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� <br />(hc6vcrgreen ^(�NSTRUCTION � <br />CIT; OF <br />e��erett PERII�IT PERMIT N0. O�3OH <br />CI � Y HPLL 259�0745 <br />Eve,�erT, wn sozoi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ pLUMBING <br />OWNNi h1AILA�DHt55 Clt� ZIP VNONE <br />J. L. Jenkins 8529 Bth Ave. W. �8204 355-0775 <br />ARCIIRlCiOfIL�ESiGN[N MAILAppRE55 CIiY TIC PHONE <br />�ENERAL C@1TPACipR 61AIL AppfiE55 CITY ZIP PHONE UGENSE Y <br />Same <br />MECIIANICAL COtliRACiOR MFIL ADOPESS CITY ZIP PNONE LICENSE I <br />FlUH91NG WNTRAGTOR lAAIL NOORE55 �IiY ZIP PIION[ UCENSE / <br />OF WORK Fy — — <br />❑N[lY ❑ADDITION ❑ALTERAiION ❑REPAIR ❑DEMOLI710N ❑FENCE ❑SIGN L'7(iARAGE <br />g 2,000.00 <br />OESCfiIBE WORK <br />construct car-port <br />PRoroSE� u5E oF 9uILo1NG <br />single family <br />IEGAL DESCRiPTION OF PROPEriTV (SNOY/ pelOW OP <br />ior 5 o�oc�oF Slover <br />JOB ADDfiE55 <br />8529 Bth Avenue West <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />BATHTUB <br />KITCHEN S�NK 8 DISP <br />DISHVJASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />VJATER HEATER <br />URINAL <br />DRINKWG FOUNTAIN <br />ROOF DRAINS — (IAINLEADERS <br />SINK (SERVICE — BAR. ETC.) <br />SUB 7CT4L <br />PERMIT <br />TOTALFEE <br />SIDE YARD SETBACK I STREET SETBACI <br />USE 20NE LOT AREA <br />TYFF OF CONST. OCCUPANCV GR <br />V-N M-1 <br />SIZE Of BLDG. NO. OF STORIES <br />16'x22' 1 <br />FIREZONE BASEMENT <br />3 <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PL4NS <br />3. FIRE HYDRANT <br />4. FIFE PROTECTION SYS7EM <br />5. GRAOING <br />6. DRAINAGE <br />7. ENVIRONMENTALIIAPACTSTA�EMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC BY I PLANS CHECKED BY <br />v.c. <br />I HEREBY CERTIFY THAT I HFlVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORR[CT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />i�YPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO uIVE AUTHORITY TO VIOLATE OR CA�VCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />S�GNAi�U P GONifiACiOR OR AUTII .; ENi DATE <br />x /_/r_.,�� � _G�_ s/io/so <br />� <br />TYPE OF E�UIPMENT <br />11�IT5— H.P. EA. <br />'ION UNITS — HP. EA <br />OOILERS — HP EA. <br />GAS FIRED A.C. UNITS — TUNN <br />FOFCED AIR SYSTEMS — B.T.U. <br />WALL HEATERS — P.T.U. <br />UNIT HEATERS — B:i.U. <br />EVAPORATIVE COOLERS <br />CLOTHES ORYERS <br />VENTfLATION FAN <br />PANGEHOOD <br />AIR HAN�LINf; IINIT <br />STOVE <br />REAR YAqD SETBACK PLAN CHECK NUMBER <br />VACANTSITE 80/7308 <br />❑YES CiF�' FEES <br />NO. OF DWELLING UNITS <br />BUILDING <br />MAX.00C.LOAD <br />PLUMBING <br />FIRE SPRINKLLRS <br />REOUIREp��� MECHANICAL <br />❑VES fX36 <br />BY DATE OTHER <br />PENALTY <br />APPR.FORISSUFNCE BY <br />FEE <br />M EA. <br />!A <br />M <br />M. <br />SUBTO7AL S <br />PEHMIT y -- <br />TO7AL FEE S <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />10.00 47814 <br />VALUATION FEE <br />5 2��0.�� <br />U.B.0 <br />SEC. 303 (a) <br />� �� <br />PEFMIT VALIDATION <br />WHEN PpOPEflLY VALIDATED (IN THIS SPACE) THI51S YOUR PERMIT <br />s3ia $OZO.DO — � <br />M <br />YO(,�P, RECElPT � <br />7M�1�lK YpU <br />