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� <br /> ,,,�, ,:,�.,�,�.��„ C�NSTI�IJ CTiQ N <br /> CIIY Ui- <br /> ' ev�re�t PERM IT <br /> � PERMIT N0. 1O63H <br /> ciTv tin��25e�u7a5 <br /> eveaerl, wn �nzo� ❑ COMBINATIO� � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> � 019N6R b�NILAUDRE55 CIIY ZIP Pl1011t <br /> Stephen S. Langton 1908 Lombard Everett 98201 252-0287 <br /> PRC111iECi OF UESIGN[R MFIL ADDRE55 Clll' lIF PHON[ <br /> � <br /> GENERALCON'RAGiOR M�iLADDRF55 CIiY ZIP PHONE LICENSE� <br /> Same <br /> L',ECnnNIC�L CONiRACTOR MAIL ADDRE55 C17Y ZIP P110NE UCENSE� <br /> FIUlIl3WGCONTPACiOR MAIL^D�iiESS GILY ZIP PNONE LICENSE I <br /> C V.SS OF YJORK <br /> ❑NEW ❑ADDITION ❑ALTERATION IXI}SEPAIR ❑DEMOLITION ❑FENCE ❑SIGN L]GAflAGi� <br /> VAWATION OF YlOhK <br /> S S�a, �� <br /> OESCRIBE WORN <br /> re-roof--Composition <br /> PNOPWED USE OF pWLDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �ecn�oEsenirnoNOFaaoPr.�.Tv�sHowoe�owor+nrTneNrcuacoPicsi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. i <br /> N� 28-2$ 28 Fourteenth Street ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING 1�HIS <br /> � , �oc;K_�F TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE�RO- <br /> - VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> J0�AD�RE55 SIGI�A1U�i- G CONiPACTOR OR�UiHO!➢ZeD F�� �AiE <br /> 1908 Lombard X �`' � ' i ,6/7/82 <br /> � PLUMBING MECHAN Ef1L <br /> N0. TYPE OF FI%TURE OR ITEM �- FEE NO. TYPE OF EOUIPMENT FEE <br /> \VATER CLOSET(TOILET) AIR COf�D.UNITS—H.P. EA. <br /> �ATHiU� PEFRIGERhTION UNITS—HP.EA <br /> LAVATOF��WASH BASIN� �OILEFS—HP.EA. <br /> SHOVlER GAS FIREC A.C.UNITS—TONNAGE EA. _ <br /> KITCHEN SINK E DISP. FORCCD AIP SVSTEMS—B T.U. M EA. <br /> �ISHWASHER WALL HEATERS—BJ U. M <br /> iAU4DRY TRAY UNIT HEAiENS—B T.U. h! <br /> CLOTMES WASHER [VAPOAAiIVE COOLERS <br /> W\TER HEATER CIOTHES DRYERS <br /> :.RINAL VENTILATION FAN <br /> DHINKING FOUNTPIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— GF.A1. <br /> VACUUM BFEAKERS STOVE _ <br /> ROOF DRAINS—RAMLFADERS METAL FIREPLACF 8 CHIMNEY <br /> SINK�SERVICE—BAR.ETC.1 <br /> SUBTOTAL SUBTOTAI S <br /> PENMIT S PERMIT 5 <br /> 707AL FEE S 707AL FEE 3 <br /> SIDE YARD SETBACK iTFE[T 5[TBACK REAR YARD SGTBACK PLAN CHECN NUM�E6 PLAN CHECK FEE <br /> FEE F7ECEIPT 1.0. <br /> USE ZONE LOT AREA VACANT SITE <br /> !;YES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GP.OUP NO.Of DWELLING UNITS <br /> BUILDING � SOO. LO OO <br /> SIZ[OF�LDG. NO.OF SiOr71ES MAX.OCC. LOAD <br /> PLUMBING <br /> FIHE ZOIVE ��SENEM RRE SPRIMKLERS M[CHANICAL <br /> (iEOUIRED <br /> !-iYES i]NO <br /> __— APPROVALS BY DATE OTHER <br /> 1 ENVIRONMENTAL CHECK LiST PENALTV U B.C. <br /> SEC.303�a) <br /> .^.. 3UILDING PLANS <br /> 3. FIREHYDHANT TOTAL � LO OO <br /> n. rIRE PROTECTION SYSTEM PEHMIT VAUDATION ,.f <br /> — WHEN PROPERLY VALIDATED(IN THIS1SPACqE)THIS IS YOUR PERMIT <br /> 5 GRADING J �� L 4 � O I D. O.O �� _1 <br /> G DRAINAGE �i�� <br /> Z ENVIRONMENTAL IMPACT STATEMENT � CD <br /> 8. HCALTHDISTRICT YO�U��R RECEIRT O <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.POR ISSUANCE OY <br /> i��r�� Y� u <br /> n��aess =ii � <br /> - 7 sut; �2 <br /> _ -- „ <br />