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1 <br />ever�ett � CO�TRUCTIO�V � <br />CITY OF <br />ERMIT <br />ciTVHn��zs9e�as PERMIT NO. 07017 <br />�ver�err. wn �e2o, ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />Diane H. Johnson 8508 9th Avenue S.E. <br />�.in:;�3irtcr on oEsicuen ,,.,, .,,,.,,_.,.. <br />933 <br />GEN[Rp�C01�iRAGiOP MAILADDRE55 C11V ZIP PHONE LICEt:SEr <br />Same <br />IAECMANICALCONiRA�f01i MAILADDRE55 CIiV ZIP PHONE UCENSEI <br />Pl'JM�INGGONTRACTOi MAILADDRESS CIiY ZIP CHONE LiCE1:5E'� <br />OF WORK <br />❑NEW ❑ADDI710N ❑AUERATION ❑REPAIR ❑DEMOLI'ION OFENCE ❑SIGN ❑GARAGE <br />5 <br />install wood stove and herrth <br />FRonoSEo usE oF �UILJING — <br />single family residence <br />LEWL DESCRIPt10N .:: PROPEPiY �SH01'! E3ELOPl OR ATiACN FOUR COr <br />8508 9th Avenue S.E. <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />IVATER CLOSEi ITOILET) <br />�ATHTU� <br />KITCHEN SINK 8 <br />DISHWASHER <br />LaUNDRYTRAV <br />CLOTHES YJASHE <br />WATER HEATER <br />FLOOR DRAIN <br />VACUUM BREAKE <br />ROOF DRAINS — <br />SINK ISFRVICF — <br />SIDE VARD SETBACK <br />STR[ET SET�ACK <br />USEZONE LOTAPEA <br />n�PE OF CONST. OCCUPANC <br />9iZG OF BLDG N0. OP S7C <br />f F�E ZONE BASEMENT <br />APPROVALS <br />� [Pl\9RONMENTAL CHECK LIST <br />.' EiUILDMG PLANS <br />:; FIRE HVDRANi <br />: i'IR[ PROTECTION SYSTEIA <br />S GRADING <br />G DRAINAGE <br />7 EDlVIRONMENTALIMPACTSTATEMENT <br />I HEREBI' CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SANIE TO E3E TRUE AND CORRECI. <br />ALL PROVISIONS OF LA'NS AND ORDINANCES GOVERNING TF IS <br />TYPE OF �NORK WILL BE COMPLIFD WITH WHETHER SPECIFI�=D <br />HEREIN OR NOT. THE GRANTING OF A PERMIT OOES �iOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE f RO� <br />VISIONS OF ANY OTHER STATE OF LOCAL LAW REGULATING <br />CONSIRUCTION OR THE PERF RMANCE OF CONSTRUCTION. <br />sarin ��'-oFco rancro�onn�1 azeo �c./uy� omF <br />X �L�_-,�.��� ` �-/"(ir-�-J-C-r,7 12�6/79 <br />MECHANICAL ( <br />TYPE OF EOUIPM <br />f.IR f,OND. UNITS — H.it EA <br />PEFq!GGRATION UNITS — FI P f', <br />ovaona — n.r. tH. <br />GAS FlRED AL. UNITS — TOIJN <br />FORCE� AIR SYSTEMS — B T.U. <br />WALL HEATEFS — � T.U. <br />UNIT HFATFRS — R T I I <br />VENTILATION <br />fiANGE HOOC <br />AIR HANOLIN <br />STOVE <br />METAL RRFPI <br />REAR YARD SETBACK PLAN CHECK NUh1BER <br />VACl.NL SITE <br />f !YES .:NO FEES <br />N0. OF DWELLING UNI75 <br />�UILDING <br />1.1AX. OCG LOAD <br />'�.YES ��.�.NO <br />8 HEAITH DISTRICT I l <br />APPLICATION ACC BY PLANS CH[CKE� Bi APPR. FOF ISSUANCE BY <br />F'EE <br />5 <br />M <br />A1 <br />M <br />G F Id. <br />PLAN <br />RECEIPT N0. <br />M1IECHANICAL '] OO <br />OTHER <br />PENALT�� U.�.C. <br />SEC.3031a) <br />TOTAL � �� <br />PERMIT VALI�ATION <br />':JI�EG PROP[RLY V/�LID�TED ntJ THIS SPACE�THIS IS YOUR PERIdIT <br />; 6 S!� � 0 0%. 0 D---- ,�., <br />� <br />, � <br />i�'.:)IJR f��CaCIPi � <br />� i� _ � <br />ADDRESS FILE � � ��i' � �� <br />