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,n�� E��„�,����„ <br />arv er <br />everett <br />(;itY ��qLL259R]45 <br />� vrr err, wn orizo, <br />A. <br />47.5. Builders <br />P <br />Jr <br />_ CONSTRUC�"ION <br />PERMlT <br />COMBINATION • BUILDING • MECHANICAL • P'�UMBING <br />1802 Madison <br />7529 Beverly Blvd. <br />MAIL IIDDRESS <br />353-6422 223-01-25196 <br />PHONE LIC[NSE n <br />❑COMBWATION <br />[��UIL�tNG ,'�'PLUMBING �MGCNANICAL <br />❑NEW ❑qDDITION ❑ALTERATION ❑R[Pq�q <br />VALUATION OF WpfiK <br />5 L���OO.�� ❑DEMOI.ISH ❑FENCE ❑SIGN ❑SWiD.1MING POOL <br />DESCRIBE WORK -- ------- - <br />addition of bedroom and 2nd bath <br />PROPOSEU USE <br />Single Fam.ily residence MtCHANICAL <br />LEGl�L pESCRIPTION OF PROPEqTV ISHOW �ELOW OR ATTl�CII r�NE 0�= FNERG V <br />FOUFCOPIES) ❑�AS ❑ELEC. <br />! or eLOCK_oF_ NC� .__ TVPE OF E�UIPMENT <br />evemtt <br />AIR COND. UNITS-H.P. EA. 5 I <br />PTN Sec 7�28.5 neF�icennrioN uwTs�-�i.P. en. —�— <br />JOR A[�DR[SS <br />1802 Madison Avenue <br />PLUMBING <br />-- 601LER; H.P. EA. I <br />FORCED Alq SVSTEMS-O.T.U. MEA. <br />_ � <br />1 SPACE & IYALL MEATERS - B.T.U. <br />_ _+UNITIIEATERS-F3.T.U. � <br />� [Vl1PORA7IVE COOLERS �— <br />__ CLOTH[SDRYERS � - <br />_ VENTILATION PAN T <br />._ FANGE .iOCD � <br />AIN HANDLING UNIT- QF.M. <br />__ — _ I <br />WATEfi HEAT�3R <br />FAC. 6UILT FIHEPLACE & CHIP:NE`.' � <br />GAS. SYSTE•v1: NO OP OUTLETS --T�-- <br />SUO �OTAL S � <br />— I <br />__ PERMIT 5 T <br />TGTAL FE[ 5 � <br />THIS PERMIT pECOMES NULL l�NG VOID IF WORK Ofl CONSTRUC <br />TION 11VTHORILEO I^v NOT COM�1cNCED WITHIN 120 DAVS, Ofl IF <br />CONSTfiUCTION O�i WORK IS SU;PENOED OR A6ANDON[� FOR A <br />PEqiOD OP 120 DAY; !�T ANV T4NE I�FT[R WOfiK ISCOMMENCED. <br />I HEREOY CERTif V THAT I II/�VE REAn AND E%l�MINEO THIS AP� <br />PLICl�TION 11ND KNOW THE SAMH TO �E TRVE ANp CORFECT. ALL <br />PHOVISIONS OF Ll1W, nND ORDINANCES GOVERNING THIS TYPE <br />OF W0f9K WILL �E CONPLIED WITH WHETHEq SPECIFIEp HEHEIN <br />n� NOT, TH[ GRANTING OF !1 PERMIT UOES NOT PqESUME TO <br />GIVE AUTHORITV TO VIOLATE OR CANCEL THE PqpVISIONS OF <br />11NV pTHER STI�TE OR L�CAL L/1W REGVLl�TING CONSTfiUCTION <br />OR 7HE PERFORMANCE OF CONSTRUCTION. <br />NnT[RSERVICESIZE l�y� ��X �- � �' �'������� Zg �g <br />P.LDG.SUPPLY SIZE SI nTVR[OFCONIRnCTo O�U H.�nGENT DATE <br />SI�EYpRDSETHACK STREETS[Tf3ACK REl1RVARDSET6ACKPLANCH[CKNUMFiBR PLO.NCIIKKFEE <br />FE[ RECEIPT NO. <br />use zorve �or naEn vacnnr sire 78/443 26.00 31904 <br />❑vEs ❑No FEES VALUATION FEE <br />TVPE JF CONST. OCCUPANCY GflOUP NO.OF OWELLING <br />SP[CIALCONOITIONS: <br />����, �„�,..,,,��t_„��. <br />v.c. <br />❑NO <br />��,�����.: �;.,: <br />L.C.eb <br />� <br />� <br />1 <br />Z <br />uUILDING 5 lO OOO.00 SZ I OO <br />PLUMt31NG 13 j OO <br />Ml-CHANICAL � <br />I <br />OTf1EH I <br />I <br />PENnLTV SEC.:t031a1 I <br />— —__ _ �t+__ <br />TOTqL <br />PERMI'[MALIDATION <br />LVHGNPROP[RL Vl�L10ATEU11���1�S5PACE�l�11rR9�..Yytyf�_(Atf�- <br />Y Y L� U �Jl. <br />YO U R ��tAT -- :� <br />TNAi�1K� "�`�� - <br />� <br />... ' ._ .._�� ��J.��� <br />