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dic Evcrgrce�t ^0 ��T RU �TI O IV � <br />��r, oF <br />e�grett PE���T PERMIT NO.OH711 <br />CIIY HALL 259-87n`v <br />evenerr.w�, �aao� ❑ COMBINATION �tBUILDING ❑ MECHANICAL PLUMBING <br />OYMER I.IAII��UPE55 CRV ZIP PMONL <br />Ch�ad T. Lewis 7430 17th 98203 353-6563 <br />ARCHLECTOR�ESIGNER MAILAppflESS CIiY ZIP PH011E <br />��ENE�ALGONiBhGiOR IAAILADDF:55 CrtY ZIP PHONE ULENSE� <br />Same <br />MIECM4NICALCOp1RAQOP MARAODBE55 Ciiv PP ��fONE LICEHSE� <br />PlUM01NGCONiPACTOR AIAILRDDPE55 CIiY ZIP PIIOqE UCENSE♦ <br />SSOF WORH <br />❑NEW `R�D�ITION ❑ALTERATION ❑REPAIR ❑DEIdOLITION ❑FENCE ❑SIGN G/��AGE <br />.UATIOG CP \'IORK <br />g 8500.�0 <br />Family room [iddition <br />=noaoseo use oF ooaoiNc <br />single family residence <br />LEGnL �ESC�iiPliON OF PROGERTY ISHOYJ OELOY/ OR AiTAO� FOU <br />lZ East View <br />�OT_._'-'.00N___OF <br />JOBFCDRE55 <br />7�130 17th Avenue <br />PLUTABING <br />ryp, TYPE OF FIXI <br />KITCHEN SINK 8 C <br />DISHVlASHEH <br />LAUNDRYTRAY <br />CLOTHES WASHEF <br />WATER HEATER <br />URINAL <br />ORINKING FOUNT <br />FLOOR DRAIIJ <br />VACUUM BREAKEI <br />ROOF DRAINS — <br />SINK ISERVICE — <br />SIDE YARD SETBP.CK <br />TVPE OF GONS <br />V-N <br />SIZE OF BLDG. <br />1G'r.24' <br />FIRE ZONE <br />�TEM <br />iTF1EEi SET"' REAR VARD <br />�ot naEn vncnNT siT <br />LIYES LX <br />DCCUPANGY GROUP NO.OFDW <br />R-3 1 <br />NO. OF STORIES MAX. OCC. <br />1 <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PL4NS <br />3. fIRE HYDRANT <br />4. FIRE PROTECTION SYSiEM <br />5. GRADING <br />�-"� 6. DRFINAGE <br />�-"� 7. ENVIRONIy1ENTAL IIAPAGT STATEMENT <br />�� B. HEhLiH DISTPICi C� <br />"� <br />p-, APPLIC/+TION FCG BV � PLANS CHECKED BY <br />c� V.C. <br />C -.� <br />APPR.FORISSUANCE�� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLI(:ATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHEA SPECIFIED <br />HEIIEIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRC:SUME�OGIV THORITYTOVIOLATEO�ANCELTHEPRO� <br />VISIONS OF A ER STATE OR OCF.t�C LAW REGULATING <br />CO`ISTRUCT HE P C C)F CONSTRUCTIUN. <br />SiGW]U�EOF 0 iP � Ui � Ri AC NT � OAiE <br />x � 12/29/80 <br />— i <br />MECHANICAL <br />AIR COND. UNITS — H.P. F.A. <br />orc[lircRnilnN IINITS — H P. EA <br />FIRE� P1C. UNITS — <br />:ED Alfi SYSiEMS — <br />_ HEATERS — 0 T.U. <br />HEATERS — B T.U. <br />'ORATNE COOLEFS <br />fHES DflYERS <br />flLAiION FAN <br />3E HOOD <br />�VAN�IJNG UNIT — <br />PLAN :HECK NUMtlt11 <br />g0/8711 <br />FEES <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />C.J ACDRES; FILE <br />CHudNEV <br />hl <br />PLiN CHECK FEE <br />FEE 96.43 � RECEIPTNO. <br />58500. <br />U.B.C. <br />SEC. 303 (a) <br />74 50 <br />4 00 <br />78�50 <br />VALIDATED �IN THIS SPACE� THIS IS YOUR PERMIi � <br />��_.s ��1q.5�—r, <br />c'� <br />� <br />, ,r�C100 <br />� <br />. , . . , ', . U � -- <br />�. ' 1 i.�U. U � <br />