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n`��"����� bF �''- �- CONSTRUCTIOP' <br />, , ., , <br />e���e�t�'�� i� PERMIT PERMIT NO. 154b5 <br />CITY HALL 259�8745 h <br />t7 �EQ��'�'kj�m ���b1��INATION � BUILDING L� MECHANICAL X� PLUMDING <br />OWNEN MAIL ADDRE55 CIIY ZIP PMONE <br />Laszlo Patolskai 6102 Dexter Evezett 98203 353-6524 <br />ARCMITEGT OR pE51GNCP MAIL ADDRESS pTV 21P PMONE <br />GENERPLGONTRACTOR MnILR��RE55 CITY 21P PMONE LICENSE• <br />Same <br />MECHANIGAL CONiRAGTOR MAIL ADDRESS CITY 21P PHONE LICENSE � <br />P�UMBING CONTRAGTOP MAIL ADDRESS CITY ZIP PHONE UGENSE � <br />CU55 OF WORN <br />O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WO00 STOVFJFIREPLACE INSER <br />.UATION OF WORK <br />f ii.000.00 <br />Construct Double <br />Residence <br />�pT 18 BLOCN_OF <br />6102 Dexter <br />PIUMBIN� <br />NO. TYPE OF <br />1 WA7ERCLOSETIT <br />BATH7U8 <br />l LAVATORY�WASM <br />SHOWER <br />KITCHEN SINK d DISP. <br />OR <br />LAUNDRYTRFY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FlOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR, ETC.) <br />5' <br />USE 20NE <br />R-2 <br />TYPE OF CI <br />V-N <br />SIZE OF BL <br />1650 Sq <br />SUB TOTAL <br />PEHMIT <br />TOTAL FEE <br />TBHCK STREET SETBACK <br />20' <br />LOT AREA <br />ST. OCCUPANCY GROi <br />M-1 <br />, NO. OF STORIES <br />Ft. 1 <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PL�.NS � <br />3.FIREHYDRANT — <br />4. FIRE PROTfiG�ION SYSTEM <br />S.GRADING ' � <br />� fi.ORAIN.46E'�-- C>A <br />7.ENVIRONMENTALIM� <br />�, � ., <br />m <br />C -n <br />� <br />�� <br />JEF <br />BY <br />raft room and wood sho <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />FOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />ts GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGUL �NJ CONSTRUCTION OR THE <br />PERFORMANC O�7Fp C STRUC ION. pqTE <br />SIGNATURE F C�KJlfl R AUTNO A'E ��.• <br />X' <br />2 <br />S <br />S <br />S 8i <br />iEAR YARD SETBAC <br />20' <br />JACANT SITE <br />�..YES X7N� <br />NO. OF DWELLING i <br />1 <br />MAX. 000. LOAD <br />FIRE SPflINKIERS <br />REOUIRED <br />YES NO <br />BY OATE <br />G@2 <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — N.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. tii <br />UNIT HEATERS — B T.U. M <br />EVAPORATIVE COOLERS <br />], CLOTHES �RYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNI7 — C.F.M. <br />STOVE — W000 <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP _ <br />85/15965 <br />FEES <br />9UILDING <br />PLUMBING <br />MECHANICAL <br />OTNER <br />PENALTV <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />PLAN C <br />FEE60.13 <br />VALUATION <br />E12,000. <br />U.B.C. <br />SEC. 307 (a) <br />RECEIP7 NO. <br />�YI <br />�'. 11 <br />n� <br />TO7AL I 105 I 00 <br />PERMIT VALIDA710N <br />WHEN PROPEflLY VALIDATED QN THI2 �P IC') THIS��Q��P�M�T_�� <br />J ! � �� <br />� <br />� <br />;�'� ,! ;; R'=� �: I P ir--1 <br />, �, <br />, "�:l;, C�'U <br />ADDRESS FILE <br />- q �er 85 <br />z <br />0 <br />� <br />� <br />m <br />... <br />�--� T <br />... � <br />�' m <br />O <br />mo <br />�� <br />O 3 <br />m <br />_ -�1 <br />m <br />.O 2 <br />a� <br />rx <br />r-� o--i <br />1 y <br />�'I <br />O A <br />� <br />=m <br />m � <br />N <br />or <br />c� m <br />C N <br />3 H <br />m <br />z n <br />--i r <br />• m <br />A <br />--1 <br />S <br />D <br />Z <br />-�-I <br />S <br />N <br />Z <br />O <br />� <br />("f <br />m <br />