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tGeL�i�rgrcen - �� CC�NSTRU�TION �- � � <br />CITY UF <br />everett PERMIT PER� "T NO. 06335 <br />GTV HALL 259�8745 <br />evEaerr, wti �ezoi I.X1 COMBINATION � BUILDING � MECHANICAL � PLUMBING <br />OWNEN MRILRDDRE55 QiV ]IP �HONE <br />Karl A. �ofmann 3910 Nassau 9C201 259-4673 <br />ARGHIiECTORDE5IGNEP MAILAODNE55 CITY ZiP PHONE <br />GEN[RALGONiRApTOR MAILAODRESS CITV ZIP FNONE LICENSEI <br />Same <br />MECNANICA�CONiHACTOR MAILADDRE55 C4Y ZIP PNONE UCENSEI <br />PIUMpING CC:IiRACTOR MAIL AODRE55 CI1Y ZIP PHONE LIGENSE 1 <br />F�G1EW ❑ADDITION ❑ALTERATION ❑REPAI(i ❑DEMOLITION ❑FFNCE <br />VALUATION OF WORK � <br />S 4��0��.�0 <br />OESCRIBE WORK <br />Construct single family residence <br />PROPo�ED USE OF BUIIDING . <br />i x <br />❑SIGN ❑GARAGE <br />ing e amily residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />IEGALDESGRIPiIONOFPROP[RTV�SHOWBEIOWORAT7ACMF0URCOPIES) PLICATION AND KNOIV THE SAME TO BE TRUE AND CORRECT. <br />23- 4 Hewitt Hei hts ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />ior �L�c�_oF 9 TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPcGFIED <br />3919 Nassau <br />PLUMBING <br />NO. TYPE OF <br />Z WATER CLOSET (TOILF <br />BATHTU� <br />2 LAVATORY (WASH BAf <br />SIIOWER <br />1 KITCHEN SINK & DISP. <br />1 DISHWASHER <br />LAUNDRYTRAY <br />1 CLOTNES WASHER <br />I. WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM OREAKERS <br />—� <br />SIDE VARD SETBACK <br />6' <br />R-1 <br />TYPE OF CAI <br />SIZE OF BIDG. <br />26'x75' <br />FIRE 20NE <br />3 <br />OR ITEM <br />— BAR,`ETG) <br />SUBTOTAL <br />PERMIT <br />70TAL FEE <br />STREET SETBACK <br />2�� <br />LOT AREA <br />6263 Sq.Ft. <br />OCCUPANCY GROUP <br />R-3 <br />N0. OF STORIES <br />1 <br />BASEMENT <br />yes <br />� t. ENVIRONMENiALCHECKLIST <br />2. BUILDING PV+NS ' � <br />3. FIRE HYDRANT ' • O• <br />4. FIRE PROTECiitiN SYSTE <br />3�'�1 t O� <br />--a. OFAINAOE �.; '" a <br />HEAL <br />EB 5/2 <br />LIMPACT'�TATEMENT <br />IT • <br />8Y NS CHECKED BY <br />( V.C. <br />} <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 LAW REGULATING <br />Y30-29-5 CONSTRUCTION OR THE PERF MANCE OF CONSTRUCTION. <br />- SIGNAIUREO'CQNi TOROR4Ut� AG[NT DAiE <br />X � 1�i, '��,>�--` �z ��� <br />FEE <br />REAR YARD SET�ACK <br />2�� <br />VACANT SITE <br />�VES ❑NO <br />NO. OF DWELLING U� <br />1 <br />MAX.00C.LOAO <br />APPR.FORISSUANCE <br />L.C. <br />AIR COND. UIJITS — H.P. EA. <br />occoirooennu nurtc — u <br />GAS FI(±[D AL. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B T.U. M <br />\VALL HEATERS — B.T.U. M <br />11N1T HEATERS — B T.U. M <br />DRYERS <br />RANGEHOOD <br />STOVE <br />TOTALFEE s � <br />ICHECK NUMBER PLAN CHECKFEE <br />79/389 FE�B/Bd51 RECEIPTNO <br />FEES VALl1ATION FEE <br />5 40,000 <br />U.B C <br />SEC. 3031a) <br />188 � o0 <br />PERMIT VALIDATION " <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />S020.00--- � 4269 E157.00-+�+r �i <br />� <br />UR RECEIPT •��� �(�Ut2 RECEtPT � <br />a,•,nl!: YOU ; �.: ' I;il�t�(6 X�?�U. <br />` -� ' <br />