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Ow h'mrlgreen <br />C1T, Of <br />everett <br />259-8745 <br />C INSTRUCTION <br />PERMIT <br />PERMIT NO. 20038 <br />❑ DEMOLITION ❑ COMBINATION 0 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PI10Nr <br />U.S. Sprint 1350 old Bayshore #100 Burlington CA 94010 (415) 375-4191H 4143 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE. <br />Advance Concrete <br />P.O. Box 4000-158 <br />Olathe KS 66061 <br />(913) 764-1042 <br />ADVNACI134MB <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORN <br />[1 NEW [-IADDITION❑ ALTERATION ❑ REPAIR ❑ DEMOLITION El BUILDING RELOCATION <br />752. <br />Footings for 12'x32' modual bldg., driveways walks and landscaping. <br />HEAT SOURCE <br />Fl FI FCTIAHrITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Tel PO N of Presence Bldg. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR HORIZ- AGENT, OR OWNER DATE <br />� <br />JVAX <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTAClIfOUR COPIES) <br />9 22 Twon of Lowell <br />LOT. mocK _ OF <br />JOB ADDRESS <br />5109 S. z aAve-X <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />UIPMENT <br />TMP <br />FEE <br />WATER CLOSET JOILETI <br />A/C — A-HNDLH PBATHTUB <br />REFRIGERATIOH P EALAVATORY <br />(WASH BASIN) <br />BOILERS — B <br />SHOWERGAS <br />FIRED A CT.U.KITCHENSINK <br />B DISP. <br />FORCED AIR SBT.0 MEA.DISHWASHER <br />WALL HEATERM <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR. ETC) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />S <br />SUBTOTAL <br />PERMIT <br />$ <br />PERMIT <br />TOTALFEE <br />$ <br />TOTAL FEE <br />FRONT SETBACK <br />REAR SETBACK <br />S1DE SETBACK <br />PLAN CHECK NUMBER <br />88/20038 <br />OW25/66 11' � <br />105/30 <br />WA 64 <br />97887 <br />USE ZONE <br />B-2 <br />LOT AREA <br />VACANT SITE <br />DIVES ONO <br />FEES <br />ATIO <br />FEE <br />BUILDING <br />p <br />,1�LY52 00-.so <br />102 <br />60 <br />TYPE OF CONST <br />II-lhr <br />OCCUPANCY GROUP <br />B-2 <br />NO OF DWELLING UNITS <br />0 <br />PLUMBING <br />U 1 <br />r. F <br />SIZE OF BLDG <br />12x32 <br />NO OF STORIES <br />1 <br />MAN. OCC. LOAD <br />N/A <br />MECHANICAL <br />- <br />0000(10781 <br />- <br />FIRE SPRINKLERS REOUBtED OYES NO <br />INVESTIGATION FEE <br />FW JOd(e) d* �' <br />� <br />on <br />STATE BUILDING SURCHARGE <br />00000595? <br />3 50 <br />STATE ENERGY SURCHARGE <br />F: 6 <br />.0 <br />APPLICATION ACC BY <br />S.H. <br />PLANS CHECKED BY <br />J.W. <br />_ <br />APPR FOR ISSUANCE BY <br />J.W. <br />DRIVEWAY PERMIT <br />LAS%f <br />TOTAL <br />106 <br />1 <br />J PERMIT VALIC.4TION <br />WHEN PROPERLY VALIDATED IN THIS SPACE) THIS IS YOUR PERMIT <br />QC) <br />m <br />tV <br />