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111eL1c�veOF �O�STRUCTII��t' - <br />ev�rett PER��� PERMIT N0. 1.O47Z <br />CITY HALL 259�E745 <br />eveaerr.wn �a�o, ❑ C�MUINATION X�I BUILDING ❑ MECHANICAL ❑ pLUMBING <br />G::NEH �AAiLA�ORE55 GiTv Ziv PiiONE <br />Ormond Torve 9024 Hoyt Everett 98201 252-4390 <br />,.�;�;�r[a c� ots�.er,�a rn�i�nooaes=_ orr ziv vHCue � <br />.:FllEP.LCO.'liRhCTOP NAILADDFESS CIfY ZIP pMONE LKENSEI <br />Same <br />ULQInNICPL GONiRRCiOR MAC ADORF55 GITY 21P pNONE L�CENSE I <br />FW61pINGGONTPAGiOR fAA1LAD�RE55 QTY Zlo PNONE UCENSEr <br />GVSSUFWOPK <br />❑NEW ❑ADDIiION ❑ALTERATION ❑REPAIq ❑DEMOLITION L�FENCE ❑SIGN [�,pWMGE <br />YA' UFTIOH OF YJOf1K <br />_ 4500.00 <br />Construct garage <br />�n0e OSED USE Of BUI�DING <br />single family residence <br />...G��L DESf:HiPiION OG PROGEFTY �S�IOW OGLOW OB FifACH FI <br />i 20-21-�� 12 South Park <br />rJi__ L 1(_OF _ <br />4025 Hoyt <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />\Vi�iEF GlOSBT 1TOIlET1 <br />LAVATORv lVlA£ <br />SHOWER <br />KITCHEN SINK E <br />DISHN'ASHER <br />LAUNGRY TqAY <br />CIOTHES VJASH <br />WATER HEATER <br />URINAL <br />DRINKING FOUt <br />FLOOR DPAIN <br />ROOF <br />3iUe VARD <br />USf� 70NE <br />1 i'f-[ OF CONST. <br />V—N <br />SVl OF BLDG. <br />480 Sq. Ft. <br />plfl[ ZpNE <br />— BAP LETC. � n <br />SU� TOTAL <br />PERMIT S <br />TOTAL FEE S <br />$TREET SE� dACh: N[AR YARG S <br />LOT ARGA VACANT SITE <br />11VES ❑NO <br />OCCUPANCYGROUP NO.OFDWEL <br />M <br />NO OF STORIFS MAX OCC LC <br />1 <br />BASEMEM FIRE SPRI4KL <br />flEOUI J� <br />;lYES ,1/l0 <br />PPHOVALS BY . U! <br />� �NVIRONMEtITALCNECKL15T <br />OUIL�ING PlANS <br />(< HRC HYURANT <br />: PIRE PROTECTION SYSTEM ^ <br />' GRADING <br />[ CRAINAGE <br />� [NVIRGNMENTALIMPACTSTATEMENT <br />7). H[ALiH DISTRiCT <br />APPLICATION ACC. �Y PL4NS CHECKED BV <br />G.B. ISY7D1 <br />APP9.FORISSUANCE �Y <br />LC <br />I HEREBY CERTIFY THAT I HAVE READ AN� EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TG BF TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF V'ORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEHEIN ON NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF HNY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGt�AI W�E OF CCN1atCTOR OR AUT IZ' AGE'li UATE <br />X /2/ 4/20/82 <br />�-is:,;v.� '�� � <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT —�— FEE <br />��.��ua��c�or�,o �uN��irs �-�Nr en —� <br />nEFnir,�Fl .�nrior� uNits — i��.a. En —� <br />tlUILtH.I — �f.Y. tA. <br />GAS PIRED A.Q UNITS—TONNAGE EA. <br />FORCED AIP SYSiEMS — U.T.II. M EA. <br />WALL HEATERS — 9.T.U. M <br />IINITIAFAiFRG—RTII AA <br />\TION FAN <br />II00� <br />STOVE <br />f,HECK NUMBER ' PLAN CHEf..K FEE <br />Bz�1�4�2 I FEE 32 63 I P[CEIPTNO. <br />BUILDING 5 9SOO.00 SO SO <br />PWMBING <br />MECHANICAL <br />OTHLFi <br />PENALTV UBC. <br />SEC. 303 (a) <br />TOTAL S O S O <br />PERMIT VALIDATION <br />WHE1J PNOPEPLV VAL17ATED 1111 THIS SPAiEl7�I�IS Y0� �F@.1Q. C O N � <br />6 �� � <br />� <br />1';:)�:! f� :���[1� <br />'i,�i,�t„�` ,YQ� <br />... , r. <br />. b 3 �it ��.7 <br />J <br />