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theEuCrXr on � ��������'�� � <br /> ever�tt PER1elIIT PERMITNO. � CO3O <br /> ❑ DEMCIITION �i3tCOMBINATION ❑ BUILDING ❑ NiECHANICA! O PLUMBING ❑ SIGN <br /> OLVNER Mf.il AOURE55 CITY ZiP PHONE <br /> RC Construction 2722 lOQth St. SG Lcerett, I9I1 9620A 338-0335 <br /> nRCF11TECT OR OESIGN[q MFIL AOOFE55 CITY 21P PHONE I <br /> G[N[R�L CONTRACTOR MNL ADDBE55 CItY ZIF PIIONE LICFNSG a �I <br /> Owner RCCONCI1480N �� <br /> IAECNANICALCONTRP.CTOR MAIL4D[1RE55 fltv ZIP PIIONE LICENS[+ I <br /> PLUM9INGCONTRACTOR M4iLAL'J9E55 G?Y Z�P PNOYE LICENSf:y <br /> CLASS OF WORH <br /> L�NFW ❑ ADD!TION ❑ ALTERATION ❑ REPAIi� ❑ DEM7LITION ❑ BUILDING RELOCATION <br /> VALUATION OF R'OPH <br /> $ rJ7�UQG.�� <br /> DESCPIOE YlOFN � <br /> Construction of sinlge Sdt�X family residence <br /> HEAT SUt1HCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSEf USEOFOUII�ING <br /> Single family resi�ence I HEREBY CERTIFY 7HAT I HAVE READ AND EXAM!NED THIS �� <br /> APPLICATION AND I(NOW TI�E SAME TO BE TRUE AND <br /> �ecni_oeseaiFnoNOFaaoeenrr�srwv:oe�owonnrrncNFouacoviesi CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 34 Lar��:cn Park GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> io1_o�ocK _ oF WHEI"HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTH[R <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONS RUCTION. <br /> eoo noor�ess i�,��j*�uJ+F!o�F covmn/clo�pPurNonrzF nee f. n ovrracn oare <br /> 10809 lOth Dr. SE Xl-�-�(llL��/p./ c.� �1� , �Lri. �l-Z � <br /> PLUMBING MECHAHICAL � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET� IS OO ��C—AiHNDLG UNITS--H P <br /> BATHTUB S GO A[FRIGERATION UNITS—HP.EA. . <br /> LAVATORV�WASHBASIN) ZS OO BOILERS—B.T.U./HP. <br /> SHON'ER S OO GASFIREDA�C UNITS—BTU. <br /> KITCHEN SINK 5 DISP. 5 �� FORCED AIR SYSTEAIS--BS.U. M EA. (j <br /> DISHVlASHER r� WALL HEA7ER5—B TL M <br /> LAUNDRV TRA� UNIi H[ATERS—�S.U. O G � �-F'-4� <br /> CLOTHES WASHER r) EVAPORATIVECOOLERS / <br /> URINAL CLOTHESDRVERS d <br /> DFINKING FOUNTF.IN VENTILATION FAN <br /> FLOOR�FAIN RANGE HOOD <br /> BACKFLOW PREVENTERS IVATER HEATEF � <br /> HOOF DRAINS—RAINLEADERS WOOD STOVE b'S• � <br /> SINK(SERVICE—BAR,ETC.� METAL F�REPLACE&CHIPdN . � <br /> FIREPLACE INSERT . � � . <br /> HEAT PUMP � <br /> GAS PIPING g i <br /> E%HAUSTPAN �, <br /> SUBTOTAL S SUB .JJL• I <br /> PERMIT $ pEp � g6 U . <br /> TOTALFEE 5 TOTA �6 SO <br /> FnoNT SETor�CK i�ena 5[�uncn sioE SErnnck PLAN CHECK Nl1M�ER F ... IPT NO. <br /> 6 88/18909 ���ic �17 .00----- � <br /> USEZONE IOTAREA 'i <br /> vncnNrsrte FEES VALUATION FEE ' <br /> ��1Y[5 ❑NO , <br /> JL <br /> TYPEOFCONSi OCCUPANCYGROUP NOOF�WELLINGlIWTS 6UILDING SS�I OOO.00 446 OO <br /> — — PLUMeING 55 00 <br /> SIZEOFOL�G NO.OFSTORIES MA% OCCLO�D <br /> MECHANICAL ]6 5� <br /> INVES71GA7ION FEE Sec.30d(c) <br /> FIRE SPRINKLERS REOl11RE0 ❑YES NO — <br /> S7�TEBUILDINGSURCHARGE 3 SO <br /> STATEENERGVSURCHARGE 15 00 <br /> �PPUC�TION ACC fiY PLANS CHECKEO BY �PPR iOR ISSUANCE PY <br /> � DRNEVJAY PERMIT <br /> S.H. B.E. II.E. TOTAL 616 00 <br /> PERMIT VALIOATION <br /> WHEN PRO�'F.fiLV VAL!DAl[O IIN I11155PACH THIS IS VOUR PERMIT <br /> 0 <br /> �J <br /> � <br /> �7 <br /> T� <br />