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rheEreCrgYee�F CC��STRUCTION � <br />�verett ` PERMIT pERMIT N0. 0�674 <br />GiV HALL 259�8745 <br />eveaetr, wn sezoi ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRE55 C�iY lIP PNONE <br />��y ' p 6?' M n 1507 (' t m '1 RA M k'1tr�+ qR��S lSS (1F10 - <br />ARCNrtLCi OR DESIGNER MAIL AD�RE55 GTY Zlo PIiONE <br />GENEAALGO'�iPAGTOR MnIL/ODRE55 Cli" ZIP FMON[ UCENSE � <br />P r 6 ra S r r; . 727�f1, ^^^" _ <br />MECMFNIGLGONTPACIOii MFILADCRC55 Litt 21P ^P ONE lCEN5E1 <br />F A .p SF.A_d�df <br />PWMBINGCONTRACTOP MARI.�pRE55 CiTY ZIP P ONE LICCNSE <br />C hnm' h Pli h. 9 ctia_nata - <br />CLASS OF WORN <br />�JNEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VnLVA1�ON OF WORK <br />} %�IQ0�.40 <br />OESCRIBE WORK <br />2 story single residence <br />LLG/L DESCA��TIDN OF PPOPERiY ISIOW <br />ior.�Si—eia,K_oF �e <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />WPiLR CLOSET (TOILEiI <br />] �ATHTUB <br />j LAVATORY IWASH BASIN) <br />SHOWER <br />KITGHEN SINK 8 DISP. <br />DISHWASHER <br />L4UNDRV TRAY <br />1 CLOTHES WASH[R <br />\VATEP NEATER <br />URINAL <br />DRINKING FOUIJTAIN <br />iIOOR DRAIIJ <br />VACUUM �NEAKLI75 <br />ROOF DRAINS - RAINLEADERS <br />SINK ISEFVIG[ - BAR ETC 1 <br />SUB TJTi <br />S DF YARD SEl �ACN <br />6 Fe�_ <br />US[ ZONE <br />� <br />TVPE OF CONST. <br />V-N <br />SiZE OF OLDG. <br />9�x7[ _ <br />PIR[ IONL <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMIt:ED THIS AP� <br />rouFcoriEs� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANGES GOVERNING THIS <br />TYPE OF WCRK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE 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 REGULATING <br />CONSTRUCTICN OR THE PERFORMANCE OF CONSTRUCTION. <br />sic�+ar ac or coHrNncroa oa �ur��onizE o ncu�r oNrc <br />x� � a. ��`�,c.trZ 6-2Q-80 <br />SrHLL7 Sf�TF3ACK REAR YARD 5 <br />�n o <br />LOT ARCA VACANT SITE <br />IxILS -�.'NO <br />nrri ionunr �nD�P N0. OF OWEL <br />NO OF <br />1 ENVIRONMENTALCHECKL151 <br />'. DUILDING PV.NS <br />3 FIRE �1YDRANT <br />a FIRE PROTECTION SVSTFN <br />5 GFADING p� <br />f, DFIAINAG6 �, <br />� �1 CNVIRONMfiNTAL IMPA&j�SiP <br />�_ : o <br />o ��EnLiH D�Sii�ICi <br />:: �irpucni�ota A�a or � S�n <br />i <br />�; ' �> ;� <br />i <br />CHECKED I3v <br />n+nx <br />REOUIRED <br />IYtS NO <br />B� <br />nrvr+ roiv i;sunNCE ui <br />u <br />MECHANICAI <br />N0. TYPE OF E�UIPMENT <br />nIRCOWD u�l�1S-NP En <br />REFRIGERATION UNIiS - NP LA <br />BOILERS-HP [A. <br />GA541R@DAC UNITS-TONNAGEEA <br />FORCED AIR SY5TEMS - 8 TL � <br />Wf.�LHCATEPS-OTL � <br />UIJIi HLN 6RS - � TU. <br />CV�PORATIVE GOOLEFS <br />1 CiOTH[. i ORYERS <br />VENTILATIO�� F4N <br />RANGCHO00 <br />AIR HAN�UNG UNIT - <br />STOV[ <br />MEiAL FlREPLACE & CHIMNEY <br />SU8 TOTAL <br />7679 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />P[NAL7V <br />TOTAL <br />VLAN CHFCK FEE <br />FEE HEGEIPT NO <br />113.50 <br />VALUATION FEE <br />b <br />UBC <br />SEC. 303 I�l <br />PENMITVN4uwuvr. pp <br />VlHEN PFOPEPLV VAllbATED pN TNIS SPAC[I nu5I5 YOUR PERIdiT <br />� <br />�i 2� N <br />- •� � 3728 $22�.�� =cn1 <br />�� — �- <br />. ^ � �, � o <br />r � (-� c7 <br />� �_, ,, �, ?-,--E1PT <br />I 1 . U <br />