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`,". `'�"�,`."' C�''VSTRU CTIO N <br />�:�1Y �F <br />eve�ett PERMIT pERMIT N0. 0734� <br />Ciir unu a5e-a�as <br />�vEr�en tivn �t3�o, ❑ COMBINATION ❑ BUILDING �C MECHANICAL ❑ PLUMBING <br />UAYNUI MPi� qUU11L5_ Ci�Y 111` VIIUNE <br />Estelle F:. Couqhlin G505 Be._rly Blvd. 98203 355-1021 <br />a�a�necronoesicr�rn Ma�noun[ss arr ria r��or�i <br />ULNI�A�CONIPAGIOfI IdAI�AUUf1E55 GI1V DP PIIONE lIGR15L1 <br />IAtC11aNICAI C9�ILRACIOB MAII AUpNES$ CIIY jIP PIIONI IICENSE I <br />Everett Metal Products <br />ClU1.IBING LUNiRACi011 AIAIL 100RC55 CI1Y $IP PIIONC UCENSE 1 <br />CLA55OF WORh <br />❑NEW ❑ADDITION ❑ALTERAiIOH ❑PEPAIP ❑DEMOLITION ❑FFNCE ❑SIGN ❑GARAG[ <br />VAWAiIOk OL \VORR <br />S <br />DESCRIpE WORK <br />instal wood burning atove <br />�o, eioc�oF _ <br />J06 AO�PE55 <br />6505 Beverly Blvd. <br />PLUMBINO <br />NO. TYPE OF FIXTUI <br />WATER CLOSET (101LET� <br />BATMTUB <br />LAVATORY(WASH BASINI <br />SHOWER <br />KITCHEN $INK 8 DISP. <br />DISNWASHER <br />LAUNDRYTRAY <br />CLOTHEE WASHER <br />WATER HEA7ER <br />URINAL <br />DRINKi,JG FOUNTAIN <br />tLOOR JRAIN <br />SINK <br />USE ZONE <br />TYPE OF CA�ST <br />SIZE OF BLDG <br />r <br />A <br />PERMIT <br />LOT AREA <br />OCCUPANCY GROUP <br />NO. OF STORIES <br />BASEMEt:T <br />FEE <br />PEAR VARD S[TBACK <br />VACANT SITE <br />L]YES f iN0 <br />NO. OF DWELLING Ut <br />MA%.00C.LOAD <br />FIRE SPRINNLERS <br />REOUIRED <br />❑VES ❑NO <br />1. ENVIRONMENTAL CHECK LIST <br />2 BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRAOING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATF.MENT <br />B. HEAITH OISTRICT <br />APPLICATION ACC. BY PLANS CHECNED BY APPR FOR ISSUANCE BV <br />; HEREBY CERTIFY THAT I HAVE REA['i AND EXAMIN[D THIS AP- <br />PLICATION AND KNOW THE SAME TJ BE TRUE AND CORRECL <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WOP{ WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEHEIN OR I'OT. THE GRANTING OF A PERMIT DOES NOT <br />PHESUME TO <��IVE AUTHORITY �(U VIOLATE OR CAP;CEL THE PRO� <br />VISIONS OF AVY OTHER STATE UR LOCAL LP.1,. REGULATING <br />CONSTHUCTIOV OR THE PERFORMANCE OF CONSTRUCTION. <br />9GNAtU�L O� GONi11ALI0R OR AULIICRIZED AGR11 pAiE <br />X Check #610 3/18/80 <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />AIR COND IiNITS — H P FA <br />REFRI(7ERAlICN UNIiS— HP EA <br />�OILERS — 1 P EA <br />GAS FIRED / C U1JIT5 —(ONNAGE EP <br />FORCED FIR SYSi[MS — H T U M EA <br />LVALLL[ATERS- BTU h1 <br />UNITNEATE'15—�TU !d <br />[VAPpRATIVE CWLF.NS <br />CLOiHES Uf±YERS <br />AIR HAND!JNG UNIT — /' <br />STOVE (ynnn p_�nrninn� <br />METAI fIREPIACE 8 CHIMNEY <br />BUILDINC, <br />PLUMBING <br />M@CHANIGL <br />TY <br />qL FEE SI <br />PLAN CHECK FEE <br />FEE RECEIPi NO <br />VALUA710N � <br />b <br />U.BL. <br />SEC. 303 �a� <br />r� � 1 <br />wiw� I I 7 I00 <br />PENMIT VALIOATION <br />WHEN PPOPERLI' VALIDATED (IN THIS SPACE) TH1IS IS YOU��fyl�j�' O O T� �{ <br />7�1 7 Y � � '� <br />' � <br />'if'��t�f� ���d�R��p�' <br />�ll�,li/'1`lM�K� l��l�— <br />II W 1�' OY <br />ADDRESS FILE _ : : <br />