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dieEvergreen � �)NSTRUCTIUN <br /> Ciir or <br /> everett PERMIT pERM1T NO. 08649 <br /> CIi1' HALL 259 5745 <br /> eve�Err.v+c, se20i �XI COMBINATION GS� BUILDING � �ECHANICAL PLUMBING <br /> o�r.:en Mna noo^Ess cirr ziv nHouE <br /> Groeneveld, F. W. 8120 Lowell Larimer Road 96203 E13-2752 <br /> H��O�IIEGiOfiD[SIGNEA IAAILAUDRE55 GIiY ZIP PMONE <br /> GCi�LR.lC0111RACTOP MPILADDRE55 CITY 21P PHONE IIGENSE� <br /> Same <br /> I�dU�<IaCALGONTRACTOR IAAILADDRESS CITY ZIP PMONE LIGENSLI <br /> t'tN:(3'�1GCONipAGTOf1 MAIL/DDRE55 LITY 21P PHONE UCEI.';Cr <br /> U�55 OF WORN <br /> �EW ❑ADDITION ❑ALTERHTION ❑REPAIR ❑DEAIOLITION ❑FENCE ❑SIGN GARAGE <br /> Pl.lUFiION OF Y/ORN <br /> . 34 , 000.00 <br /> UC':CRipE WORK <br /> Construct single family residence <br /> vr+o�ps[D USE c ewi inG <br /> sing4e amily residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> _�..�,ioescawtioNOFanoa�etvu�owiae�owoaArrna�rouncor'iesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 27-28 307 Hilton' s lst ALLPROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS <br /> i-..r oioc�_oF TYPE OF WORK WILL 8E COMPLIED WITH WHETHER SPEGFIED <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 /> S 18-29-5 CONSTRUCTION OR THE PERPORPdANCE OF CONSTRUCTION. <br /> ���c:�.ru��io� c_d:n;:.ni,��c��nur��oarzconc,�m onrc <br /> ,:;�:,.:,���ss i �1�d2��� <br /> 1512 Hoyt X M <br /> PLUMBING MECHA C�I . <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> 2 VlATER CLOSET(TOILETI 'rIR COtJ� UtllTS—IiP.EA -- <br /> REFRIGERATION UNITS—H.P.GA <br /> 1 �ATMTUB <br /> 2 UIVATORY�WASH BASIN) 4 OO BOILERS—HP.EA. <br /> - GAS FIRED A.0 UNITS—TONNAGE EA. _ <br /> SHOWEF <br /> KITCHEN SINK 8 DISP. 1 FORCED NR SYSTEA15—B.T.U. b1 FA. _O— <br /> WALL HEATEFS—�T.0 M — <br /> 1 DISHWASHLR <br /> — UNIi HEATERS—B.T.U. M <br /> UIUNDRVTHAY <br /> LVAF'ORATIVE COOLCPS — <br /> ,L CLOTHF5IVASHER <br /> 1 WATER HEAiER Z OO 1 CLOTHES DPYERS <br /> URINAL Z VE.`�TII.l�TION FAN �-0—� <br /> OFINKING FOUNTAIN RANGE HOOD A-- <br /> NR HANDLING UNIT— CP.M. _ <br /> FLOOF DFAIN <br /> VACUUM BRFAKERS STOVE - <br /> ROOF DRAINS—F7A�NLEADERS METAL FIBEPLACE 8 CHIMNEV . <br /> SINK ISERVICE—BAR.ETC) � <br /> � SUB TOTAL SUB TOTAL S 2.l 0 0 _ <br /> � PERMIT S PERMIT s <br /> TOTAL FEE E 1 B <br /> iOTAL FEE S Z 1 00 <br /> '�IDE VARD SEiBACK SiRL6t SETUnCY, REAR YARD SET�ACK Pi AN CHECh NNdBER <br /> PLAN CHECK FE[ <br /> 5 � 20' 20' 8699 FEF131 . 30 ��1�44rd+e <br /> ❑ESEZONE WrnR[A q VACA�NTSI�E� FEES VAWFTION FEE <br /> A-2 6200 S Ft. �X7� <br /> IYPE C1F CANii. OCCI�PANCY GROUP N0.OF DWELLING UNITS _ <br /> V—N R-3 1 pUILDING a 3�1,000 . 211 00 <br /> ;1IZ[OF BLDG. NO.OF STOi7IES MA%.OCC LOAD <br /> q� � X44� 1 PLUMOING 18 �Q <br /> I INh ZONE 6ASEMENT R'cOUIREINKLEf75 ��ECHANICAL Z 1 OO <br /> None o� <br /> I7YE5 I_hQb <br /> APPROVALS BY OATE OTNER <br /> i. ENVIRONMENTAL CHECK LIST PENALTY U B C <br /> SEC.903 le) <br /> ° BUILDINGPU+NS ��' 70TAL 3SO OO <br /> 3 FIRE HY�RANT � <br /> .;. FIRE PROTE.:TION SYSTEM PEflM1T VALI�ATION <br /> IYHEN PflOPERLV VAII�ATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> . 5. GRADING � n �� � �I [ ' I. O O —� � <br /> '- -8 DRAINAGE _ ��� � . 1� ,-� � '- �� ., <br /> � i. ENVIRONMENTALIMPA6T-BTAiEMENT �� —� � � <br /> � ; n :. - <br /> � 9 HEALTH DISTRICT ' � - � .� .. I I. I O <br /> �-APPL�CAT101J ACC.BY �P1AN5 CNECHED BV APPR.FO�i ISSUANCF.F9K � � • . , . . , I <br /> i���I , . . , J <br /> _ " " I V. C. ' i <br /> . c_� <br /> �1 � . , � ��. �� <br />