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,°�. L�,�.,���°.,, . � COSIIST�UCTI�N "� ' <br /> ev�rett PERnn��' �ERM�T No. �� _:�:1 _� <br /> ��Tv r+n«:�,;��;,��, <br /> EVE�ETr �vn :�;�;'u' ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING <br /> OIYNLR <br /> I.�NLAVU{iLSS Ji� ZII' P110iJL <br /> LEP.OY KLOES 1330 OAKES `�Y Zip PHor+E <br /> ;���c�U1F.Ct na uEsiGN[n �d�il ADDRE55 <br /> 6CNEPALCONiRAGfOR MAIIADDRE55 CITY ZIP PHONE L�CtNSL � <br /> I.�LOIPNICAlG0�1tR�G10N ldAlLAbpPESS Qil' ZIP OMONE I�CEI�SE� <br /> MOOSE C, TT, Y S_E ziA rHONe iicr.r+s�. <br /> PLUIdi31kG CONiRP(1109 I.IAIL A�pR[55 CIiY <br /> C�A'sS OF\VORK <br /> ❑NEW ❑ADDITION [�AITFRATION ❑REPAIR ❑�EMOLITION LJFLNCE ❑SIGN GARAGE <br /> a <br /> VAIUAT10N 0<<'�ORK � <br /> F <br /> [lE5GRi(iE\YO��K <br /> Pii0PO5E0 USE OF pUiIDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> iecn�oescaivnor+oFPNorentr�5r�owoc�otvar+nrrncNFouacorres� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND OFDINANCLS GOVERNING THIS <br /> i�, uic�cK_aF TYPE OF WORK WILL BE COMPLIED WITH �VHETHER 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 ANY OTHER STATE OR LOCAL �AW REGULATMG <br /> CONSTf7UCTI0N OR THE PERFORMANCE OF CONSTRUCTION. <br /> •_u,uaioi�;-� �orin�.u.rc,o�inui�:rv���or.r,�.•�r r,.v�� <br /> aoe noo�Ess X � <br /> 1330 OAKES �{ �� P".l`//��1C/.y �(_ � _ S/29/79 <br /> PLUMBING MECHANICAL _ <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT i�EE <br /> IVATER CLOSET(TORET� AIP(IOND.UNITS—H P EA <br /> PEFRIGLRATION UNITS—H.P.EA <br /> pATHTUO <br /> LAVATORY�WASH BASINI �OILERS—MP.EA -- <br /> GAS RRED A C.UNITS—TONNAGE EA. <br /> SHOWER <br /> KITCHEN JINK 8 OISP. FORCED AIR S1'STEA15—BT.U. M EA _ <br /> - IVALL HE�TERS—[31.0 M <br /> DISIiWASNER <br /> LAUNDRY iRAV UNIT HEAi[fiS—B.T U. M — <br /> CIOTHES WASHER [VAPORAiIVL COOLERS <br /> WATER NEl.TEP CLOTHES DRYERS <br /> ' VENiILATION FAN <br /> URINAL <br /> -- RANGE HOOD �— <br /> OHINKING FOUMAIN �F h� <br /> — AIP HANDLING UNIT— - <br /> FLUGH DRAIN <br /> VACW61 BPEAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS tdETAL RPEPLACE 8 CHIMNEV _ <br /> SINK ISERVICE—�AR.ETC! � <br /> SUBTOTAL 5 <br /> SUB TOTAL � PERMIT S 3 O <br /> PERMIT S <br /> TOTALFEE S TOTALFEE S <br /> PLAN CHECK FEE <br /> SID[1'AHG SETBACK SiR[CT SEiBACK NEAR YARD S[1BACK PiAN GHECK NUMBEfl HECeIPT NO <br /> FEE <br /> li:�' ZONE LOT ARFA VACANi SIiE FEES VALUPTION FEE <br /> ��.;YES iiNO <br /> i 1 I'i.OF CANST. OCCUPANCY GROUP NO.OF DWF.LLING UNITS <br /> BWL�MG b <br /> ;ii i OF OLDG NO.OF STORI[S MAx.OCQ LO�D <br /> PLUMBING <br /> FIR[ZON6 BASEMENT FIRESPRINKLERS MECHANICAL � OO <br /> REOUIflED <br /> IIYES i1N0 <br /> ApPPOVALS <br /> gY DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST PENALT� UBC <br /> SEC.303(a� <br /> ? BUILDINGPLANS <br /> TOTAL 7 O <br /> ,t RRE HYDRANT <br /> . fIRE PROTECTION SYSTEM PERMIT VALIOATION <br /> \'lHGN PROPERLY VAUDATED pN THIS SPACE)THI515 YOUR PERAU7 <br /> 5. GHADING I 5 5 5 .� O O ].��1 �� �� <br /> : <br /> G DRAINAGE . . . ' . . � <br /> 7 LNVIRONMENTALIMPACTSTATEMENT <br /> ,� ��EA�,„o�STA��T 'r���U R REC E i PT o <br /> AV'PLICATION ACC �Y PtA!JS CHECK@D BY APPR.FOfi ISSUANCE U1' � i ;�qN K Y Gl �.� <br /> -�--- - - <br /> - - --- � � �; , .,c <br /> ;,:� 1 i <br />