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�.,hef,U�o� ;�, 1:ONSTRUCTIOI�'- � <br /> evere�t PERMIT PERMIT N0. 16053 <br /> CITY HALL 25997�5 <br /> � EVEF�Sw�.�9pzp,�� � �OI�AQINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> � U � L <br /> OWNER MAIL RDDRk55 GIiY ZIP PNONE <br /> Richard Barclay F.Werett 353-1244 <br /> •RCNITECT OR DESIGNER MRIL ADDRE55 GITV 21P VNONE <br /> GENERAL GONTfl�GTOR 11AIL ADDRESS GITY ZIP PMONE LICENSE I <br /> Beywood Dev 5105-23rd Avenue W �r r tt 98203 353-1244 ! <br /> MEGMANIG�L GONTR�CTOfl MAIL ADDRESS GTY ZIP PNONE LICENSE 1 <br /> HAYWODI159�K � <br /> PLUMBING CONTflACTOR MAIL ADDRESS CITY ZIP VMONE LICENSE I <br /> CU55 OF WORK I <br /> C}�NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIHEPLACE INSERT <br /> V�LUATIUN OF WORK <br /> `ae soo 00 <br /> OESCRIBE WORN <br /> New construction <br /> PP.OPOSE�USE OF BUIIDING <br /> Sin le Famil Residence I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED?HIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEWL DESGRIPTION OF PROPERTY ISMOW BELOW OR�TTRCN FOUR CAPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 24 BLOCK_OF � �oor Hei hts GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OF NOT.THE GRANTING OF A <br /> PERMITDOESNOTPRESUMETOGIVEAUTHORITYTOVIOLATE J <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR I <br /> 2-35-29-4 LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERF ANC CONSTRUCTION. <br /> JOB�O�HESS SIGN�T CON T OR AU1H RED AGENT DATE <br /> 1616 Orca View Iane X '� "8�i. <br /> PLUMlINO MECMANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILET) AIR COND. UNITS— H.P.EA. <br /> 2 B�THIUB Q REFRIGERATION UNI7S— M.P. EA. <br /> 4 I.AVATOHV(WASH BASIN� 8 BOILERS— N.P. EA. <br /> 1 5MOWER Z GAS FIRED A.C.UNIiS—TONNAGE EA. <br /> 1 KITCMEN SINK 8 DISP. FORCE�AIH S\'STEMS— B.T.U. M EA. (j <br /> 1 DISHWASMER 2 WALL HEATERS— B.L.U. M <br /> LAUNORYTRAY UNI7 HEATERS— B.T.U. M <br /> Y CLOTHES WASHEP 2 EVAPORATIVE COOLERS <br /> 1 WATER MEATEH 2 Q ], CLOTHES DRVERS <br /> URINAL VENTILATION FAN � <br /> DFINKING FOUNTAIN RANGE HOOD 5 <br /> FLOOR DHAIN AIR HANDLING UNIT— QF.M. I <br /> VACUUw1BREAKERS S"OVE—WOOD ' <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SE7VICE— BP.R,ETC.1 ], FIREPLACE INSERT 7 SO <br /> HEAT PUMP <br /> SU!70TAL f Zg SU!TOTIIL ! 4 <br /> PERMIT f PERMIT f <br /> TOTAI FEE f TOTAL FEE t 34 SO <br /> SIDE YARD SETBACK STREET SETBACK PEAR YARD SETBACK PLAN CMECY;NUMBER PLAN CMECK FEE <br /> ?'-6" 25' ZS' 86/16053 FEEZ60.00 RECEIPTNO. <br /> USE ZONE LGi AHEA VACANT SITE <br /> R—S 10�000± S.!�'. X�ES NO FEES VAWATION _ FEE _ <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DJJELLING UNITS <br /> V-N R-3, M 1 RUILDING s88 5 <br /> SIZE OF BLDG. N0.OF STORI[5 MAX.OCG LOAD <br /> 2109-R3, 640-M 1 ].�2 --- PLUMBING 28 00 <br /> FIREZONF BASEMENi FIRE SPRINNLERS MEfMANICAL <br /> FEOU.RED 3Q SQ <br /> VES NO <br /> APPROVALS BY DATE �TMER <br /> 1.ENVIPONMLPITAL CHECK LI51 PENALTV �.B.C. <br /> SEC.30]la) <br /> 2.BUILDIN3 PLhNS I <br /> 3.FIREHVDHANT �� T�t�� 462 5 <br /> 1.FIRE PRO7ECTION SYSTpM' PERMIT VAlID11710N i <br /> 5.GRAD�YG � WHEN PROPERLY VALIDFTED QN THI$SPACE)THIS�S iOUfj_PEji1�lT— !'y I <br /> 6.DRAINAGE <br /> - r7 � i JU llti ; <br /> _ "� <br /> .7_ENV�RONMENT�L�MPAC7 3fATEMENT ` <br /> _ _. � l ' <br /> .8,HEALTM DI£TqICf <br /> 7if'PLICATION ACC. EtY � gLANS CHECKE�BY APPR.FOR ISSl1ANCE BY � I. , . I � � <br /> � . ��'� ' `�'�� U <br /> `' � M.M. � - J.E.F. L.N.C. <br /> � � ', , ...i C J <br /> „� ADDRESS FILE <br />