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�� � <br /> — 1 <br /> �,,� �,�..�.�,�.,, Cpf��TRUCTION <br /> cirr or <br /> , derett NERMIT pERMIT NO. 07161 <br /> CITY HALL 259�U745 <br /> ever�erT.v�n sezoi ❑ COMBINATION �[iUILDING ❑ MECHANICAL ❑ PLUMBING <br /> owNei+ n�niinooiaess arr zm rHOnE _, <br /> Don Zevenbergen 2606 Summit 98201 252-7008 _ , <br /> ARCHI1FCtORpESiGNER MAILADORE55 LITY ZIP PlIONE <br /> GENEPALGONiRACiG� AIFILAOORE55 QTY ZIP PMONE UCENSEI <br /> Same <br /> IdECHANIGALGONiRAC10B MAi�AUUPE55 CITY 21P PMONE LIGENSt� <br /> PlUA1�INGCO'�TRPCTOP AIAILA��RE55 QiY 21P PNONE UCEHSC � ' <br /> C1A550F WCRN <br /> �NEW ❑ADDI710N ❑ALTERAi'ON ❑REPAIR ❑DEMOlI710N ❑FENCE ❑SIGN �GARAGE <br /> 1'ALUATION OF WORN <br /> S 87�ZZ0.�� <br /> Uc��qlpE WORK <br /> Construct single family residence <br /> FPUPOSED USE OF BUiI�ING <br /> single family residence I HEREBY CEHTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> ieca�o�scainnouoFrneveaTris�wvioeiuwonni�nairouawaies FLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 1 SP 1202-6-79 ALL PROVISIONS OF LAWS AhD ORDINANCES GOVERNING THIS <br /> ii,r e�aK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> NEREIN 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 REGULATRJG <br /> CONSTRUCTIO�J OR THE PERFORMANCE OF CONSTRUCT�ON. <br /> sicr,n ��r a c:�•irr�:.aon on aur�omzco ac�+r v:ar <br /> 'o`'A`��`2�2 Glenwood Avenue X �.�,J /�, ,. /�,� ,r,j <br /> PLUMBING MECHANIC <br /> NO. TYPE OF FIXTURE OR ITEM PEE N0. TYPE OF EQUIPMENT FEE <br /> j �YATER CLOSET QOILET) AiR COND.UNITS-H P.EA. _ <br /> Z BATHTUO �����IGERATION UNITS-h.P.EA <br /> A IAVATORY IWASH BASIN) BOILERS-H P.EA. __ <br /> ], SHOWER O GAS FIRED AC.UNITS-TONNAGE EA <br /> 1 KliCtlC�l SINK 8 DISP. FORCED AIR SYSTEMS-B.T.U. M EA. <br /> 1 DISHIYASHER �VAII NEATERS-B.T.U. M <br /> LAUNDRV TRAV UNIT HEATERS-B T.U. ti� - <br /> 1 CLO7HES WASHER EVAPORNTNE COOLERS -.- <br /> ,1 WATER HEATER CIOiMES ORYERS <br /> Z VENTIL4TION FAN � <br /> URINAL <br /> DRINKING FOUNTAIN RANGE HOOD (�-- <br /> AIR HANDLING UNIT- C F AI. <br /> FLOOR DRAIN <br /> VACUUlA BREAKERS STOVE — <br /> ROOF ORAINS-RAINLEADERS 61ETAL FIREPIACE&CNIMNEY p <br /> SINK ISERVICE-BAR.EiC.I <br /> 1 Heat Pum �o <br /> 1 Jacuzzi 2 — <br /> SUB TOTAL SUB TOTAL S 18 00 <br /> PERMIT S PERMIT = <br /> TOTAL FEE S TOTAL FEE S 18 00 <br /> SIOE VARD SETBACK STRELT SETBACK REAH VARD SET�hCK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 6� Zp� 20' 7161 Ft` 123.50 96885No <br /> USu ZONE LOT AREA VACAN7 SITE FEES VALUATION FEE <br /> R-1 231,945 Sq. Ft. `I�� `'"o —� <br /> TYPC OF CONST. OCCUPANCV GROUP NO Of DIVELLING UNITS <br /> V-N R-3/M-1 1 oui�oiNc s 263 00 <br /> SI7C OF BLDG. NO.OF STORILS MAX.OCC.LOAD <br /> 28'X67' 1 PLUMBING 30 00 <br /> FIH@ ZONE BASEMENT q OUIREIIJKLERS �,�ECHANICAL ZB OO <br /> 3 Partial ��' <br /> L1YES �L10 <br /> APPROVALS BY DATE OTHER - <br /> 1. ENVIRONMENTAL CH CK LIST � PENAITY U 8 C <br /> SEC.303(a) <br /> :. BUILDING PLANS N ' 31I. OO <br /> ' TO7Al <br /> � 3. FIRE F'ND�NT c� � <br /> 4. FIRE PPOtEpTION SYSTEM PEflM1T VALIUATION <br /> , , _.___ \^�{Ew p�70PLRLY V�IDA�ED�1N THIS�SP�iE1�TM1515�OU� �?O� —_ � <br /> 5. GRADINO- � U U 1 <br /> O ( <br /> i -n G. �RAINAGE � , "' <br /> �i r� <br /> �' 7. ENVIF�ONh1�NTAL IMPj�T STATEMENT r�C E I P7 � �` <br /> � 8. F'EA�QH�TRICT � _ _ � Y'�U R REC;:I�Pt � <br /> PPPI.ICA�I(�I�CC. 8Y Pl�1NS CHECKED BY APPR fOR ISSUPN(i'E'�Y• ;; l�� u <br /> c <br /> • THf�IV� ';' '� U <br /> —_°i v.c. <br /> ; t `ceRQ � I1 ���3 �D <br /> ;,i�,i,;,,-::s ; �i.:= _ <br />