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,h�. �:,�..�.�.�.,, �O N S�R U CT�O �' ' <br /> everett PERMIT PERMIT NO. 15�22 <br /> CI I1 MALL 259-87d5 <br /> EVERETT. V!A 9BY01 ❑ COMBINATION ❑ BUILDING �k MECHANICAL ❑ PLUMBING <br /> OWNER MAIL G�DAE55 LrtY 21P PMONE <br /> Manuel Mesa 2218 Baker Everett 98201 339-2227 <br /> ARGnrtEGt OH GESiGNER MAiL ApDNE55 GTV ZIP FHONE <br /> GENER4L CONTR�LiOR M�IL AOOHESS Gi\ 11F PnONE LICENSE� <br /> FfEGMANIG�L COIRR�GTOH MAIL���RE55 LIIY 21P iHONE L�GENSE� <br /> Same <br /> PIUMBING CONTR�CiOR M�iL�DDRE55 CitY ZIP VMONE IICENSE• <br /> QA65 OF WORN <br /> ❑NEW ❑ AO�ITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN �WOOD STOVFJFIPEPLACE INSERT <br /> VAWATION OF WORN <br /> f <br /> OESCRIBE WONR <br /> Znetall wood etove <br /> PROPOSED USE OF BUI�DINO <br /> I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS = <br /> A <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND -+ <br /> LEGILDESCNIPTIONOFPHOPERTY�SHOWBELI,IOR�TTAGMFOURCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES � <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH �^ <br /> ior_eiocK_oF � 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 STPTE OR "'� '� <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE � -� <br /> PERFORMANCE OF CONSTRUCTION. o m <br /> JOB�DDRESS SIGNATUR (�F 111RRCTOR �U1MOR1 RGENt O�iE G O <br /> 2218 Baker X 9 12 85 ^'� <br /> PLUMBINU MECHANICAL �m <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT _ FEE m� <br /> WATERCIOSET�TOIIEn AIR COND.UNITS- M.P. EA. r. <br /> BATHTUB HEFRIGERATION UNITS - HP. U. C Z <br /> LAVATORY(WASM BASIN) BOIIERS- H.P. EA r = <br /> SHOWER GAS FIRED A.Q UNITS- TONNAGE EA. � N <br /> KITCHEN SINK d DISP. FORCED AIR SVSTEMS - B.T.U. M EA. � T <br /> �ISHVJASHEFl WALL HEATERS - B.i.U. M � s <br /> IAUNDRVTRAV UNIT MEATERS- B.T.U. M _ _� <br /> CLOTMES WASHER EVAPORATIVE LOOLERS �+1 r-� <br /> WATER HEATER CLOTHES DRYERS O N <br /> URINAL VENTILATION FAN ('�7 Ir'1 <br /> C VI <br /> DRINKING FOUNTAIN 'RANGE HOOD 3 �n <br /> FLOOR DR<'N Alfl HANOLING UNIT - C.F.M. =n <br /> VACUUM BREAKERS 1 STOVE- WOOD _� .� fn <br /> ROOF DR�il75- RAINLEADERS MEiAL FIPEPLACE 6 CMIMNEV p <br /> SINK�SERVICE- BAR,ETC) FIREPLACE INSERT .-� <br /> _ _ <br /> MEAT PUMP A <br /> 2 <br /> _ � <br /> _ _ <br /> N <br /> SUB 70TAL f SUB TOTAL f z <br /> VERMIT f PERMIT f � <br /> TOTAL FEE f i TO7AL FEE f f� <br /> SIDE VARD SETBACK STREET SETBACK REAR VARD SETBACR PLAN CMECK NUMBER PLAN CMECN FE[ m <br /> FEE RECEIPT NO <br /> USE 20NE LOT AREA VACANT SITE — <br /> YES NO FEES _ VALUATION FEE <br /> TYPE OP CONST. OCCUPANCY GROUF NO. OF DWELLING UNITS <br /> BUILDING 5 <br /> SIZE OP BLDG. NJ.OF S70RIES MA% OCC LOAD <br /> PLUMOING <br /> F�qE 20hE BASEMENT FIRE SPRItJALEPS MECHANICAL 1� SO <br /> REOUIPED <br /> VES NO <br /> APPROVRLS BY OATE OTl1ER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTV U.B C <br /> SEC.907 lel <br /> 2.dUILDINGPLANS 1] SO <br /> 3 FIRE MVDRANT TOTAL <br /> �.FIRE PPOTECTION SYSTEM PERMIT V�II�ATION R��� �� � � �� � <br /> 5.GRAOING WHEN PROPlRLY VALIDAiEO pN TMY. 1 TI/I I Y U If— <br /> B.�RAINAGE � <br /> 7.ENVIPONMENTAL IMPACi STATEMENT <br /> e Hen�rH oistaict `� "� l� P, i:C C L- 1 P1 � <br /> AVPLICA�ION AGC. BY PLANS CMECKED BY APPR. FORISSUANCE BV � , <br /> , ��1�� <br /> I 2 ��f' d� <br /> ADDRE55 Fll� <br />