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, <br /> '''e`'���TY`oF' ^,ONSTRIl�TlO(V <br /> evere�t PERMiT pERMIT NO. O944J <br /> CITY HALL 259�8745 <br /> eveaertwn 98201 ❑ COMBINATION C� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> O\VN[P IAAIL AUDRE55 CIiY ZIP PMONE <br /> I'� KFNNFTH J. M[tA4ER 2308 TOMRAR❑ FVFRFTT 98 Ol ?58-2827 <br /> ARC11rtEGT03DE51GNER MAILApORE55 CIfY ZIP FI10NE <br /> GEI![ii�L CONTPACiOR I.!Nl P�DRESS CITY 21P PIIONL IiCENSE X <br /> SF7.F <br /> 1.'CCHAWCALCONiPAGTOR 1dAILADORE50 CITY ZIP PHONE IICENSEM <br /> �lU�d81NG CONTRAGTOR 1AAIL ADORE55 CITY ZIP PNONE LIGENSF� <br /> CL155 OF lYORN <br /> ❑NEW ❑ADDITION ❑AITERATION C�7EPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF\YOFK <br /> 5 2���. �� <br /> �ESGRIpE WORK <br /> NEW FOUNDATION UHDER SINGLE FAMILY RESID�NCE <br /> PROPOSED Uui OF 9JILDING <br /> SINGLE FAMILY RESIDENCE I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> ieca�oeswirnor+ovrnoPeervisNowoeiowoanrrncHFouacoaies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 28-29 493 EVERETT ALLPROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS <br /> ior o�ocK_oF 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 PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOBADORE55 � SIGNhiUREOFGONiPACiOROPAJiHORIZEDAGENT pAtE <br /> 2308 LOMBARD AVE. X . ��✓,VG«�'L, g <br /> PLUMBING MECHANICAL <br /> � NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET ROILET� AIR COND.UNITS—HP. EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY�WASH BASINI BOILERS—H.P.EA. <br /> SHOWeR ' GAS FIREO A.C. UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEIAS—B T.U. M EA. <br /> DISHWASHER WALL HEATERS—�.T.U. 1d <br /> LAUNDRVIRAY UNITHEATERS—OS.U. M <br /> C�OTHES WASHER EVAPORATNE COOLEFS <br /> WATER HEATER CLOTHES DRYERS <br /> UFiWAL VENTILATION FAN <br /> DiiINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— QEM. <br /> VACUUM BREAKERS STOVE <br /> ROOF ORAINS—RAINLEADERS METAL FIREPLACE&CHIMNEY <br /> SINK�SEflVICE—BAR,ETC.) <br /> SUBTOTAL SUBTOTAL 5 <br /> PERMIT 5 PERMIT S <br /> TOTALFEE S 70TAL FEE S <br /> SIDE VARG SETBACK STRELT SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE qECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPL OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 5 <br /> SIZ[OF BLDG. NO.OF STORIES MAX.OCG LOAD <br /> PLUMUING <br /> FIRE ZONE BASEAILNT FIRE SPRINKLERS — <br /> REOUIFED MECHANICAL <br /> !.lYES i]NO <br /> APPROVALS BY DATE O7HER <br /> t ENVIRONMENTAL CHECK LIST pENA�Ty U B C. <br /> 2 BWLDING PLANS SEC.303(a) <br /> 3. FIRE HYOfiANT TOTAL <br /> A. FIRE PROiECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPBRLY VALIDATED(IN TMIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING <br /> � <br /> 1 6. DRAINAGE , . . � .. _ �.y. <br /> L ). ENVIRONMENTAL IMPACT STATEMENT � r\, I <br /> � <br /> B. HEALTH DISTRICT � <br /> APPLICATION ACG OY PLANS CHECKED BY APPF.. FOR ISSUANCE BY ' ; � � � <br /> VC LC <br /> ;>DDRESS FILG � - . i <br />