Laserfiche WebLink
.,�!N Ilc.-.,C :�� Ciiv . i <br /> Dorthy Chin <br /> ARCHitEGTORDE5IGNEF MAllSD�RE55 GTY ZiP Ii�ONE <br /> GENERALCONTPAGi�llltlll S DI}�Wd11MAILApDRE55 CIiY 21P PMONE UGENSEI � <br /> B & B H![YxYYXY�;X 2901 206t1t Place S.W. Lynn��iood, 98036 <br /> MECNANICALCANTRACTOA MAILAODNE55 diY 21P pA In PC/ l Z�Z�NSEI <br /> PW�ABiNGCONTRACTOR MAILADDRESS CITY Z�P FHONE IICENSEI <br /> GLA55OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION �NGREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VFWA1i0N OF WOHK <br /> �50�. �� <br /> OESCRIBE WOFK <br /> Painting and drywall minor remodel <br /> PFJi'OSED USE OF BUILDING <br /> commerci al I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br /> lEG4LDE5GFIPTIONOFPqOPERttISHOY/BELOWOAATTAGHFOURCOPiES� PLICATION AND KNOW THE SAME TO BE TAUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS <br /> �or A�ocK_oF TYPE 01- WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESU ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAiUR[OF CONiRACTOR OR AUiMOP12ED RGENT OAtE <br /> �oenooaess � 10/28/80 <br /> 1502 Hewitt Avenue X G� � <br /> PLUMBING MECHANICAL <br /> NO. TYPL OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER C!OSET(TOILET) AIR CON�.UN175—H P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY hYASM BASIN) BOIIERS—H P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—B.T.U. M EA. <br /> DISHWASHER WALL HEATERS—B T.U. M <br /> LAUNDRYTRAV UNITIIEATERS—BT.U. M <br /> CLOTHES WASHEfl EVAPORA7IVE COOLERS <br /> \NATER HLATER CLOTHES URYERS _ <br /> URINAL VENTILAiION FAN _ <br /> DRIIJKING FOUNIAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS MEiAL FIREPLACE 8 CHIMNE� <br /> SINK(SERVIGE—BAR,E7C.) <br /> SUBTOTAL SUB707AL f <br /> PERMIT S PEHMIT = <br /> TOTAL FEE S iOTAL FEE S <br /> SIDE YARD SETBACK SiREET SETBACK F�EAR YARD SEiBACN PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES �ALURTION FEE <br /> ❑Y2S ❑NO <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 51500 . 25 00 <br /> SIZE OF BLDG. NO.OF STORIES MFX.OCC.LOAD <br /> PLUM�ING <br /> FIRE ZONE BASEMENT FIRE SPRINKlERS MECHANICAL <br /> REOUIRED <br /> ❑YES ❑NO <br /> APPHOVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL(.4ECK LIST PENALTY U.0 C. <br /> SEC.3031a) <br /> 2. BUILDINGPIANS TOTAL 25 00 <br /> 3. FIRE HYDRANT <br /> a. FIRL PROTECTION SYSTEh1 PERMIT VALIDATION <br /> � WHEN PROPERLY VALIDATED QN TMIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING 9 7 4 5 � a L l, a O —� <br /> 6. DRAINAGE <br /> � <br /> 7. ENVIFlONMENTAL IMPACT STATEMEt1T <br /> � <br /> B. HEAITH DISiRICT <br /> � � �� rz r�:c �:iP <br /> APPLICATION ACC.BY PLANS CNECKED OV APPR.FOR ISSUANCE BY ' ' <br /> . ; ' ' 'K 1':. U <br /> K.C. <br /> •� � %'�� �� <br /> ADDRESS FILE <br />