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, , <br />� <br /> ,... _ <br /> i 9eEvCivOF � CO'�.STRUCTION . � <br /> IQiQ� rG�'v''� pERMIT N0. �6425 <br /> CITV HALL 259�8745 <br /> eveFerr.wn sezoi Q COAIIBINATION Q BUILDING Q MECHANICAL � PLUMBING <br /> OWNER MRILADORE55 CITY ZIP PMON4 <br /> Robert K. Porter 3.928 91st Street S.E. 98204 337-4073 <br />' APCMi7ECTORDE5IGNER MRILA�DRESS CRY ZIP PNONE <br />� GENERAL CONTRACTOR MlIL A0��:55 ��rY ZIP 3 3 7�9 0 7 3 ��CENSE I <br />� B & D Builders Inc. 3328 91st Street S .E. <br /> MECHANIG/LCONTRACTOR MAILADORESS ��TY ZIP BD BU PZ*E *249KMsE. <br /> PWMBINGCONIRFCTOH MAIL�DDRE55 CITY ZIP PHONE LICENSEI <br /> C1A55 OF N'ORN <br /> L][�(W ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAWATION OF WORK <br /> SBO� OOO. 00 _ <br />` DESCR!9E WOPK <br /> Construct single family residence <br /> PPOPOSED USE OF BUILDING <br /> single family res;dence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �EGALOESCFIP710NOFPFOPERTYISHOW BELOWORATfACHFOURCAPIE51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL � <br /> 1 SP#W.O. 12G2-OZ-�79 ALLPROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS . <br />� io. eiocK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF AIJY OTHER STATE OR LOCAL LAW REGULATING <br />� K8-2 fl-5 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> I JOB AOORE:3 SIGNAiUR CONTFAC,tOR OR AUTNOFIZED AGENT DATE <br /> 7507 East xeather way X' �r..,�� G/.u+. � ��ZS�79 <br /> .� <br />` PLUMBINO MECHANICAL <br /> 1 NO. TYPE OF FIXTUflE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br />� 2 WATEF ClOSET(TOILET) 4 O O AIR COND.UNITS-HP.EA. <br />� 1 BATHTUB Z O O REfRIGERAT10N UNITS-H.P.EA <br />� 3 LAVATORY(WASH BASIN) G OO BOILERS-H.P.EA. <br /> Z SHOWER r� OO GAS FIRED AA.UNITS-TONNAGE E4. <br />' 1 KITCHEN SINK 8 DISP. 2 OO 1 FORCED AIR SYSTEMS-B T.U. M EA. S O O <br /> 1 DISHWASMER Z OO WALLHEATERS-B.T.U. M <br /> � LAUNDRY TRAV UNIT HEATERS-B.T.U. M <br /> � CLOTHES WASHER Z OO EVAPORATIVE COOLERS <br /> � S WATERHEATER Z OO 1 CIOTNESDRYERS 3 OO <br /> � UFINAL 2 VENTILA71ON FAN 4 00 � <br /> I DflINKING FOUNTAIN �. RANGE HOOD 3 O O <br />(, � ' � FLOOR DRAIN AIR HAWDUNG UNIT- C.F.M. _ <br /> VACUUM BREAKERS S70VE <br />' . I ROOF�RAIhS-RAINLEADEFS METAL�IREPUICE&CHIMNEY <br />, . . � I Z SINK(SEFVICE-BAR,ETC.) 4 O O <br /> iI <br />' <br />� � ' SUB TOTAL 2 8 00 SUB TOTAI s <br />' PERMR i PERMIT S <br /> rTOTAL FEE i 2 8 0 0 TOTAL FEE S 1 S O 0 ' <br />` SIDE YARD SETBACi STREET SETBACK REAfl VAPD SETBACK PiAN CHECK NUMBER PLAN CHECK FEE ' <br />` ( � 2� � 2�� 79/325 FEE 12j . 5 RECEIPTNO. <br />` USEZONE LOTAREA VACANTSITE 3918 <br /> R_j }Q76'ES ❑NO FEES VALUA710N FEE <br /> TYPE OF CONST. OCCUP4NCY GROUP NO.OF DWELLING UNITS <br /> V�N R-3 t BUILDING s80,000. 297 00 <br /> SIZE OF 6LDG. NO.OF GTORIES MAX.0(',t:.LOAD — <br /> 60'x30' 1 PLUMBING 28 00 <br /> FIRE ZONE BASEMENT � FIRE SPRINKLERS MECHANICAL 15 00 <br /> 3 ye5 RE�UIRED <br /> ❑VES ❑NO <br /> � AFPHOVALS !Y DATE OTHER <br /> � 1. ENVIRONMENTALCHECKLIST PENALTV U.B.C. ' <br /> SEC.3031a) <br /> � 2. BUIIDINGG'ANS � 290 00 -�,� <br /> 3. FIRE HYDRANT TOTAI <br /> � a. FIHE PROTEC710N SYSTi! PEPMR V�I,�D(�_�� � �+ 1 <br /> . � ENPR±�IC' n �'"T 989SSisYQugr � /.a.o_� �, <br /> 5. GRA7ING i p <br /> 6. DRAINAG � N <br /> �3. ENVIROI�ME LIMPA� 7ATEMENT YOUR RECEtP'� � <br /> VB. HEALTHT015D�T o /� Y0,41;it�'RECEIPT � � <br /> PPLICATI A(�BY � NS CHECKED BY APPR.FOR ISSUANCE BY T H AN K 1��✓U ' . � <br /> , <br /> • ;l�i,?�,,'�K YQ.0 <br /> � � � � v.c. : . ; : ;. • ' '. . , <br /> � — 2 5 :.�►; 1�'':' ' 2 5 s�i 7 9. <br /> � � � ADDRESS'RIL.E'^�" �'.� -- , � _ <br />