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�h��°�T�oF � 'ONS�'RUCTION <br />ever�tt PERMIT PERMIT NO.002Z6 <br />GTY HALL 259-8745 <br />ev�a�rT wn �s2oi � COMBINATION � BUILDING � MECHANICAL �x PLUMBING <br />OWNCR IA41lPDGRfSS U1Y Zli' Y���OtlE <br />Les Meredith 10923 Marine View Drive 98204 743-2296 <br />�•��CN�LEGtORLfS�GNkn MR�L/DDHE55 Crtv Zir PHONE <br />GENENA� fqNiR4CTOB AAA�L ADDRE55 GI1Y 21C FH01lE I IGEN6E ♦ <br />Sam2 ME RE DC 224BQ <br />NICHANIGhICANTRACTOR IAAqADDA[55 QTY ZIP PHONE LIGE�GE� <br />PLVMBING CANTRACTOR MAIL NDDNE55 CiTY ZiF PHONE UCENSC � <br />^"V •V [�j[y¢W OADDITION ❑ALTEflATION ❑REPAIR ❑DEMOLITION ❑fENCE ❑SIGN ❑GARAGE <br />V/�WATIONC OF WONK <br />j %JI�QQ.Q� <br />DESGqI�E WORK <br />Construct Duple:c <br />r�no�oseo use oF auaowc <br />Two L'amily Unit <br />l I�3AL DESGFIPiION OF PROf [RiY ISNOW DEIOW OR 41TPCM FOUR CAPICS� <br />,,;i � �iocK 16 or Lowell (Town o.`) <br />JO9fi°��s�3 A 6 B 9th Street <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />d WAT[7 CLOSET (TOILET) <br />KITCHEIJ SINN 8 [ <br />DISHWASHEF <br />IAUNI7PY TRAV <br />CIOiHES WASHFI <br />WATEfl HEATkfi <br />UFINFL <br />DRRJKING FOUIJT <br />FLOOH DRAIN <br />VACIiUM fiREAH[ <br />ROOF DRAINS — <br />c uv iccavirF — <br />SiDG YARD SETBACK <br />5' <br />USF ZONE <br />R-2 <br />TVPE OF CONST. <br />V—N <br />SIIF. OF BLDG. <br />36'x38' <br />riae zoNc <br />STHE67 SCTUACN <br />2�� <br />LOT AHEA <br />R-3 <br />OF STORI[S <br />� <br />3 I none <br />APPROVIILS <br />L [NVIPONMENTAL CHECY, U:T � <br />2. CUILDING PLANS <br />3 FIRE HYDRANT � <br />M . __ <br />�, E. HRC �RO7CGTION SYS}� __ <br />4 5. GRADIN(i. 1 O� <br />, _. . <br />P G ORPINA(�-� <br />` —5 �NviaUl��rrrffiIni n.ern�s�:�niiirENr <br />BY �ANS Gi[U:ED BY <br />v.c. <br />( �i <br />FEE <br />SETBPCK <br />�� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAIdMED 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 WILI BE COIdPLIED 1YITH WHETHER SPEGFIED <br />HEREIN OR NOT. THE GRAIJTING OF A PERIv11T DOES NOT <br />PRESUME TO GNE AUTHORITY TO VIOLATE OR GANCEL TH[ PRO� <br />VISIONS OF P.NY OTHER STATE OR LOCAL LAW FEGULATING <br />CONSTRUCT R TH[ PERFORMA'JCE OF CO TRUCTION. <br />S�Gn4iUfi[ G� �A oa Aut��oPiZl o nGENr � D/�*f <br />TYPE OF EOUIPMENT <br />r�i� coNo urait; — H r. en <br />RLPRIGERATION UNITS — H P CA <br />201LEA$ — H P.EA. <br />GAS f�RED A G UNITS — TONNAGE EA <br />FOPCED Ai? SYSTEMS — B i.U. M <br />1vAlL HLATEPS — 9 T.U. M <br />UNITIIEAiEHS—BT.U. M <br />[VAPORATIVE GOOLEftS <br />CLOTHES DfiYERS <br />VENTILATIpN FAN <br />RANGEMOOD <br />AIR HANDLING VNIT — L. <br />STOVE <br />�dETAL FIREPLACE 8 CHIMNEY <br />PLAN CHECK IJUME�EP <br />i iYES ❑IJO <br />NO. OF DWELLING UNI75 <br />2 <br />BUILDING <br />IAAY. OCC LOdD <br />APPR <br />TY <br />FEE <br />n <br />SUB TOTAL s [ U � V V <br />PERMIT s � <br />TOTAL FEE f Z O 00 <br />� PLf.'J CHECK �LI. <br />rE.i, r�ecEirT Na <br />VALUATION FEE <br />s75,000.00 237 00 <br />36 00 <br />20 00 <br />LLBA. <br />SEC.303(a) <br />PENMIT VALIDATION <br />WIIEIJ PROPLRLY VALIDATED QN THIS SPACE) THIS IS VOUR AERMIT <br />293 � On <br />i.o <br />aos� S1S1.Oq -►�� � <br />0 <br />YOUR RECEIPT <br />7FiANK YO U <br />1 T ■m 7n <br />