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0 <br />r <br />L <br />Nir Llr,c.rrn <br />everett CONSTRUCTI4. � <br />c�T�N�«2��H�as PERMIT PERMITNO. l:`�55 <br />eveaerr wn�emi U �OMBINATION ❑ BUILDING L�MECHANICAL I� PLUM2ING <br />Or'�N6H MnR ApCHESS Crtv �ip p��pyE <br />Ansel Braley 10 Beech Street Everett 98203 353-2450 <br />RRCNItECi OH pE$IGNEN MAIL AODHEiS CIiV jIV pNONE <br />GENENlL CONLR4CiOH MAIL AO�HE55 QTY ZIP PNONE IICENSE • <br />MECMRNIGL CONIRPCTOR MAI� p00FE55 CITY ZIP PNONE IICENGE • <br />Same <br />VIUMBING GONiNAC10R MAIL , 9DRE55 CITY pip VMONE IICENSE � <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ OEMOLITION ❑ FENCE O SIGN � WOOD STOVEIFIREPLACE INSERT <br />f <br />IESCR16E WORn <br />II15%dll WOOa StOVB <br />'AOPOSED USE OM pWLpMG <br />EGAL OESCNIPfiON UF PNOPENiV ISMOW BELf <br />�or _ eioCn _or <br />10 Beech Street <br />PLUMBING <br />Na� TYPE OF FIXTUNE OR ITEM I <br />WATCF GLOSET �TOILET) <br />B :iHTUB <br />LAVATORY �WASH BASIN� <br />SMOWER <br />KITCHEN SINN 8 DISP. <br />DISHWASMER <br />LAUNGRYTqAY <br />CLOTHES WASHER <br />WAiER HEATER <br />URINAI <br />DHINKING FOUNTAIN <br />FLOOR DPAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEADERS <br />SINK �SERVICE - BAR, ETC.� <br />7YPE OF CONST. <br />silf OF BLDG <br />i HEREBY C1=RTIFY THAT I HA'JE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />coPiesr CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING GF A <br />PEFMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTI�ER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />_ PERFOFMANCE OF CONSTRUCTION. <br />SiG�IE O� N�Li01VqR Apf'1oRIZEO AGE111 Dq1L <br />X ., .tin� (%e.� 5/5/83 <br />MECHANICAL <br />FEE NO. TVPE OF EOUIPMENT <br />AIR CONO UNITS - HP. EA. <br />REFHIGEFATIC ! UNITS - M P. EA <br />BOILERS - M P EA <br />GAS FIHED A C. UN11S - TONNAGE EA. <br />FOPCED AIR SYSTEMS - BI.0 M EA. <br />WALL MEATERti - B.T.U. M <br />UNIT HEAiERS - B T.U. M <br />EVAPORATIVEI:OOLERS <br />CLOTMES OPVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR MANDLING UNIT - QF.M. <br />1 STOVE - WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />SUBTOTAL { <br />PERMIT � - - _---y - --�'— <br />—'_- _ _ . __.. . . . . _'— <br />TOTAL FEE f <br />FE7 SETBACK HEAH YANU SETI <br />_— ______- _.. _ _.- __ _.. .—_. <br />AREA VACANi SIiE <br />YES NO <br />- "_'_' .. __ _ . __-- _ _.. <br />:UPANCY GROUP NO OF DWELLtN <br />F IHE I.ONE -. .. .-�-r E7ASE ME I�•. <br />APPROVALS <br />1. ENVIRONMCNTAL CMECN U5T <br />7 OWLDINGPLANS � <br />9 FIRENYDRANT <br />d. FIRE PR07ECTION SYSTEM <br />5 GPA�ING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACiSTAiEMENT <br />8 MEALTM�ISTqICT <br />APPLICAiION ACC. OY PLANS CHE <br />MAX OCC LOAD <br />FIqE SPRINHLEFS <br />RWUIRED <br />VES NO <br />BY UATE <br />BV � APPR. FOR ISSIIANCE <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />FEE <br />FEES VALUAiION <br />BUILDING <br />PWMBING <br />MEGHANICAL <br />OTHER <br />PENALiV <br />TOTAL <br />UBC <br />__ _ SEC 3071a1 <br />FEE <br />� 1� <br />f <br />f <br />�HECN FEE <br />RECEIPT NO <br />_'---__ _ __ <br />__ FEE <br />ii so <br />17 SO <br />PENMIT VALIDATION � <br />WNEN PHOPERLV VALIDATED�IN TWStSflA6E� TMIf1eY�� 1�1�,711 � <br />b J 1 7 dl.l lU <br />CT) <br />Y,;;i P. RECr-1pT - + <br />; ��,,r��!: You � <br />�uoF�rss nii <br />- 5 u.;,r � 3 <br />