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the6lrrSn�rn i'�OAf C�Q�r��O�� <br />CITYOF v �rt� � � v <br />ev�re�t PERMIT PERMIT NO. 1Q454 <br />CItY HnLL 259�87�5 <br />ever�e i. wn aezo� ❑ COMBINATION ''e� BUILDING ❑ MECHA�IICAL ❑ PLUMBING <br />�;,!g�� MAILFUDHtSS PiY TP ���U:L <br />A7rs. Ray Friend 9530 % 4th Avenue t9est Evecett 98204 353-8002 <br />..� e�.nccr oa otsraun �ana nooness �.rtv zm r�ror+e <br />GLp[RALCO!IiRAGiOP MAILADDRESv CI1T ZIP PHONE I�CCNSE� <br />Same <br />t'.LO�A4iChL CONTRAGtOP MAIL ApORE55 CRY ZiP PiiONE IiCENSE � <br />� �'J4[iltlG GOM1iRAGiOP AIAII AODPE55 CITY ZIP PMONE UCENSE � <br />� ❑NEW ❑�DDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ]�FENCE ❑SIGN ❑GARAGE <br />C=1 UPiION S ['; IORR <br />, 1600.00 <br />0[ SCAI�E V�ORK <br />install chain link fence <br />r���o<m use oF eua ��u:o <br />� LGAL DESCRIPTION OF -ROPEf1iY iS10w 1R01Y OB /•1i4CN f Ol1R CJP, <br />2f.3'4 e�oc�_or S+'alters Dfanor <br />: `I3 ApCPi:;;l <br />9530 4th Avenue West <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />WATER CL05=T (TOILETI <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUN7AIN <br />FLOOR URAIN <br />VACUUM �HEAKERS <br />ROOf ORAINS — flAtIJLEADERS <br />SINK �SERVICE — BAR. ETCJ <br />SUB TOTAL <br />yp[ fARD 55TBACr <br />USE ZONE <br />TYPE OF CONST. <br />SI2E OF BLOG. <br />FlRE:ONE <br />STREET SET�ACK <br />OCCUPANCVGROUP <br />BASEMENT <br />1. ENVIRONMEHTAL C4hCK LIST <br />2 BUII.DING PLANS <br />3. FIRE HYDRANT <br />4. FlnE PROTECTION SYSTEM <br />5, G�7ADING <br />G DRAINAGE <br />7.ENVIRONMENTALIMP4CiSiATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BV PLANS CMECKED �V <br />FEE <br />i7EAI4 VAFD SETOACK <br />VACANT SITE <br />❑YES ❑NO <br />MAX.00C.LOAD <br />�ATE <br />APPP.PORISSUANCE BY <br />1 HEREBY CERTIFY THAT I HAVE READ AND EaAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES N0T <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL L.1W REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SiGNAiUPLO�COirthACtOROa�HORi<ED/GENi . DAiE <br />� �/16/82 <br />X '�Y1�l� �'a.i _ ��if�/c,...� <br />Nin :.vnu. uni i a— n r. � <br />R[FRIGERATION UNITS — <br />DOILERS — H P EA. <br />GAS FIRED A C UNITS —' <br />PoRCED AIR SYST�lAS — <br />WALL HEATERS — 8 T.U. <br />11NIT HEAiERS — B7L. <br />AIR NANDLING UNIT — <br />STOVC <br />METAL FlREPtACE & CHIMNEV <br />�UII.OING <br />PLUMBING <br />MECHANICAL <br />FEE <br />SUBTOiAL s <br />PENMIT S <br />iOTALFEE S <br />PLAN CHECK PEE <br />FE[ I RECEIPT NO. <br />$1600.00 <br />UBC <br />SEC.303(a) <br />PROPERLV VAI �DATED IIN TH:S SPt.CE) THIS IS VOUR PERMIT <br />1346 f02b.50--� <br />�' <br />0 <br />Ycur, riFCEiP-r �-+ <br />Ti--In,NK YOU <br />ADDItE55 FILE <br />1 6 t�rt 8 2 <br />� <br />