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9 <br />cirv ran�� �s�.:.,r::. <br />eveHer� ,vr, �azo, �1 COMBINATION I�BUILDIMG Q MECHANICAL p PLUMBWCa <br />owr�ea �nm�nooaess `cr+� zia m�or�E <br />Craig Bunney Const. 2802 Pacific 98201 252-2117 <br />ARGHIiECT OR DESIG4E(i I.IAIL HDDPE55 Citt 21P PHONE <br />GEI�ERA�CONtRFC�ON MAILADDRE:S CIiY ZIP F'�ONE IiCCNSE• <br />Same CR AI GB L251LP <br />MECIIANIGhICANiRACiOR MAILApDFE55 LITY LP P��04E UCENSE� <br />P'.UM�ING CONTRhCTOR �AA4 ADDR655 Gitt <br />ClASS OF WORK <br />�GEW ❑AD�ITION <br />vawancN oF woak <br />S 79,000.00 <br />DESCPiBE YIDRN <br />Construct tri-plex <br />❑ALTERATION ❑REPAIR ❑DEMOLITION ❑PEN.^,E ❑SICN ❑6APAGE <br />Three Unit Apastment <br />LEGaL �ESC�Iv710N OF PROPER.'Y iGNOW FClO\V OR ARACN FOUR CO�i <br />PtnB-9 3 Central Park <br />�o* o�ocK_o� ___ <br />M31-29-5 <br />JOBAODR[Si <br />4329 A S C:{oyt Avenue <br />PLUMBING <br />NO. TYPE OF PIXTURE OR ITEM <br />$ V✓ATEH rLOSET QOILET) <br />BATHTUB <br />S LAVATORV (WASH BASM) <br />SHOWER <br />3 KITCHEN SINK 8 DISP. <br />3 DISHWASHfR � <br />LAUNDHYTRAV <br />i CI OiHES WA4H.'n <br />VACUUM BREFKCRS <br />ROOF DRAINS - FP <br />SINK (SERVICE - B/ <br />i.�:4E LICENSE / <br />I HEREBY CERTIFY THAT I HAVE READ AN� [XAPdINED THIS AR <br />PLICATION AND KNOW THE SAIdE TO BE TRUE ANC CORRECT. <br />ALL PROVISIONS OF LFlWS AN� ORDINANCES GOVERNING THIS <br />TYPE OF WJRK WILL BE COMPLIED WITH WHETHER SPECIFI[D <br />HEREIN OR NOT. THE GRANTING OF A f'ERMIT DOES NOT <br />PRESUh1E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIOIJS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CCNSTRUCTION Ofl THE PERFORMANCE OF CONSTRUCTION. <br />S:GNATUHLOFC01�i�aCiOBORt�Ut�iO4vREDA6EN/i/ DAiC <br />� � `�-�3iF.� � 9/13/79 <br />X (' i( !l,( r' �C!/ni I!'6i- <br />FEE NO. TYPEOFEQUIPMENT <br />AIR CONL`. UNITS - HP. EA. <br />-}-. EFRIGERA-TION UNITS - HP. EA <br />i n r,n DOII I.FRS - F P. [A. <br />SIDE YARD SETBACN STRCET 5[TBACK REAR YARC 5[itinG <br />5' 20' 20' <br />USE ZONE I.OT AREA VACANT SITE <br />R-3 62d8.98 Sq. Ft �j�s ❑rvo <br />TYPE OF CONST. OCCUPANCY GROUP N0. OF DWELLING l <br />V-N R-1 3 <br />SIZE OF 6LDG. N0. OF STORIES !AA%. OCC. LOA� <br />35'x61' 2 <br />F�RE ZONE BASEMENT '=1RE SPRINKLEFS <br />3 none REOUIR�p� <br />i1YE5 PYVO <br />APPROVALS BY DATE <br />7. ENVIPONMENTALCHECKLIST <br />2. BUILDING PLl�NS �V <br />3. FlREHYDRANT � <br />4. FIRE PROT NON S"STEiA �- <br />�. r-aqoiNG �i <br />..li. L:..INAGE �'— t� <br />4lICA'TiSI� �(CZ: ar LANS CHECKED BY <br />� � � V.C. <br />-7 <br />.� <br />bH0 tIHtU N.l.. VrvIIJ — <br />FO�CED AIR 5Y51 FMS - <br />WALL HEATERS - B T.U. <br />UNIT HEATERS -- B.T.L' <br />EVAPORATIV[ COOLERS <br />FlANGEHOO� <br />METAL FIREPLACE 8 <br />H[CK AU1.".�ER <br />79y;H��/ <br />6591 <br />MECHANICAL <br />PENALTY <br />FEE <br />M <br />SUB707AL S �� <br />PEflM17 f <br />TOTAL FEE f 3� <br />PLAN Cf{ECK FEE <br />rEE 159.55 I 9���r No. <br />a <br />b79,000.00 <br />U.B.C. <br />SEC. 303 (a) <br />245 00 <br />5� �� <br />34 00 <br />C�i: <br />PEHMIT VALIDATION <br />��HONtI O P� D VA' RIDATED �1N THIS SEA�E( T` IS IS V�lui eE�l� O�� � <br />3 i r� 9 c y <br />Q� <br />i.i�% <br />� ;� ^ RECEIPT YOUR.'fFECE1PT o <br />APPR. FOR ISSUANCE 6Y. �':, � Y Y O U :�`{AA1K YO U <br />14s�79. <br />no�2e�s =it.= <br />� �� C"7 1 ,, <br />�� <br />