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�,,eCY�RYeoF C��NSTRU�Ti�N <br /> �verett PERMIT pERMiT N0. OH65O <br /> CITY HALL 259�8745 <br /> EVERETT.VJA 9820i ❑ COMBINATION E� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> Qy�HEq N.NLAUDHESS CIiT ZIP PHO!!E <br /> F. W. Greenveld 8120 Laramer Road 98203 353-2752 . <br /> nE�M:iECTONDESIGNLR IAh!LADpRE55 CIiV ZIP PHONE <br /> GENERALCONIRPCTOR IAAILND�RE55 CIiY ZIP PMONE LIC[NSF n <br /> Same <br /> NECHANiCALCONiRnCTOR MAILADORE55 Gtt 21P PHONE iICEN.`,E� <br /> PWMBINGCONTRAGiOR MAILNODRE55 GTY 21P PHONE LICENSi � <br /> CLA55 OF WORN <br /> ❑NEIV ❑ADDITION ❑f�.LTER.;iION ❑REPAIR }:�DEMOLITION ❑F�NCE ❑SIGN ❑GAPAGE <br /> vALUATiON OF WOAK <br /> b <br /> DESCRIBE WORK <br /> Demolish Single Family Residence <br /> PfioPoSEo usE oF euROINc <br /> I HEREBY CERTIFY THAT I HA�C r1EAD A�D Fv,M�NED THIS AP� <br /> �=cn��eswirno�roFaaoventrisrowee�o�voa�.rrnc�+rour�ceFiEs� PLICATION AND KNOW ThlB SAME i0 BE �iFUE AND CORRECT. <br /> 27-�� 30a _Hiltons lst A�LPROVISIONSOFLAWS�^:� Gr1DINANCESGOVERNINGTF{IS <br /> ior � �— F TYPE OF WORK WI�L BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIP! OR P10T. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE NUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIOIJS OF ANY OTHER STATE OR LOCAL LAW REGULATIIJG <br /> CONSTRUCTION OR THE PEAFORMANCE OF CONSTRUCTION. <br /> sir,unl nCo� cCuranaoaoNnUn`o9iZEonGENr okiE <br /> J��)(�Vl�fi[�jS .� <br /> 1512 Hoyt X - l'�tu 1. .� ;,�n � - .l; �?1c:n •.� 2/3/80 <br /> PLUMBING MECHANICA(� <br /> NO. TYPE OF�IXI'UpE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> VlATER CLOSET ITOILET) AIR COND.UNITS—H P.EA. <br /> 9ATHTUB FEFPIGERATION UNIiS—H.P.EA <br /> LAVATORY(WASH BASIN) 601LER5—FI.P.[A. <br /> SHOV✓ER GAS FlRED AL UNITS—TONNAGE EA. <br /> KITCHEN SINK 8�ISP. FCRCEO AIR SYSTEMS—B.i U. M EA. <br /> GISHWASHER WNLL HEATERS—0 T.U. M <br /> LAUNDPY TRAY UNIT HEATERS—B.T.U. M , <br /> CIOTHES WASHER [VAPORATIVECOGLERS <br /> N/ATER HEATEF CLOTHES DRYERS <br /> URINAI VENTILATION fAN <br /> URINKING WUNTAIN RANGE HOOD <br /> FLOOR DRNN AIF HANOLMG UNIT— GF.M. <br /> VACUUM BREAKERS SiOVE <br /> ROOF ORAINS—�AINLEADEFS METAL FIREPLACE&CHIMNEY <br /> cINK(SEPVICE—�Afi,ETC] <br /> SUBTOTAL SUB 70TAL S <br /> PEHMIT S PERMIT S <br /> TOTAL FEE S TOTALFEE S <br /> SIUE VARD SETBACK SrRLET S[iPACK REAR YARD SET�ACK PLAN CH WK NUMBER PLAN CHECK FEE <br /> FLE RECEIPTP:O <br /> USE 20NE LOT AHEA � VACANT SITE <br /> VYES LNO PEES VALUATION FEE <br /> TYPE OF CONST. CCCUPANCY GROUP NO.OF DWEILING UNITS <br /> DUILDING $ OO OO <br /> SIZE OF BLDG. NO.OF STORI&5 MAX.OCC LOAD -- <br /> PWMBING <br /> FIRE ZONE BAS[M[NT FIRE SPFINKLEFS �,�ECHANICAL <br /> REOUIRED <br /> �lYES C7N0 <br /> APPiiOVALS BY DATE OTHER <br /> LENVIRONMENTALCHECKLISi pENA�Ty U.B.0 <br /> SEC.303�a) <br /> Z BUILDING PLANS — <br /> 3. FIREHYDRANT TOTAL OO OO <br /> a. FIRE PR07ECTION SYSTEM PERMIT VALIDATION <br /> WHEN PHOPERLY VALI�ATED(W THIS SPACEI THIS IS VOUR PERMIT <br /> 5 GRADW3 rJ— <br /> b DRAINAGE � � � f� � � � �. � � _I17'� <br /> z ENVIPpNMENTAL IMPACT STATEMENT �� <br /> B HEALTH OISTFICT �, <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.POR ISSUANCE�V ' ' � �� ��:�"'�'�C> <br /> . �.� 1'`,�� <br /> :;� <br />