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'1 <br /> the E'vergrern �°7MSTRUCTION <br /> �,����� <br /> � eVerett PERMIT pERM�T �o. o857s <br /> ��r, �,A« �.�5y��a� <br /> ee�_Ntr� wa ��e_,�i L� COMBINATION �x�CBUILDING ❑ MECHAv11CAL U PLUMBING <br /> JWNFP MAII.ADDRE55 L'IiY ZIP PHONE <br /> Equlnox Inc . 8729 Airport Road 99204 355-0555 <br /> iHi4CK'10ROESIGNER MAII.Appfl[$5 CI'Y ZIF FHONE <br /> GENEHALCONiPACTOR MAIL\D�RESS QTT ZIP PHONE tIG£NSF 1 <br /> Same <br /> MlCMANICAI GONTRACiOR MAIL ADOPE55 GITY ZIP PHONE LICENSE:1 <br /> �LIIMBING CONTRALiOR MAIL N�DRFSS GIiY ZIP PHONE UCENSE Y <br /> CLA55OF WORK <br /> ❑NEW ❑ADDITION �LTENATION ❑REPAIR ❑DEMOLITION C�'=ENCE ❑SIGN CiiARAGE <br /> VALUATION OF WCRK <br /> S 1�.�. �0 _ _ <br /> DESCAIBE WORK <br /> install kitchen equipment ___ <br /> PPOPOSED USE OF BNL�ING <br /> commercial I HEREBY CER'�,'Y THAT I HAVE READ AND EXAMINED THIS AP- <br /> �ecn��escAiarioNOFPaoaea*visNowae�owoAnrrncHFouacoviesr PLICATION AN!:�KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONd::.OF LAWS AND ORDINANCES GO'VERNING THIS <br /> �o� e�ceK�oF TYPE OF WORr� 'WiLL ge COMPUED WITH WHE'HER SPECIFIE� <br /> HEREIN 0^ i�•���T. THE GRANTING OF A PERM!7 DOES NOT <br /> P�9coUME TO G'v/E AUTHORITY TG ViOLATE OR CANCEL THE PRO� <br /> ' " VISIONS OF A•t�rY OTHER STATE OR LOCAL LAW REGULATWG <br /> CONSTRUCTIC"���OR THE PERFORMANCE OF CONSTRUCTION. <br /> ABAODRESS � SIGNAiUFEO� GON1'FAGTOFORAU^�OR¢EDaGFtiT DATE <br /> --- zi/i3rao <br /> 8729 Air e L 'xoac3 X �� n_� ��_ � n� cr _ <br /> PLUMBiNO � MECHANICAL � � _ <br /> NO. TYPE Ui FIXTURE OR ITEM F€E NO. TYPE OF E�t11PMEN7 FEE <br /> WATER CLOSF.T QOILET,) AIR CON:. JNITS—H.R EA. _ <br /> BATHTUB REFRIGE-iTION UI"i:—H P.EA <br /> tAVATORV(WASH BASIN) BOILERg�—N.p EF.. <br /> SHOWER GAS FlH��.J n G.�hITS—TCNNAGE EA. <br /> 1 KRCHEN SINK&:11SP. 2 OO FORCEG��,ia SYSTEMS—BS.U. M EA. _ <br /> 1 DI::4WASMER WALLHi,�TERS—BT.U. M <br /> L4UNDRY TRAV UNIT HE<`TERS- BS.U. M <br /> CLOTNES WASHER EVAPOR4iNECOOLERS , __ <br /> WATER HEtiiEF CLOTHE��SDRYERS <br /> URINAL VENTILtiiION FAN <br /> DRINKING FOUNTAIN 1 AANGE�+,700 <br /> FLGOfl DRAIN AIF HHA.[)IING.UNIT— C.F.M. _ <br /> VACUUM BREAKERS j SPJVE . <br /> ROOF DRAINS—RAMLEADERS METPL'%-REFL4CE&CHIMNEY _ <br /> �. SINK(SERVICE—BAR,ETC.) <br /> � <br /> SUB TOTAL ( SUB TO1AL f <br /> PENMIT S 'PER#!IT f <br /> TOTFL FEE f TOFRL FEE f R AaX <br /> 'sIDE IARD SETEIACK STREET SETBACK REAF YARD SET&1CK PLAN GHECK k6M8ER PLAN CHECK FFE tj OO <br /> PEF RECEIPI"NO. <br /> USF LONE LOT AREA VACANT SITE FEES VALUIITION FEE <br /> � 'LiVES ❑NO <br /> TVPE OF CANST. OCCUPANCV GROUP NO.OF DWE!IING UMITS <br /> Bwc�ING s 120.00 10 00 <br /> SIZE OF BLOG. NO.OF STORIE9 MAX.OCC.IOAD — <br /> pi{?MBING 6 OO <br /> FIRE ZONE BASEMENT FlRE SPRINKlERS MECHANICAL <br /> REOUIRED 9 00 <br /> ❑VES ❑NO <br /> APVIIOVALS BY DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST PENA�TY U3C <br /> — SEC.303(a) <br /> 2. BUILDING PLANS ,� - <br /> TotA� Z S O <br /> 3. FIRE HVDRANT " <br /> 4. FIqE PROTECTION SYSTEM PENMR VAt1,��lON <br /> WHE�,J�RAP�L V LIDATED!�IITMISSPM:E�TH151SVOURPEflMIT <br /> 6. GRADING C �I I I .A �i l: ii.� � -- � �) 4 � I � O I O. O O (�� <br /> 6. DRAINAGE: c7 � <br /> C 7. ENWI�O�NTAL IA�P,4�T STATEMENT p� <br /> � 8. HEA�,7H D�STPICT ` . r•I �I T � � � , I( �.� I 1 O <br /> d <br /> APPLICA7101}ACC.BV� PLANS CHECKED BV APPR FOR ISSUANCE BV �:,�i, � J � ,� /. A 1 l/ , ,. U <br /> �-- �1 I . .. . �.� <br /> . .Q � � � , " L J 1 I :.UIY C J <br /> ADDRE55 FILF <br /> � <br />