|
r� ..�.1. .. , _. ___.T,.�e �,�_ ..za � ����R"_. �, 1 '��VS�G{�1R-' ���,',.s'
<br /> .c ��' .-:.� �-w��= a.�l� hca C�..s,.. '..��
<br /> � CIl Y Or tVEHL 1 I
<br /> �° :"?ONS�RUC�'IGN � �
<br /> F� PERMIT PERMIT NO. � u O � 5
<br /> 259-8810
<br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING C�MECHANICAL ❑ PLUMBING ❑ SIGN �
<br /> 0'::I:[R MAILADORESS CITV ZIP P40NE
<br /> Itandy Redwine 8495 Red Oaks Dr Ploundsview i�' S5512 (612) 789-6351
<br /> T:':ANT
<br /> MAILADDRE55 CIN ZIP PHUNE '
<br /> nPCHITECT OR DESIGNER
<br /> MAILADDRE55 GTV 21P PHONE `�•
<br /> Gr���RAICONTAACTOR
<br /> MRILAO�RESS GITY ZIP IONE LICENSEe
<br /> VECHANICALCONTAACTOR
<br /> IAPILADORESS QTV ZIP PHONE LICENSEn
<br /> ,--'..Ul.t�iINGCONTRFCTOR MAILAD�RE55 CITY 21P PMONE LICEI15Ed
<br /> CLl�SSOF WORK
<br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ OEMOLITION ❑ BUILDING RELOCATI
<br /> W NTACT PERSON AND PHONE N0.IF OTHER TMAN ABOVE
<br /> CONTRACT PRICE OF WORK � � �i ,� �� ��-��
<br /> DESCRIBE WOFKANO SOUARE FOOTAGt INVOLVED � /
<br /> Pellet stove - need inspection to close escrow
<br /> GO .1J
<br /> MECH �'O.OQ
<br /> t, , .. .
<br /> PnOPO5E0 USE OF BUILDING
<br /> Single family res
<br /> t.[GAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATfACH FOUR W PIES�
<br /> LOT._.BLOCK_OF
<br /> 6'
<br /> ,r�J ADDRESS ��
<br /> 8609 Holl Dr t�
<br /> PLUMBWG MECHANICAL �- '�c
<br /> FEE NO. TYPE OF EOUIPMENT FEE �,�"y
<br /> NO. TYPE OF FI%TURE OR ITEM ��'ti�
<br /> WATER CLOSET(TOILET) A/C-A/FINOLG UNITS-H.P.
<br /> FORCED AIR SYSTEMS-B.T.U. M EA.
<br /> BATHTUB
<br /> LAVATORV�WASHBASIN) UNITHEATFRS-B.LU. M
<br /> CLOTHESORYERS
<br /> SHOWER
<br /> VFNTILATION F.4N -
<br /> KITCHEN SINK 8�ISP.
<br /> DISHWASHER RANGE HCOD — `
<br /> � .
<br /> LAUNDRYTRAY WATER HEATER - ' �
<br /> CLO7HES WASHER WOOD STOVE �����
<br /> M1IETALGIREPI.ACEBCHIMNEV — 1��
<br /> URINAL �
<br /> DRINKING FOUNL4IN
<br /> FIREPLACE INSERT
<br /> HEAT PUMP
<br /> FLOOR OFAIN
<br /> BACKFLOW PREVENTERS GAS PIPING
<br /> ROOF DRAINS-RAINLEADERS EXHAUST FAN
<br /> SINK(SERVICE-BAR,ETC.)
<br /> SUBTOTAL 5 SUBTOTAL 5 30 ��
<br /> PERMIT 5 PEflMiT 5
<br /> TOTALFEE 5 30 00 ,
<br /> TOTALFEE 5 RECEIPTNO.
<br /> FRONTSETBACK REARSETOACK SIOESETBACK PLANCHECnNUMBER FEE
<br /> USEZONE 'OTAREA VAGANTSITE FEES BU�p0U4TI0N�E FCE
<br /> ❑VES ❑NO
<br /> TVFEOFCANSTFUCi1011ALLOWA9lE iYPEOFCOHSTRUGTION�CTU/L �qap�� h'�OFpWELLINGUNf15 BUILDING 5
<br /> PLUMBING
<br /> SIZE OF ELDG NO.OF STORIES �FSEMENT
<br /> ❑vEs ❑NO MECHANICAL 3O OO
<br /> OCCUPANCYLOAO
<br /> FIRE SPRINKLERS FEO'D HEIGMT LIMITATION OTHER ��R
<br /> ❑VES ❑NO STATE BUILDING SURCHARGE _ , ��
<br /> REASON FOti SPFINKLERS �
<br /> STATEENERGVSUFCHARGE
<br /> nvP��C�rr�unr.�' !av �lnt�SAPPROVEOBv �ITYOFEVERETf pUBLICWORKS
<br /> LOCAL SALES 30 0
<br /> TAX CODE IS TOTAL
<br /> 3105 N'HEN PROPERLY VALIDATED THIS IS YOUR PERMIT
<br /> :i
<br /> j;:�
<br /> �'i n (1 '1 f� .
<br /> P�'=.li�.JT`' `-����..,�.. `� if-� ',V���RK IS fd0 i c'C`C1P,1FP!C�D �q�l!f-II;,! . , .. ;'%r'
<br />� „ ,. ' �'. li i �-� � ii ��^� I i ,� � � .:.:.. . . ... . ... ;.,
<br /> y. +fl� �;wX��p,.�,..._. .�\� .+T �x:z s'cx t ,•� y m, r.;� , . � �„ .. .. w.. f.�
<br /> 4 .. �n n� � 55ur}+ tk1�3�i� K� "'Fa� � r,,.. � �,i . .. .,< ....- �-.. ,� ''",
<br /> w .- .W.d' .� "Y'�. �- �s�'t . , rr .E,� � ._,. '
<br /> .r,r •"' "'"" r„_ . .. ._ _�.+r'...+ �..-�-.. �� .+.:;
<br /> .w .:.� �Y.`n: �/+„"b�. 4t •#it-�N f �s.n u�«.. � . ... ��. .-
<br /> _4h ,�y. ,n . � ..«a ^h+\ .f,w'aa..R\N.au:.�maia rr�..�.r.rr .r.+.. �: +wm. e".� ':''�. - �.... ,.+.s��+a+'+w+�e�n.y...'`. � .'" ;./"�
<br />�i...w„�+:a w'�!�,ri .«awM+...��M w.. f F"��R�aNt+.vA rv n r+.I e�..+ �3"� � �`�X'ky�ltlkMX+�P� "� �rM'� . :nMw Nt' .� n.�„r,� ,�,..� ""qyk
<br />,.•�wN�..u^d" ' `"."y-i.'ayri . .uoee+haw w+,9+ww cryHwre.,�..,..e�ras..s .�,� '^<4 ,�..^faa✓�'�` �''M�".ww"' - ..�.w.- ..a...r�.!^++. ='+v.,'+iG,:
<br />
|