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� 4 <br /> � <br /> ""�,�`.`�"�° - CONSTRUCTION <br /> CIIY OF <br /> ev�re�t PERMIT PERMIT NU. 07147 <br /> CIiV HALI 259�8745 <br /> evEafltt,wn eezoi ❑ COMBINATION � BIfILDING ❑ MECHANICAL ❑ PLUMBING <br /> O'NNER MAUADDRE55 GIIY ZIP PMONL <br /> David Peters ard Judith Rolstad 25?.0 Rucker 98201 <br /> ABCHITECT OR DCSiGN[R MAII ADDRESS GiY 21P PMONE <br /> GENERNLCONTPACIOR MAILApDRESS CILY ZIP P110N[ IICENSEI <br /> Same <br /> hiECHANiCAt CONTRAGiOR MPLL AODRE55 CITT ZIP GHONE LICENSE 1 <br /> PlUM91NGfANTRACtOR MAILAUDNES$ CIiY ZIY PNONE LICENSEI <br /> CLAS i JF WORK <br /> ❑NEW ❑ADDITION ❑ALTERAiION }Fj�R[PAIP ❑DEMOUTION ❑fENCE ❑SIGN ❑GARAGE <br /> vnwnnor+oF wonK <br /> � S 2,000.00 <br /> oEscaiee wonK <br /> concrete footing installed, house leveled, chimnies repaired <br /> rROPOSFo usE oP euiLoiNG <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND [XAMINED THIS AP- <br /> �[cn�oeseaianor+oFraoeenrris�wwuE�owoannneHrouaeoaies PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 23 559 Rucker's lst ALL PROVISIONS Of LAWS AND ORDINANCES GOVERNING THIS <br /> �or eix�_oF TYPE OF WORK WILL BE COMPLIEfJ WITH WH[THER SPEGFIED <br /> HEREIN OR NOT. THE GRANTIIvG OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHEF STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR iHE PERFORMANCE OF CONSTRUCTION. <br /> 51" [OF CON'RhCi OP A OPI AGENi DAi[ <br /> J013 A�2�'�1� Rucker Avenue � - 1/18/80 <br /> PLUMBINO HANICAL <br /> N0. TYPE OF FI%TURE OR ITEK FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn AIR CAhD.UNITS—HP.EA <br /> OATHTU� �7EFRIGEMTION UNITS—H.P.[A <br /> LAVAiO(7Y(WASN BASIN� �OILEFS—HP.EA. <br /> SHOWER GAS FIRED Af.UNITS—TONNAGE EA. <br /> KITCHEN SINK&DISP. FORCFD AI3 SYSTEMS—B T U. M EA. <br /> _ 'D� ISHWASHER WALL�+J�TGRS—Bi.LL M <br /> LAUNORY 'RAY UNIT IiCATBRS—Ca.T U. M <br /> G�OTHES WASHER EVAPURATNECOO�LRS <br /> WATER HEATER CLOTHES DRYN�� <br /> URINAL VENTI�ATION FAN <br /> DRINKING°OUNTAIN RANGE HDOO <br /> FLOOR DRAIN Alii NANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS $TOVE <br /> ROOF DPAINS—RAINLEADEFS METAL F.':?LACE 8 CHIMNEV <br /> SINK�SERVICE—BAR,ETCJ � <br /> SUB TOTRL SUB TOTAL f <br /> PEPMIT f PERMIT S <br /> TOTAL FEE f TOTPL FEE f <br /> SIOE VARD SETBACK SiREET SEIBACK REAR VARD SETBACK FLAN CHECK NUMBER PLAN CHECK FEE <br /> PEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> .7YF5 ONO FEES VALUATION PEE <br /> TVPE OF CAN57. OCCUPANCY GiOIIP NO.OF DWELLiNG UNITS <br /> BUILDING SZ�QOO.00 2O OO <br /> SIZ6 OF�LDG. NO.OF STORIES MAX.OCC.�OAD <br /> PLUMBIHG <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOCIRED NECHANICAL <br /> fIYES IlNO <br /> APPROVAIS BY D11TE OTHER <br /> 1. FNVIRONMENTAL CHECK LIST PENA�T� U B C <br /> SEC.303(a) <br /> 2. BUILDING PLANS <br /> 3. FlREHVDRANT TOTAI 20 00 <br /> a. FIRE PROTECTION SYSTEM PENMIT VALIDATION <br /> WHEN PROPERLY VALIDA7ED pN THIS SPACE)THIS IS VOUR PERMIT <br /> 5. GRAbING � I S T <br /> G. ORAINAGE S Q 10.O O �� � <br /> 7. ENVIRONMENTAL IMPACT STATEIAENT �--j <br /> B. HEALTH DISTRICT r' <br /> /.PPUCATION Ar.p,BY PLANS CHECKED 9V AFPR.FOR ISSUANCE BY '�0,�� R EC E I PT � <br /> x.c. : Tri,�NK Y4l! � <br /> , , _. <br /> AppI2ES5 FILE _ __ _ � g J� gO -- <br />