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r <br />1, <br />LA <br />f <br />^.ONSTRUCTION <br />. °� PERMIT <br />CITY HALL 259 8745 <br />r �ER� Dw2�g p 09MINATION <br />NJ( BUILDING ❑ MECHANICAL <br />PERMIT NO. 12018 <br />Cl PLUMBING <br />OWNER <br />MAIL ADDRESS <br />5709 - <br />CITY <br />244th SE <br />21P <br />WoodinvilletVA <br />PHONE <br />98072 <br />481 XZ%; <br />GREGORY KEITH JENKINS <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />7121 <br />GITV <br />ZIP <br />PH01JE <br />LICENSE x <br />GENERAL CONTRACTOR <br />MAIL AOORESS <br />Same <br />CITY <br />21P <br />PHONE <br />LICENSE x <br />MECHANICAL CONTRACTOR <br />M f.IL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE F <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />❑ NEW ❑ ADDITION X§0 ALTERATION RV eEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />s 700.00 <br />,___�__,. T, cra;rTaav naint <br />Kepair eaibL1119 5lcE 4,.. --- <br />- <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />A1anufacturing <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />DeswlPnoN of PROPERTY (SHOW BELowoR ATTACH FOUR COPIES) <br />LEGAL <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />3 4 BLOCK 13 of Inter <br />addn <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />LOT .�— <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR R AUTHORIZED AGENT DATI: <br />V <br />/ r <br />JOB ADDRESS <br />31 South Eve <br />MECHANICAL <br />PLUMBING <br />FEE <br />N0. TYPE OF EQUIPMENT FEE <br />NO. TYPE OF 'FIXTURE OR ITEM <br />AIR COND. UNITS — H.P. EA <br />WATER CLOSET (i OILET) <br />REFRIGERATION UNITS — H.P. EA. <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />BOILERS H.P. EA. <br />GAS FIREDA.C. UNITS —TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS U. B.T.U. M EA. <br />KITCHEN SINK B DISP. <br />DISHWASHER <br />WALL HEATERS —B.T.U. M <br />UNIT HEATERS —B.T.U. M <br />LAUNDRYTRAY <br />EVAPORATIVE COOLERS <br />CI OTHES WASHER <br />2 OO <br />CLOTHES DRYERS <br />I, <br />WATER HEATER <br />1 <br />VENTILATION FAN <br />URINAL <br />RANCE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT — C.F.M. <br />FLOOR DRAIN <br />STOVE FI WOOD <br />VACUUM BREAKERS <br />METAL FIREPLACE &CHIMNEY <br />ROOF DRAINS — RAINLEADERS <br />FIREPLACE INSERT <br />SINK (SERVICE — BAR, ETC.) <br />HEAT PUMP <br />2 00 <br />SUB TOTAL $ 3 O <br />SUB TOTAL <br />i <br />PERMIT s <br />PERMIT <br />s <br />2 OO <br />TOTAL FEE s 3 <br />TOTAL FEE <br />SETBACK <br />s <br />REAR YARD SETBACK <br />PLAN BER PLAN CHECK FEE <br />SIDE YARD SETBACK STREET <br />1 ZK0 i g FEE 8 4 5 RECEIPT NO. <br />62813 <br />USE ZONE LOT AREA <br />VACANT SITE <br />FEES VALUATION FEE <br />uYES '—NO <br />TYPE OF CONST. OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING 700. 00 _ 13 <br />SIZE OF BLDG. NO. Oi STORIES <br />MAX. OCC. LOAD <br />PLUMBING 2 O <br />FIRE ZONE BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />MECHANICAL — 3 O <br />❑YES END <br />APPROVALS <br />BY DATE <br />OTHER <br />U.B.C. <br />1. ENVIRONMENTAL CHECk. LIST <br />PENALTY SFO 303 (a) <br />2. BUILDING PLANS <br />TOTAL 18 OO <br />3.FIREHYDRANT ap <br />4. F IRE PROI 2CTION SYSTAM <br />PERMIT VALIDATION <br />WHLN PRCPERLY VALIDATED (IN EHS SJP%,3E) THIS 1SOY 0}lq P ffT a <br />-- <br />I S <br />L U 9 5 <br />S.GRADINGI <br />C <br />� DRAWq(JE <br />�. ENVI�"AL IMPAMTATEMENT <br />CT a <br />YOJR RKEIPT,- <br />. HEALTH`b-IS <br />PPLICA IO C. PY PLANS CHECKED BY APPR, FOR ISSUANCE BY <br />T rIAH K YOU <br />co .{ ci <br />w O m <br />d3h <br />C = <br />Z 4 9AY 6 <br />ri <br />ADDRESS FILE <br />j <br />