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dic[irer.l'rrrn • CO1�� 1'R�� i ��� .• . . <br />�,� qr <br />0.��{..10.��� � PE�IMI I� PERMIT NO. l� �:.'� C�� ��� <br />u�: ��,,��_:���.,,,,r. <br />;c� :: ;i v:a :..,, !_J COMBI�ATION � BUILDING L� MECHANICAL ❑ PLUMBING <br />�: ��.�:: i�„i�nuo��t,s a„ �,� n�oni <br />Mike and Alice Hollad 703 Niles 258-8211 <br />ntd���.ifGOrIDCSiLNfP �dAILApDI�tSS Ci7Y ZIP V��u'�E <br />[:V.! n;� GOIliqAGiOR �.�NL ApDRESc CITY ZIP P�i0:1E UCO:.� • <br />C. &�4. Builders 9804 Chapel Hill Road Eveiett 98205 334-4981 <br />vtO�nNiCALCONTP�:C�iCri I.IAiLAOD{iESS GtTY ZIP PHONE LIGE:s'. • <br />�'Wt'.HiNGCONTPAGIOR AIAILAO�RE65 CILY ZIP °MONE LIG[�•sL• <br />('� �dS Oi 1'lORK <br />❑NLW LADDITIOPI 'i�WLiERATION ❑REPFIR ❑DEMOLITION ❑FENCE ❑S16N ❑GARAGE <br />eai llnr10N oF WORrc <br />; 8�0��.0� <br />O155�;IL+6 AVORK <br />interior remodel ---- Repair front porch <br />i'i�C4'OSLP USE OF f3UILDiN6 <br />single family residence <br />�. G��t. CtSCPIPtION UF PROPER�Y �SHOY� E1EL0\'10l1 �TiACH FOUR GOPIES) <br />S�-2 6 Rucker Park <br />�oi oiocK_oF _ <br />!oI1;,Ct,ulSs <br />703 Niles <br />PLUM9ING <br />TYPE OF FIXTURE <br />\:'hTEI? CLOSET (iOILET) <br />HATHTUB _ <br />LAVATORY pVASH E3ASIN1 <br />SHOWEF <br />KITCHEN SINK 8 DISP. <br />DISNWASHER <br />LAUNDHYTflAY <br />CLOTHES\YASMEH <br />WATER HEAi�R <br />UHINAL <br />DPINKING FOUNTAIN <br />PLOOR ORAIN <br />VACWAI BFEAKERS <br />ROOF DPAINS — FAINLEADERS <br />SINK ISERVICE — �AR. ETC.1 <br />Sii)E YARD SETBnGK <br />U9E ZONE <br />1 vPE OF CONST. <br />9ZL OF BLDG- <br />I IHC ZONE <br />PEFMIT <br />TOTALFEE <br />STFLL` SLiNnC:F: <br />LOT AREA <br />NO. OF 5T( <br />BASEMENT <br />1. ENVIRONMENTAL CHECK LIST <br />.` LUILOING PLANS <br />;i FIR[ MVDRANT <br />� I'IR[ PROTECTION SVSTEM <br />S GRAOING <br />6 UfiAINA6E <br />� CNVIRONMENTAL IMPACT SiATEMENT <br />-. �i�A�TH �iS,Ri�T <br />ni'ILiL�.11i�I.l,i� U.1� il4NSCHECKEDBY <br />HW[d <br />FEE <br />NEAR YARU SET�AQC <br />CYES ❑I <br />NO. OF DN <br />MAX. OCC. <br />APPR FOR ISSUANCE BV <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNO�V THE SAME TO BE TRUE A?1D CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE CO^APLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE IaRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY' TO VIOLATE OR CANCEL L,� PRO� <br />VISIONS OF ANY OTHEH STATE OR LOCAL LAW REGULATING <br />CONST ION OR THE PERFORMANCE OF CONSTRUCTION. <br />X; ll,- HL pp p�ncip�� o TuuicnV 17��/_�Y<i9 °: ,c <br />/ ��� 10/79 <br />TYPE OF E�UIPMENT <br />AIR COND. UNITS — hl P_ EA <br />R[FRI .[FiATION UNITS — NP. EA <br />tlUILtHJ — HY. V�. <br />GAS RHED A G UNIiS — TONP <br />FORCED AIR SYSTEA75 — B T.0 <br />\Y�LL HEAtERS — �.T U. <br />IINR HFATERS — B.T.U. <br />AIF NA <br />STOV[ <br />M11EiAL <br />N CNECK NUMO[R <br />79/6663 <br />BUILDING <br />PLUMBING <br />MECHHNICAL <br />OTHER <br />h1 EA <br />CFM17 <br />�L FEE <br />PLAN C1 <br />FfL 22.�0 <br />VALUATION <br />58,000.00 <br />U.B.C. <br />SEC.303(a) <br />FEE <br />FEE <br />REC[IPT NO. <br />43003 <br />FEE <br />44 I 00 <br />,, I I 94 I 00 <br />T VALIDATION <br />PROPERLY VALIDAiED (M THIS S'AaCE' TeHIS IS �0 O�E��.�Q O�� (�"f <br />C 7 a <br />i.o <br />. � <br />YDUR RECE4PT � <br />-rrrr�,r�t; You : <br />