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.�he EcrrAreen <br /> `' � Y°� ' � � �ONSTRUCTIO� - <br /> et�erett PERMIT PERMIi No. 13874 <br /> CITY HALL 259�97d5 <br /> V �U�dW���'s ❑ COM�INATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> 01YNER MRILAOORE55 �ifV 21P PnONE <br /> Barba�•a 7bmas 3418 Shore Avenue �erett 98203 347-7185 <br /> ARCMITEGi OR cSIGNEN MAIL AD�R[55 CRv ZIP PNONE <br /> GENERRL CONTPACTOR MAR AODRE55 CITY ZiP PH�NE UGENSE• <br /> MECMANICALGONiRACTOR MRILAODRESS CIiY ZIP PMONE UGENSE� <br /> PWMBING GONTRACTpR MAI�RODRE55 GIiY ZIP pNONE LILENSE� <br /> GlA55OF WORN <br /> ❑NEW �(ADOITION ❑ ALTERATION ❑PEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVEIFIREPLACE INSERT <br /> VALU�TION OF WOflN <br /> f 18��00.�� � <br /> DES�NIBE WORR <br /> Add second atory to existinq one story n <br /> PFOPOSED USE OF BUILOING L�7 <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS " <br /> APPL�CATION AND KNOW THE SAME TO BE TRUE AND <br /> LEWL DESGRIPTION OF PROP[RTY�SHOW BELOW OF RTTACII POUR GOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �oT 9 o�ocK�oF Shore Acres GOVERNING THIS 7YPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A H M <br /> PERMITDOESNOTPRESUMETOGIVEAUTHORITYTOVIOLATE H '*1 <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR H y <br /> LOCAL LAW fiEGULATING CONSTRUCTION OR THE N � <br /> JOB��DHE55 PERFORMANCE OF COMSI'RUCTION. � <br /> SIGNRTU F CONTRACT R Of�l1TMORIZf D�GENT DATE � <br /> 3418 Shore Avenue � i � <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 2 WATERCLOSET(TOILET) AIP COND. UNI1S- M.P.EA. y <br /> 1 BATMTU9 Z � REFRIGERATION UNITS- H.P.EA. �s7 <br /> 3 LAVATORY�WASM BASIN� �j � BOILERS- M.P.EA. y �-1 <br /> ]. SHOWER 2 �� GAS FIpED A.C.UNITS-TONNAGE EA. K N <br /> KITCHEN SI4K 8 OISP. FORCED A1,9 SYSTEMS- B.T.U. M EA. � � <br /> DISHWASMER WALL HEATERS- B.T.U. M <br /> LAUNDRVTRAV UNIT MEATERS- B.T.U. M <br /> CLOTMES WASHER EVAPOPATIVE COOLERS ppp N <br /> WATER MEATER CLOTMES DRYERS � � <br /> URINAL 2 VENTILATION FAN <br /> DRINKING FnUNTAIN RANIiE HOOD - . � <br /> FLOOR DRAIN AIR MANDLING UNIT- C.F.M. <br /> VACUUM BREANERS STOVE-WO00 <br /> ROOF OFqINS- RAIN FpDERS MEiAL FIREPLACE 8 CMIMNEY y <br /> SINK�SEflVICE-BAR, ETQ) FIREPLACE INSEPT Z <br /> HEAT PUMP Z <br /> x <br /> H <br /> N <br /> SUB TOLAL 5 SUB TOTAL f 6 0 „�, <br /> PERMIT S PERMIT f H <br /> TOTAL PEE f 1Q OO TOTAL FEE f G O � <br /> SIDE YARD SETBACK STREET SETBACK qEAR VARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> ��. 25 2S O4�Z38�Q FEE 83.53 RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SI7E �-�§Q.� <br /> R-S .YES XxIJO FEES VALUATION FE'. <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF�WELLING UNIiS <br /> V-N Addn R-3 1 BUILDING s18,000. 128 50 <br /> SIZE OF BLDG. NO.OF STOflIES MA%.OCQ LOAD <br /> addn 1260 SQ. Ft. 2 8 PIUMBING t4 �0 <br /> FIRE ZONE BASEMENT FIRE SPHINKLERS MECHANICAL <br /> REOl/1flED G OO <br /> YES , NO <br /> APPROVqLS BY DATE OTMER <br /> 1.ENVIRONMENTAL CMECK LIST � r�.3.C. <br /> PENALTY SEC. 303�a� <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRANT ' TOTAI S48 SO <br /> a.FIRE PROTECTION SYSTEM PERMIT VALIOATION <br /> 5.GRADING WHEN PROPERLY VALIDATED(IN TH15,SPACn)TNIS 15IVO111�PERMIT_ Vr <br /> --s.onnirvnce Maximum allowable �height a6ove grade ��� <br /> — CK? <br /> •_-�7.ENVIRONMENTALIMPACT,STATEMENT shall not exceed 2$ feet. �.,, <br /> < B.HEALTHDISTRICT — <br /> �T'APPLICATION�ACC.BY � 'PLANS CHECKED BV APPR. FOR ISSUANCE BY - ' � � � ` � <br /> �_ STC'a. , .:� HN'M LC <br /> —� , I <br /> �� ADDRCSS fll[ <br />