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die e''(�iTveOF r0 NSTRU CTIO N <br />�vere�t PERMIT PERMIT NO. �.11�0 <br />ar� Nn�� 2saains <br />ever�err, v�ti ng�pi ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />OVR�EH V,A�I ApOR655 CrtY LIP PMONC <br />LHSTF.R C. tVEAVER, Jr. 9604 - SSth Avenue NE Mar�sville 98270 653-9871 <br />ARCMITECi OR OESIGNER NAIL Ap�FESS CIiY ZIP PYpN'e <br />GENERALGONTRACiJR MMINODRE55 CIiY $IP PNONE IrCENSE/ <br />MF.:HHyICALCONiMCiCP M1IH�LTO�RE55 CIiY ZIP PMC•,�. LICENSE� <br />Owner <br />PIUTABINGC04TRACiOR MFII.AODFE55 CiIY ZIP PHONE UCENSE� <br />GLA55 OF NORK <br />I�NEW ❑ADDI110N rIALTFa9TIC'! ❑r,�r,a� ❑DEIAOLITION ❑FEiJ�[ ❑SIGN ❑GARAGE <br />VAIL'A'ION OF 1VOPF <br />5 <br />UC_CR!�f tVORK <br />�9ood StO�e <br />PROPJS[D USE OF BUILUING <br />Residence - Rental <br />V_GAL DESWIPiION OF PROPERiY �SMOW BElO:'/ OR ARACN FOUR COPiE51 <br />lOi i3��CK_OF <br />3616 Ffoyt <br />PLUMBING <br />WATEF CL' <br />BF1'HTUP <br />LAVATORY <br />DISHWASNER <br />WATER HEATEfl <br />URINAI <br />ORINKING � OUt <br />ROOP DRAINS — <br />SWK ISFRVICE — <br />SIDE VARD SETBACK <br />oEfl1,+iT <br />lO7A� FEE <br />STRFET JET�ACK <br />L' �T AREA <br />OCCUPANCYGROUP <br />td0. OF $TORIES <br />OASEMENT <br />t. , IIVIF90NIdENTAL CHECK LIST <br />2 L'iILDINGPLANS <br />;i RR[HYORANT <br />n FIqE PROTECTION SYSTEM <br />v GRADING <br />6. ORAINAGE <br />7. ENVIRONMENTAL IMP+.CT STATEMENT <br />N IIEALTN DISTRICT <br />APPLICATION ACC. BY PLAN$ CHECKED BY <br />5 <br />\'ACANT S�TE <br />�JVES L NO <br />NO.OF OWEL <br />MAX.00C.LC <br />f:Y <br />BY <br />APPH. FOR ISSUANGE DY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORREC�. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVFRNING TNIS <br />TYPE OF WORK WILL BE COMPi_IED WITH WHETNER SPEGIFIED <br />HEREIN OR �iOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE GR LOCAL L�W REGUTATING <br />CONSTRUCTIOPI OR TNE PERrORMANCE OF COhSTRUCTIOiJ. <br />s�c:�.iuneoFcerir�aaro�on 9urr�onizeoneEr,r �nre <br />x��J.��� ; �/ /��.c� �o/in; sz <br />MECHANICAL <br />N0. TYPE OF E�UIPMENT _ <br />AIR CON�. uNlig — HP. EA. <br />R[FRIG[RATION UN!TS — HP EA <br />BOILERS — HP. EA. <br />GAS PiHED A.C. UNITS — TONNAG[ EA. <br />FORCED AIR SVSTEMS — B T.U. M <br />WNLL HEAiERS — B7.LL IA <br />UNITNcNEfI!;—GTL M <br />RANGEHOOD <br />AIR HANDLING UNIT — <br />STOVE <br />M E fAL f IREP�FCE 8 CF <br />f3UILDING <br />PLUMBING <br />MECHANICAL <br />PE�lALTY <br />TOTAL <br />QF.M <br />FEE <br />SUB TOTAL 5 / <br />PERMIT S O <br />TOTAL FEE S 1 % <br />PLAN CHECK FEG <br />FGE RECEIPT NO. <br />VALUATION FEE <br />� '— <br />UBC. <br />SEC. 303 (a) <br />PROPERLY VALID�T[U �IN THIS S��ACE) THIS IS YOUR PERMIT <br />� <br />sg63 EO i7.5G �4 <br />� <br />YOU R FECEIP�� <br />TNAi�lK YOU <br />��;��:��«;; r;i_ : <br />lSt�IQ; <br />