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Ihv 6 rYrlt111 <br /> CO' Ns"TRUCTICII <br /> everett PERMIT PERMIT NO. 13635 <br /> CIIY HhLLZ 6745 <br /> EvveNEt.T x=215 :[g� COMBINATION Xn BUILDING CX MECHANICAL X PLUMBING <br /> OWNER MAIL ADDRESS :.P PHONE <br /> Nancy Lervick 14273 11th Street WL. Vernon 98273 386-2979__ <br /> ARCHITECT OR DESIGNER MAIL ADDRESS PI. :'P PHONE <br /> GEN AL CONTRACTOR MAIL ADDRE: CHS :1P PHONE IJCENSE A <br /> ame <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CH'. 7'P PHONE LICENSE <br /> PLUMBING CONTRACTOR MAIL ADDRESS Ca' I'P PHONE LICENSE 0 <br /> CLASS OF WORKqKt� <br /> MNEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> f 78,000.00 <br /> DESCRIBE WORK <br /> Construct Duplex <br /> PROPOSED USE OF BUILDING <br /> Duplex I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR CORES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT—BLOCK—OF Monson GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR 1HE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS BI ATURE OF CONTRACTOR OR AUIHORIZEY AGENT DATE <br /> 1010 A 6 B 57th Street S.E. X ' <br /> PLUMBING ME HANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> 4 WATER CLOSET(TOILET) 8 00 AIR COND.UNITS- H.P. EA. <br /> 4 BATHTUB a 00 REFRIGERATION UNITS-H.P.EA, <br /> LAVATORY(WASH BASIN) 8 00 BOILERS- H.P.EA. <br /> SHOWER B 00 OAS FIRED A.G.UNITS-TONNAGE EA. <br /> KITCHEN SINK 8 DISP. 4 go FORCED AIR SYSTEMS- B.T.0 M EA. 6 00 <br /> 2 DISHWASHER WALL HEATERS- B.T.U. M <br /> 2 LAUNDRY TRAY 4 00 UNIT HEATERS- B.T.U. M <br /> 2 CLOTHES WASHER 4 00 EVAPORATIVE COOLERS <br /> WATER HEATER 2 CLOTHES DRYERS <br /> URINAL 4 VENTILATION FAN 12 nn <br /> DRINKING FOUNTAIN 2 RANGE HOOD 9 nn <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE-WOOD <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 6 CHIMNEY <br /> H <br /> SINK(SERVICE- BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> BUB TOTAL f 44 00 BUS TOTAL f 36 00 ~ <br /> .r <br /> PERMIT 81 PERMIT <br /> TOTAL FEE $1 44 1 00 TOTAL FEE 111 36 PO L^. <br /> SIDE YARD SETBACK STREET CETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> CEIPT NO. :A <br /> 84/13615 FEE 238.55 7073 <br /> USEZONE LOT AREA VACANT SITE - <br /> YES ..NO .:ES - VALUATION FEE — <br /> TYPE OF CONSTCUP NCY GR'',UP NO.OF DWELLING UNITS <br /> V-N R-3--M 2 BUILDING f 78,000. 367 00 <br /> Ft. NO-01 STORIES <br /> RICE MAX.OCC.LOAD <br /> RIBS'MPL,"q 9PLUMBING 44 00 y <br /> IRE E wt BASEMENT FIRE SPRINKLERS MECHANICALri T <br /> REOUIRED 36 00 <br /> VES .NO <br /> APPROVALS BY DATE OTHER � <br /> t.ENVIRONMENTAL.CHECK LIST PENALTY Us C. I.1 <br /> SEC. .303 141 _ 15) <br /> 2.BUILDING PLANS '^ 1 <br /> T.FIRE HYDRANT TOTAL 447 00 <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> S.ORADING WHEN PROPERLY VALIDATED LIN THIS SPACE)THIS f O�f//�PrIT+_� V <br /> 8.DRAINAGE <br /> I II'' ((;; <br /> .ENVIRONMENTAL IMPAOTSTATEMENT c <br /> M <br /> .HEALTH LTH DISTRI T <br /> z. <br /> PPLI�Ti CATION ACC.BY I-PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> s' EB ) _,HWM ILC �'• �� <br /> - r <br /> ADDRESS FILE <br />