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� 1 <br /> `h``°��T,eoF �ONSTRUCTI�IN - � <br /> eve��tt PERI�IT pEaiu;T No: 08735 <br /> l;1TY HALL 259-8745 <br /> eveaerr,wn sezoi ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEN MFILAUORE55 Lliti $IP PIION[ <br /> Cappy Weeks 2225 Jade 98201 259-1088 <br /> AHCHrtECT ON pC51GNER MAIL ADDRE55 CITY ZIP PN�NC <br /> GENERAL CONTRACTOR AIAIL ApDRE55 CITY ZIP PMONE LICENSE I <br /> Same <br /> MECNnNIG�('qNiqA(:TOR MAIL AOpRE55 CITY ZIP PNONE LICENSE t <br /> �LUMBINGCONTRACiOR MAILAODPE'a5 �Itt ZIP PHONE �I,;ENSEI <br /> CLAS$OF WORK <br /> ❑NEW ❑ADDIT:ON ❑ALTERATION L. ',IR ❑DEMOLITION ❑FENCE ❑5!G�� ❑GARAGE <br /> VAWATION Of WORR <br /> S <br /> f�ESGRIBE WOPK <br /> Install fireplace insert <br /> PqOPOSED USE OP BUIIDING — <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EX.4MINED THIS AP� <br /> iecnioescaivnoNOFrnorcFrr,s�owee�owoHnnna�FouaeoPies� PLICATION AND KNOW THE SPME TO BE TRUE AND CURRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �oT 33 A�octi_oF Timwalt Terrace TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. ?�HE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THF PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFnRMANCE OF CONSTRUCTION. <br /> JO�AODRL55 S�GNATUREOFCONiRACiOROf1Al1}IIORRED'GEN'i pAi[ <br /> 2225 Jade X '� 1/5/81 <br /> PLUMBING MECFfANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE . NO. TYPE OF i:OUIPMENT FEE <br /> WATER QCSET QOILET� AIR COND.UNRS—H.R EA <br /> �ATHNB REfqIGERATIONUNITS—H.P.EA � <br /> LAVATORY�WASH GASIN) BORERS—HP. EA. <br /> SHOWER GFS FIRED AC. UNITS—TONNAGE EH <br /> ' KITCHEN SINK&OISP. F09CED AIR SYSTEIdS—B T.U. M EA. <br /> OISHWASHER V✓ALL HEATERS—U T.U. M <br /> LFUNDRV TRAY UNIT HEATEflS—�7.0 Id <br /> CLOTHES WASHER EVAPORATNECOOLERS <br /> WATER MEATER CLOiHES DRYERS <br /> UPINAI VENIILATION FAN <br /> ORINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIF HANDLING UNR— C.f.M. <br /> l'ACUUMBflEAKERS STOV[ lY�—eT' nser - <br /> ROCF DRAINS—RAINLEADERS METAL FlREPIACE 8 CHIMNEV <br /> SINK�SERV�CE—P.AF,ETCJ <br /> SUB TOTAL SU9 TOTAL S 4 S O <br /> PEHMIT S PERMIT S 3 QQ <br /> TOTAL FEE f TOTAL FEE 5 � S O <br /> SIDE YARD SET�ACK STREET SETBACK REAR VARD SET�ACH PLAN CHECK NUMBER PLAN CHLCK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AR[A VACANT SITE <br /> ❑vES fiNO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING $ <br /> SIZE OF BLOG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBIN6 <br /> FlRE ZONE 6ASEMEN"� FlRE SPRINKLEf75 - <br /> REOUIRLD MECHANICAL .� SO <br /> L'YES ❑NO <br /> APPflOVALS BY DATE aTHER <br /> L ENVIP.ONMENTAI CHECK LIST <br /> PENALTY U.B.C. <br /> 2. BUILDING PLANS SEC.309(al <br /> 3 FIF[HYDRANT TOTAL 'I S O <br /> 4 FIRL PROTECTION SYSTEM PEflM1T VALIDiTION <br /> 5 GRADING (� <br /> — WHEN PROPEPLY VFLIDAT[D�IN THIS SPACEI THIS IS VOUR PERtdIT <br /> 6. DAAINAGE - �• �� � �,r (� �� � �j —,-- � <br /> '. [NVIRO�IMENTALIMPACTSTATEMENT � <br /> tl. N[ALTH DISTRICT . . � <br /> APPIiCAT10N ACC.OY PIANS CHECK[D E�V APPR.FOR ISSUANCE BY � � R�-�.' , �� I O <br /> : I I/ v. � <br /> K.C. ' � � �,= J <br /> - � J„W u I <br /> ADDRESS FILF <br />