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the �Svergmen , � C:��I ST R U CTI O N. �.�• <br />C�TV OF <br />ever�tt P�RMIT pERMIT NO. 06238 <br />CITY HALL 259�8745 <br />eveaETr,wn es2oi � COMBINATION � BUILDING � MECHANICAL � pLUMBING <br />OIVNER MAIL ADpRESS QiY ZIP PHOLi <br />Ruth Lehiaster <br />l.HCIIRECi OH DFS:GI:E(v ldqlt, qDpRE55 GITY ZIP PHONE <br />GCHERALC04TRFCTOF lAAILADORESS QTY ZiP PMONE LiCENSEr <br />Siemers Con��acting 2714 Larlin Drive 98203 355-3190 SI EM EC C225 <br />IAECHANICFLCONiRACTGA MAILFD�RE55 CITY ZIP YHONE �ICENKE.I <br />A <br />PLl➢A�IIiGCONiRRCTOR IAAILAppPE55 CIiY ZIP PHONE �ICENSEX <br />CIASSOFWORK � �- <br />L�EW ❑ADDITION ❑ALiERATION ❑REPAIR ❑DEMOLI;ION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OFIYORK <br />E 39,000.00 <br />Construct single family residence <br />PROPOSEO USE OF �0!' DIRG <br />single family residence <br />LEGAL DESCRIPiION OF PROPERTY �SNO'N �ELC:J OR �TTACH FOUR CnfIE51 <br />2 19 Pfaple Heights <br />LOi BLOCK_OF _ <br />J00 ADDR[Sf <br />1316 Madrona Avenue <br />PLUMBING <br />N0. TYI <br />Z WATER CLOSET <br />Z BATHTUB <br />z LAVATORY (WA: <br />SHOWER <br />3- KITCHEN SINK A <br />DISHI"JASHER <br />LFUNDR'/ TRAY <br />CLOTHES WASH <br />1 WATER HEATER <br />UPINAL <br />DRINKING POUP <br />1 FLOOR DRAIN <br />SINK <br />SIDE YARD SETBACK <br />6' <br />USE ZONE _ 1 <br />1z <br />TYPE OF CONST. <br />V—N <br />SIZE OF BLOG. <br />22'x36' <br />FIRE ZONE <br />3 <br />0 <br />� <br />E 36-29-4 <br />FIXTURE OR ITEM � FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED +HiS AP- <br />?LICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF IAWS AND ORDINANCES COVERNIIVG THIS <br />TYnF OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUtiIE TO GIVF AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CON CTION OR THE PERFORMANCE OF CONSTRUCTION. <br />s��G rw� oF cor�tanctoq oa �. � N cer�r otite <br />V M. . .'� � �ESXB�iX <br />AIR COND. UNIiS — H.R EA- <br />REFRIGERATION UNITS — H.I <br />BOILERS — HP. EA. <br />GAS FIRED A.0 UNITS — TOt <br />FORCED AIR SVSTEMS — flT <br />l'lALL HEATERS — 9.T.U. <br />UNIT HEATERS — Bi.U. <br />[VAPORATNECOOLEFS <br />FAN_r,E HOOD <br />IdE1AL FIREPLACE <br />PERMIT S <br />TOTALFEE S <br />STPEET SF?BACK REAP VARD SET�ACR PLAN ChIECK NUM�ER <br />20' 20' 79/237 <br />LtlTUUU Sq. Ft. X�STCNO FEES <br />OCCUPANGY GROUP NO.OF DWELLING UNITS <br />R-3 1 <br />OUIIDING <br />NO. OF STORI'cS MAX. OCG LOAD <br />]. PLUM9ING <br />BAS[tALNT FlHE SPR�NKLERS <br />_ yes REOUIfiEO MECHANICAL <br />IIVES I O <br />HrrnuVAlS BY DATE �THER <br />L ENVIRONMENiALCHECKLISi <br />� 2. BUIIDING PIANS <br />3. FIRE HYDRANT <br />4. FIREPROIEL�II <br />�b. GRADIN�'i�� <br />-----� <br />«6. CPAINpOE — <br />�/. ENVIR� � II <br />� e. HEALTH DIgIR� <br />c� <br />—w <br />SYST[N <br />10tJl�.BY NSCHECKEDBY <br />ll <br />C 'O � V.C. <br />-� <br />!� , <br />PENALTY <br />FEE <br />EA <br />M EA. <br />M <br />M <br />PLAN CHECK PEE <br />FEE � 1 Q d r7ECEIPT N0. <br />s 39,000 <br />U.B.C. <br />SEC.303 <br />TO7AL 16 9 <br />� �0 <br />j8 r i�t <br />fiN Vl16PE{iL .VALIDA7ED �IN THIS SPACE) THIS IS YOUR PERMIT <br />, � 8138 sl39.00��� <br />, Y: U R RECEIPT � ' N <br />.�.;.;�,_��ir YOU • ' YOUR RFr`c�.._c.c� <br />APPR. FOR ISSUANCE BV � <br />THANK <br />� 18�t4 <br />;, <br />ADDRE:iS-i�IL'E ' <br />r_ <br />0 <br />� <br />` <br />