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,,,�.L,�r���.��� ; CONSTRUCTIO ` : <br /> everet�t PERMIT PERMIT N0. 14� � J <br /> CITV HALL 259�N7a�, <br /> eveaeTr,tva eaz� ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNER MA�LApORE55 GiY ZiP PMONE <br /> BALLINGER FORD 3732 SMZTH AVE <br /> AFGNITEGi OR OESiGNER MAIL AODRESS CITY 21P PMONE <br /> GENERAL CONiPAGiOF MAIL AODRE55 CIiY ZIP PMONE LICENSE/ <br /> MECMANIC�L LONTRACTOq MAiL ADORE55 CITV ZIP PHONC LiCENSE� <br /> LEIGH CO PO HOX 129 CARNATION 98014 788-2641 LEIGHI219ST <br /> PWMBING CONTRALiON MAIL AOLRE55 GITY 21P PHONE LiCENSE• <br /> C1A55 OF WOFK <br /> ❑ NEW ❑ ADDITION Cja)(ALTERF,TION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VRWATION OF WORK <br /> S <br /> DESCR�BE WORN <br /> Add steam cleaner to existing oiping <br /> PROi`OSED USE OF 9l1IL01NG <br /> I HEREBY CERT�FY TNAT I HAVE READ AND EXA�dI�ED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCR�PiIONOFPROPERTY�SHOY/BE:0IYORATTACMFOUPCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES z <br /> �or_o�ocK_oc_ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH � <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A � <br /> PERMITDOESNOTPRESUMETOGIVEAUTHORITYTOVIOLATE !'^ <br /> OR CAIJCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRU�TION OR THE <br /> P FORMANCE OF CONSTRUCTION. ,:.{ T <br /> JOB AO�HE55 SIG F OF CONTRPCT R AUiHORREO AGENT OATE <br /> 3732 Smith X . 11/13!84 in = <br /> m <br /> PLUMBING MECHANICAL � c o <br /> m o <br /> N0. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE � c <br /> WATERCLOSET�TOILEn AIR COND UNITS— HP. EA. � 3 <br /> m <br /> _ BAfHTUB REFRIGERATION UNITS— H.P.EA. _� <br /> LAVATORY�WASH BASIN) DOILERS— H.P. EA, f*1 <br /> SHOWER GAS FIflED A.G UNITS — TONNAGE EA. •C Z <br /> KITCHEN SINK 6 DISP. FORCEO AIR SYSTEMS— B.T.U. M EA. �_ <br /> DISHWASHEH WALL HEATERS�-� O.T.U. M �N <br /> LAUNDRY TRAY UNIT HEATERS— .'T.U. M < ,�,� <br /> CLOTMESWASHER _ EVAPORATIVECOU;ER< � D <br /> WATER HEATEfl CLOTHES DRYERS �m <br /> URINAL VENTILATION FAN m � <br /> DRINKIIIG FOUNTAIN RANGE MOOD N <br /> � <br /> FLOOR DRAiN AIR HANOLING UNIT— C.F.M. O r <br /> _ �m <br /> VACUUM BREAKERS STOVE—WOOD t � <br /> N <br /> ROOF DRAINS— RAINLEADE9S METAL FIREPLACE 8 CHIMNEY m <br /> 2 C't <br /> SINK�SERVICE— BAR,ETC.) FIREPLACE INSERT "'�r <br /> _ • m <br /> HEAT PUA1P � <br /> A <br /> �. 8S 1 .11l � <br /> 2 <br /> a <br /> z <br /> SUB TOTAL S SUB TOTAL 5 '� <br /> ._-� <br /> PERMIT S PEflh11T S � N <br /> TOTAL FEE S TOTAL FEE f Z <br /> SIDE YARD SETBACK STREET SEIBACK REAR YARD SET9ACK PLAN CMECK NUMPER FIAN CHECK FEE O <br /> FEE RECEIPT NO. � <br /> n <br /> USE ZONE l0T AREA VACANT SITE m <br /> �VES NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWEILING UNITS <br /> BUILDING 5 <br /> SIZE OF OLDG. N0.Of STORIES MA%. OCG LOAD <br /> PWMBING <br /> FIRE ZONE BASEMEN7 FIRE SPRINNLERS MECHANICAL �. SO <br /> REOUIPED <br /> YES NO - <br /> APPROVALS BY OATE OTNER <br /> L ENVIRONMENTAL CMECN LIST PENALTV U.B C. <br /> SEC.3031a) <br /> P BUILDINGPLANS <br /> 3.FIRE HYDRAl1T TOTAL <br /> 4.FIREPROTECTION SYSTEM PERMIT VALIOATION <br /> 5.GRADING WHEN PROPERLY VAUDATED�IN THIS SPACE�1 THIS IS YOUR PEAMIT--�(']�, <br /> i ' ' � <br /> G.ORAINAGE <br /> ' 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> 8.HEALTM DISTRICT i <br /> i� <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> AD!iI:E�.; Il:f. <br /> 1 <br />