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the Ever3reen ;�N ST R U CT I O f� � <br /> CI7Y OF �ER��T <br /> �"���4} PERMIT NO. Og196 <br /> �� a,a. <br /> ciTr Hni! zsy-eiss � COMBINATION �BUILDING ❑ MECHAiJICAL ❑ PLUMBING <br /> x <br /> E�'EPE'�f. �'JH 98201 0�,�.or.t <br /> citt Ziv <br /> rnaar.00aess g8201 252-5679 <br /> O�'/N!R <br /> Richard Deibler 2216 Jade Street Y Z„ PnoNe <br /> �AAIL ADDRE55 <br /> cacrirecr oa otsicn�n <br /> MPILA�DPE55 pTV <br /> nv vHoruc ucense. <br /> GENEPAL COtliR�C�OR �-- <br /> Z�P PHONE LICdNSF ` <br /> S ame CITY <br /> Mna nooaess <br /> GECMANIChLCONTRFCTOR <br /> �TM j�p PNONE LICEtiSC r <br /> MAIL PDDRE55 <br /> PW MBING GONTAhQOP <br /> CLA55OF WORK <br /> ❑NEW ❑ADDITION ❑NLTERATION �REPAIR ❑DE1dOLIT10N ❑FENCE ❑SIGN GARAGE <br /> VRI.UAt10N OF WORN �� <br /> b ZOO. 00 <br /> DF.SJAIBE WO�K <br /> re-roof comp. on garage <br /> rnoaoseo use oF ouaowc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEG ?HIS AP- <br /> 'na� e fam� � v PLICATION AND KNOW THE SAME TO BE TRUE AND CQRRECT. <br /> �ecn�oe5caiaTior�or aaePEaTM isr�ow oe�ov+an r.T�Aa+wuacoP��=i ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNIN�THIS <br /> 41 e�oc�_oF Temwalt Terrace Div. 1 7YPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> �cr HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GNE AUTHORITY TO VIOLATE OR CFhCEL THE PHO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL L4V✓ R[GULATING � <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUC?ION. <br /> scr+ ru��Eo��o�:rw�aoaor+nurtioa¢cun�eu� 4�30�81 <br /> �nu nooaess X <br /> �� � . �� <br /> 2'216 Jade Street MECHANICAL <br /> PLUMB!NG 7YPEOFEQUIPMENT FEE <br /> FEE NO. <br /> NO. TYPE OF FIXTURE OR ITEM . qiq coNo.uNits—H.P.Ea. <br /> WA1ER ClOSET�TOILET) REFRIGERATION UNITS—H.P.CA _ <br /> BFTHTU� dOILERS—N.P.EN. <br /> �AVATORY(WASH BASIN) GAS FIRED A.C.UNITS—TONNAGE EA. <br /> SHOH'ER FORCED AIR SYSTEMS—B T.U. M EA. <br /> KITCHEN SINK 6 DISP. yyq��HEATERS—8 T.U. M <br /> DISHWASHER UNITHEAiERS—B.T.U. M <br /> WU�'DRY TRAY EVAPOFATNL COOI'cRS � <br /> CLOTHES WASHER CLOTHES�RYERS <br /> 1YFTER HEATER VENTILATION FAN <br /> URINAL RANGE NOOD <br /> DRINKING FOUNTAIN qIR HPNOLING UNI7— C.EA1. <br /> FLOOR DRAIN STOVE — <br /> VACUUM BREAKERS METAL PIREPIACE&CHIMNEV <br /> ROOF ORAINS—FIAINLEADEflS <br /> SINK(SERVICE—BAF1.F�C_) <br /> SUBTOTAL S <br /> —" SUB TOTAL pERMIT S <br /> PERMIT S TOiAI FEE S <br /> TOLAL FEE S PLAN CMECK PGE <br /> �TR��T��i�q�K REAR YAPD SEIBACK PLAN CHECK NUMBEP RECEIPT NO. <br /> SIGE YAflD SETBACK FEE <br /> VACAN751TE FEES VALUATION FEE <br /> USE ZONE LOT AflEA �iYE$ ❑NO <br /> TVPE OF fANST. OCCUPANCY GFOUP NO.OF DWELLING UNITS OU�LDING $ Z OO.OO ].O OO '. <br /> NO.OF STORIES MA%.OCC.��AD <br /> SIZ[OF BLOG. p_UMBING <br /> BASEMENT FIRE SPRINKLERS �AECHANICAL <br /> FIRE ZONE REOUIRED <br /> [IYES f1N0 � <br /> BY OATE OTViER <br /> qpPROVALS U.B.C. <br /> i. ENVIRONMENTALCNECKLIST PENALTY SEC.3U3(a) i <br /> 2 BUILDING PLANS TOTAL 1 Q 00 <br /> 3. FIRE HYDRANT pEflMIT VALIOATI 1N <br /> A. FIRE PROTECTION SYSTEM WHLN PPOPERLY VALIDATED(IN�HIS SPACE)THI515 YOUfI PERMIT � <br /> 5. GRADING - � ! I r � I O. 1�� � ---� <br /> i � <br /> G. DRAINAGE <br /> 7. ENVIRONMENTAIIMPACTSTATEMENT O <br /> �. HEALTH DISTflICT ' ,. . � � I <br /> qpPR.FOR ISSUANCE�Y <br /> APPLICATION f.CC.UY PIANS CHECKED BY . . . � � <br /> i�CLi:cS, i I! ! - I , � ' I <br />