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�il i U'r <br />everett PERMIT PERMIT NO. 06335 <br />CITV HALL 259�8745 <br />EveaErr.v+n Aezoi � COMBINATION � BUILDING � MECHANICAL � PLUMBING <br />OWNEfi MAIL/�DRE55 GITY ZIP FNONh <br />Karl A. Hofmann 3910 Nassau 98201 259-4673 <br />fBCMItFGTORDE5IGNEP MRIIADDRE55 pTY ZIP PHONE <br />GENERALCONTRAGTOP MAILAD7RE55 CIiY ZIP PHONE UGENSEI <br />Same <br />M[CHAN�CALCANiRAGiOR MAILRODRE55 CRY ZIP GNONE LICENSE� <br />PLUMB�NGWNTRACiOR MAI�AD�RE55 CITY IIP PHONE UCENSE! <br />J�IEW ❑AD�ITION ❑ALTEFATION ❑REPAIF ❑DEMOLITION ❑FENCE USIGN ❑GARAGE <br />S 4����0.�� <br />Construct single family residence <br />PR��S�ingieu�iamily residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />�ecn�oescaianoHOFvaoaeRrv�sHowee�owoannncHvouacoPiesi ' PLICATION AND KNOW THE SAME TO BE TRUE NND CORRECT. <br />23-�� 4 Hewitt Heights ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />�o* �oF TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED <br />IiEREIN 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/O�R THE PERF MANCE OF CONSTRUCTION. <br />Si(:I�AiuR[ 06COMPM1EiOR OB AUi�GENT DAtE � <br />A�3�9E�9 Nassau <br />PLUMBING <br />TYPE OF FIXTURE OR <br />CLOTHES WASNER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR D�AIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINiEAO <br />SINK (SERVICE — BAR, ETC. <br />SUB <br />SIDE YARD SETBACK <br />6' <br />USE ZONE <br />R-1 <br />TYPE OF CANST. <br />V-N <br />SIZE OF BLDG. <br />26'X75' <br />3 <br />STREET SETOACK <br />20' <br />LOT AREA <br />6263 Sq.Ft <br />OCCUPANCV GROUP <br />R-3 <br />NO.OF STORIES <br />1 <br />BASEMENT <br />yes <br />1. ENVIRONMEN7ALCHECKUST <br />2 BUILDING PLANS ' v <br />3. FIRE HYDRANT ^ • O'� <br />4. FIRE PROTE(llmN SYSTE <br />�E. DRAINADE" � <br />HEALTM <br />use <br />LIMPA�TATEMENT <br />;T � <br />8Y NS CHECKED �V <br />� V.C. <br />� <br />A. <br />FEE NO. TYPE OF E�UI <br />OO AIF COND. UNITS — HA EA. <br />REFRIGERATION UNIiS — H. <br />BOILEf±S — N P. EA. <br />GAS FIRLD A.C. UNITS — TO <br />FORCED AIR SYSTEMS — B 7 <br />Z OO WML HEATEI75 — BT.U. <br />I INIT HEATERS — B T.U. <br />REAR YAPD SETI <br />io� <br />�YES ❑NO <br />NO.OF DWEL <br />MAX. <br />APPR. FOR I; <br />L.0 <br />HUOD <br />Jnl ING UNIT — <br />8 <br />79/389 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTV <br />TOTAL <br />EA. <br />M <br />PERMIT S <br />TOTALFEE f <br />PLAN CNECK FEE <br />FEE�8�Bd51 RECEIPTNO. <br />VALUATION FEE <br />s 40,000. 15 00 <br />2 00 <br />�� 00 <br />U.B G. <br />SEC. 303 (a) <br />18Q 00 <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUfl PERMIi <br />so zaao --- 3 926� s f sr oo -� �' <br />u s rECEiPr `,-� <br />a,�NK YQU: .��;. : <br />, �4DDRE5� F�e79 <br />. p� <br />%o <br />i'O U R RECEl.P� � <br />� . Tti./.'�� k"��k . <br />Q � L � . . . . . . ... <br />: '.11�-14 �_ <br />