCES GOVERNING THIS <br /> �.o� u�oc�oF TYPE OF WJRK WILL BE C0�IPLIED WITH WHETHER SPECIFIED <br /> S.P. 1202-29-78, Lot 1 HEREIN OR JOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRE:UME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH[PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> V-36-29-9 CONSTR��CTION OR THE PERFORMANCE OF CONSTFiUCTION. <br /> JOUADU�E55 SiG'ULU� C041R%�Ci0tj09At1i��ORR[UAGENT DAiE <br /> 4928 Glenwaod Avenue X ,.� 8���79 <br /> � <br /> PLUMBING MECHANJ L <br /> NO. Tl PE OF FIXTURE Ofl ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET fTOILeT) Z OO AIR COND UtJITS—H P. FA <br /> 1 BATHTUD 2 REFRIGEPATION 11NITS—HP.Ei� <br /> 2 IAVATORV�WASH BASINI �I OO BOILERS—H.P.EA <br /> SHOWER GAS FIRED 'C.UM1'TS—TONNAGE EA. <br /> ], KITCHEN SINK 3 DISP. 2 O ]. POFCED AI SYSTEMS—B.T.U. M EA. S OJ <br /> I. DISITYlASHER \VALL HEAIERS—6.T.U. M <br /> LAUNDHY TRA1' UNIT HEAT!FS—B.T.U. A1 <br /> ]. CLOTHES WASHER EVAPOFiATIVL COOLEfiS <br /> ], \VAT[F HEATER Z OO ], CLUTHES DRYERS 3 <br /> URINA� ], VENTILATION FAN 2 00 <br /> DRINKIN3 FOUNTAIIJ ], RANGE HOOD 3 <br /> FLOOR DRFIN AIR HANDLING UNIT— QF.M. <br /> VACUUM 6FEAKERS STOVE <br /> ROOP DRAINS—PAINLEADERS ], h1ETAL FIREPLACE&CHIMNEV <br /> SINK�SERVICL—�AF.ETC.) <br /> SUB TOTAL 6 00 SUBTOTAL S 16 00 <br /> PEHMIT f pERMIT S <br /> TOTALFEE S 16 00 TOTAL FEE S <br /> SIDE 1'ARD SETBACK STREET SETBACK r7EAR VARD SETBACK PL4N CHECK NUAiCER PLAN CHECK FLE <br /> ` (� ZO� ZO� FEE PTNO <br /> use mr�e �o n v Ni SiTE 79/471 90.50 9��� <br /> R-1 �0�/�9 Sq. Ft. .�C�S .:NO FEES VAL fl 849FEE <br /> TVPE OF CONST. OCCUPANCV GROl1P N0.OF DWELUNG UNITS <br /> V-N R-3 1 <br /> S17.[OF BLDG. N0.OF STORIES MAX OCC LOAD BUILDIN� SS7�O00. 201 00 <br /> 36'x43'6" �. PL�nBING 16 00 <br /> FIRE 20NE BASEMENT FIRE SPRINKIER� <br /> 3 yes REOUIRED,(X MECHANICAL 1( 00 <br /> !1VE5 I iN6 <br /> APPpOVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST <br /> PENALN U.BL. <br /> 2. BUILDING PfANS ci $H 7�12/79 SEC.303(a) <br /> 3. FIREHYDRA�IT Q, T�TA� � 233 00 <br /> A <br /> d. FIPE PROTFLiION SVSRM PERMIT VAlI0ATI0N • <br /> WNEN PROPERLY VALIDATED pN iHIS SPACE)THIS IS YOUR PLRId1T <br /> � � �}FRS�kA �--Right of Way Use KG XBAXS g ��g <br /> ; o���N��E�_ ..w 0 I 6.0 D —� 3 0 4 b 0 S 10 I.� U � f— <br /> "-7. ENVIR6(�AtENTALIMPAGLSTATEMENT � � , � ' �. � <br /> B "`�`THv�$ ��T � ' � ' 'C } YO U R RECElPT o <br /> ypAFPLIC�1nbN�.BY LANS CHECKED BY AFPR.FOR ISSUA C��� � ��C C�PI �' <br /> O m v.c. ' 1-� ' ,,.,,,, .r O U r . 7HANif 1";;;J <br /> � ' �' '' - - � . <br /> c� - <br /> . , ;� <br /> ��� �r >:� F�,,�tt . . <br />