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die ErerFreer� 1 <br /> ��TYOF • C�STRUCTION M <br /> everett PERMIT <br /> GTYHALL259�87a5 PERMIT NO. O�O2H <br /> Evea�rr,wn sezoi ❑ COMBINATION � BUILDING ❑ MECHANICAL <br /> ❑ PLUMBING <br /> OI'JNER MAq AODRE55 ��1y <br /> Bessie Ragsdale 2403 Maple Z�' r"`"` <br /> 252-2773 <br /> ANCHiiR�i JR CES�GNER I.IAIL ApDRESS CIiY <br /> ZIP PMONE <br /> GENERA�COIQR4Ci0R MAi�qDDPESS QiY <br /> Alnha Construction 5325 S.R. 92 Lake Steven� Z'P PNONE uc•r:se. <br /> 96256 691-6071 <br /> �d[CMANtCAL CJNTRACiOR MAIL ADDPE55 QiY <br /> ZIP PMONE �ICFNSE� <br /> PIUM�INGCONTpACTOR MFILAD�RE55 Ciiy �iP PMONE �ICENSe1 <br /> JF WOPN <br /> ❑NEW ❑ADDITION ❑AL7ERATION �EPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAwAT10N OF\VORK <br /> f 6,000.00 <br /> DESCRIBE WORK <br /> Rebuild shed room on back of house <br /> PPOPOSEp USE OF BUIIDING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXP,MINED THIS AP� <br /> iecn�oescaianoNOFcaocenrrisnoweeiowor�nnnc�irouacae�[,i PLICA110N AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or__eioc�_oF TYPE OF WORK WILI_ BE COMPLIED WITH WHETHER SPECIFlED <br /> NW4 of SEh SEc. 20 Twn 29 Rge 5 E[9M HEREIN UR NOT. '�HE 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 RE6ULATING' <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> �ooneoaess siemnrw+�e�cor+rnacraHoaaun�eu�z�onceNr o.ve <br /> — �403 Maple X <br /> � LUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER C�OSET iTpRET) AIR COND.UNITS—H P EA <br /> OATHTUB REFRIGERATION UNI7S--N P Eq <br /> U+�AtOp�IWASH BASIN) DOILERS—N.P.EA. <br /> SHOWER GAS FIRED A C. UNI1S— — <br /> TONNAGEEA <br /> 1 KIiCHEN SINK&DISP. FORCED AIR SVSTEMS—flTL. M EA. <br /> DISHWASHER WALL HEAlEHS—B.T.U. <br /> M <br /> LAUNOFY TRAY UNIT HEATERS—B T.U. M <br /> 1 CLOTHES WASHER EVPPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYEPS <br /> _ URINAL V[NTILATION FAN <br /> _ DRINKING FOUNTAIN RANGE HOOD <br /> _ FLOOR DPAIN AIR FIANDLIIJG UNIT— CF.M. <br /> VACUUM �REAKERS STOVF <br /> _ ROOF DRAINS—RAINLEAOEPS METAL FIREPLAi,E 8 CH�M4EY <br /> _ SINK�SERVICE—�AH.EiC) <br /> SUBTO7AL G SUBTOTAL S <br /> __ PERMIT S <br /> PERMIT S <br /> TOTAL FEE S TO7AL FEE S <br /> :� JE YARD SETBAGK SiRLLT SEl L�.CK REAR Y'ARD SE7PnCR PLAN CH WK NUM�ER P�AN CHECK F@E <br /> «� RECEIPi NO <br /> USE ZONE LOi AREA VACANi SITE <br /> ❑VES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELUNG UNITS � <br /> BUILDING 56,000, 36 00 <br /> SIZE OF BLDG. NO.OF STORIES A1AX.OCC.LOAD <br /> PLUMBING <br /> r (��i; <br /> FIR[ZONE BASEMENT FIRc SPHINKLERS <br /> REOUIRED ldECHANICAL <br /> I1VE5 f1N0 <br /> APPROVAIS •. . BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST � <br /> PENALTY U.B C. <br /> 2. OUiLDING PLANS SEC.303(a) � ,_ <br /> 3. FIAE HYDRANT � TOTAL 3CT OO <br /> 4. FIRE PROTECTION SYSTETA PERMIT VALIDATION <br /> 5. GRADLN(', ; �v�iEN PROPERLY VALIDATED(IN THIS SPACE)THI515 YOUR PEFMIT <br /> � 6 DRAINhGE--} 5 b 9 7 S 0 3 6.O O �'� ' <br /> 7. ENVIRbNA!fipiTAL Ih1Pq(;J S1A7EMENT <br /> 8. HEA4..•DI�iICT p '� O <br /> �APPLICATION��C,BY C�PLANSCHECKED�Y APPp.FOR155UANCEBV ,YOU�R RE�CEIP7o <br /> � n m ' • i 1.`lANK Y�11 <br /> c -�, � ; <br /> �� <br /> � ADDR�SS FILE � � �� �9 <br />