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�s <br /> �,��� �,��.�,���,.,, � ��r:�TRUCTI�N � <br /> �'�T��'��� PEII�I� PERMIT NO. � � � � <br /> CiIY �IALL.'S497a5 <br /> �v�aerT. w,; 3azu� ❑ COMBINATION � BUILDIMG ❑ MECHANICAL ❑ PLUMBING <br /> r,:; � .i�r.uoraLss or; ID, _. -_ ---- - . {i <br /> ivan Stevers 1111 41st Street 98201 _ ; °+,�';� <br /> /� .i.1-L'C9GESIGNER h� ILADDfiE55 GIiY ZIP PHONE y <br />��� — �i <br /> �'�1 <br /> s � AIAILAUOtiE55 CRV ZiP PNONE i'�.�. . �' , y <br /> 9 . r�n�rpurencron -� 5 <br />` �� Same u � <br /> ;� <br /> i� , � � ;av.uicn�coNrnncToa inn��,�ooacss ertv nP r��orm ur.ee�se. ' �', <br /> r�� <br />,�� ;i <br />{ „ ��+- PWMEIINGCONTRPf.TOR h�Ai�ADDRE55 LIiY ZIP PHONE UCENSE r �, ! �". <br /> !' <br /> � � ' <br />.F�Y'` �' ��n: <br /> ( .: <br />�e��'r�,�. c�.�,SS OF\YORK <br /> y � 1'. ❑NEIV ❑ADDIiION ❑ALTEl7ATION ❑RFPAIR ❑DEMOLITION X�}FENCE ❑SIGN ❑GARAGE f' � <br /> � A <br /> 1� -e . � '..'_uALOry G' A40(iH �� <br /> 7 9��.�0 <br />�{( :i . __ ' .. il <br />. �i <br /> }j � .:i..Cl�iO[\'/ORK � _ <br /> �I��! chain link 72" in back of lot <br />'�i�'� - .•�;��,iSED USE 0�2JLLOING <br /> single family I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> -- c,;,�oescr.irncuo�rno�cr�rv�sr�oweeiowonnTrncNFouncomcs� PLICATION AND KNOW THE SF�ME TO BE TRUE AND CORREC�. <br /> �� ALL PROVISIONS OF LAVJS AND ORDINANCES GOV�RNING THIS <br /> tn.o<-.a_oF TYPE OF NJORK VJILL BE COMPLIED WITH WHETHEH SPECIFIED <br /> HEREIN OR NC`T. 1"HE GRANTING OF A PERMIT DOES NGT <br /> PRESUME TO GIVF AUTFIORITY TO V!OLATE OR CANCEL THr pRO� <br /> — VISIONS OF ANY OTHER STATE OR LOC.^L. LAW REGU�ATW� <br /> CONSTHUCTIO� OF.THE PEFFORMANCE OF C,ONST�tUCTtON. <br /> 9GI1l.N� OFCOHiiNCTOFUdn -��ORdED6.ENT ���� <br /> _�f�Al'DqE55 /� <br /> 1111 41st Street X � �� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE _ <br /> WATER CLOSET I101LET) t.IR CONG UN!TS—H P EA. .. <br /> r. _ — <br />'i� � RE°flIGERATION UNITS—HP. EA _ <br />'�'i„. . BATHTUf3 - <br />'-� '�;��� � LAVATORY(VlPSH 9ASIN) �OILERS—hl R EA . <br />�� " GAS FIPED P.C UNI'.5—TONNFGE[A <br />��.,� . _ S40'.VER <br />'T;��',� �� KITCH[N SINK&�ISP FORCED AIR SYSTEMS—�T U. M EP.. <br /> � l'JALL HLATFfiS—B7.U. 1.1 <br />���, UISF{�qqSHtH <br /> IAUNDPVTRAY UNITHCATERS—OSU. M <br /> CICTHES WASHEfl EVnFORATIVL COOlERS . <br /> WNTER HEA7tH QOTHES DRVERS . <br />� . URINNL VENTIIATWN FAN _ - <br />„�� ��e DRINh;tJG FOU��TAIN RANGE HOOD — <br /> [� FLUOF LPAIN AIF HAIJDLING UNIT — C.F,M. <br />'�r`"� � VACUUM BRLAK[RS STOVE <br />�� . ROOF DRAINS—AAWLEAUEPS META�Flr[PLACE&Cr11MNEY <br /> �!�� SINK IFERVICE—6AR.ETC) <br />� � _ <br /> SUB'OTAL SUBTOTAL S _ <br /> PERMIT 5 PERMIT S . <br /> TOTAL FEE S 70TAL FEE S <br /> 'ilf�F YARO SETBACK STHEEi SETBACK REAR YAR�SET��CK FLAN CHECK NUId08F PLAN CHECK PEE <br /> fEE RECE�PiPJO <br /> �.�SF ZpNF LOT AREA VACANT SITE FEES VALUATION FEE <br /> C7VE5 ilNO <br /> IYPE GP CONST. OCCUPANCY GflOUP NO.OF DYlELLING UNITS <br /> OUILDING £ 900.00 g 00 <br /> S17.E OF �LDG NC�.OF STORIFS IdN(.OCC. LOAD <br /> PLUMDING <br /> RRE 20NE BAS'cMLNT FIRE SPRINKI.ERS MECHANICAL <br /> RHOUIRED <br /> C�VES I.:NO <br /> APPROVALS 0Y �ATE �jHER <br /> ' ENVIRDIJMFNTAL CHECK LIST pENALTY ���'�' <br /> SEC.303(al <br /> 2 �UILDING FLANS 9 �0 <br /> TOTAL <br /> 3. FIRc HYDRANT <br /> : FIRE PROTEGTION S�STEM PERMIT VALIDATION <br /> IVHEN PROPERLY VALIUATED(14 THIS SFACE;THiS IS VOU'•7 PERldli <br /> 5. GRADiNG 1325 saa�.Uo � �� <br /> u DRAINAGE <br /> � <br /> i ENVIRONMENTAL IAIPACT STP.TE6IENT • • L� <br /> �; HeAilta oisrr�icr �'4lj`R RE�GF;,'�'o � <br /> APFLICATION ACC BY PlANS CHECKED 3V APPR.FOR ISSUANCE E3Y � r \�Y�- <br /> � 7�k#d�At f< � ..�tJ <br /> 1 3 t:�, l9 � <br />