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d�eli��er,�r�•rn CO�VSTRUC�ION � <br />GTV Of <br />ev�rett PERMIT PERMIT N0. 0�250 <br />CITV HALL 259�tliA5 <br />cve�+erT wn eE+.u� ❑ COMBINATION �x�cBUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNIfI Mltll AU11H�t.b l.�I� IM1' PIIUNt <br />Nelson Clark q14 Beech Street 355-5924 <br />auClu'fGtORDFS�GNffl MAIL�ODRF55 Ulv 16' PIIONf <br />('�I NEReI CONi11�C10R MAIL �pDRC55 CI1Y ZIP PMONE lICU15! I <br />W. �. Huilders, Inc. 7612 Beverly Blvd. 98203 353-6422 <br />4161ANiCAI C0111N4CION NAIL �ODRE55 LIIV ZII' PMONE LICENSE � <br />WS BU I 239KR <br />�WMBiNGGONiRACTOR MARRODRE55 CItY 2iP P��ONE LICENSE� <br />CUGS OF WORN <br />❑NEW GADDI110N ❑ALTERATION 6(;[iEPAllI ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALU4110N O� WORI( <br />S .�0����� <br />DESCN�PE WORN <br />Re-Fvof-ineert wi.ndowa <br />raoaosEu use ar euuoiNc <br />single family reaidence <br />IEGnL OLS(:RIPIION Of PPOP[9TY �Sr�OW tlELOW ON �iTAC�I fOUA CAPIE51 <br />�or z�; e�or _ Airport Acrea <br />�'�S` =�2� <br />14 Beech Street <br />PLUMBINU <br />NO. TYPE OF FIXTURE OH <br />WATFR Q95Ei (10RE7) <br />BATMTUB <br />IAVATOR� IWASN BASIN� _ <br />SNOWER <br />KIiCNEN SINN 6 DISP <br />DISMWASHER _ <br />LAUNORYiRAV <br />C�OTHES WASHER _ <br />WATER MEATER _ <br />URINAL _ <br />�RINKING FJUNTAIN <br />FLOOR ORAIN <br />VACUUTA BREAKERS <br />ROOF ORAINS — RAINLF.ADERG <br />CI�.IY �SCBVI('C — {iEH FTf 1 <br />SE78ACK SIREETSE7gACN <br />LOT AREA <br />OCCUPANCY GAOUP <br />NO OF STONIES <br />1 ENVIRONMENTAL CHECK UST <br />2 BUILDING PLANS <br />3 FlPE HVDtiANT <br />a. FlPE PRO7ECTION SVSTEM <br />5 GRADING <br />6 DNAINAGE <br />1 ENVIRONMENiAL IMPACT SiATEMENT <br />B HEALTH DISTP�:;T <br />APPLICATION AIX: BY PIANS CNECKED BY <br />fIYES f <br />APPR FOR ISSUANCE BY <br />v.c. <br />I HEREBY CERTIFY 7HAT I HAVE READ AND EXAMINED iHIS AP- <br />PLICATION AND KNOW THE SAME TO FiC TRUE AND CORREC�. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING 7HI5 <br />TYPE OF WORK WILL BE COMPLIED WITH WHETFiER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STAiE OR LOCAL LAW REGU'1�TiNG <br />CONSTRUCTION OR 7HE PFRFORMANCE OF CONSTF UCTION. <br />vcr�ntu�n o� mNrnaaono��nui.�or.R[n ��FNi oarE <br />X c�t�r.�� � • J /l�/'Yla� 2/20/80 <br />MECMANICAL <br />NO. TYPE OFEOUIPMENT FEE <br />niw cor�o urans - r+r en <br />REFRIGFRAiION UNITS— H P FA <br />BOIL6R5 — N P EA <br />GAS FIP[O A C UNITS — TONNAGE EA <br />FORC� D AIR SYSTEM$ — 8 T U M EA <br />KALL IIEATE(15 -- D T U �A <br />Uti1T HEATERS — 0 T U M <br />EVAf'ORA f IV[ COOL[RS <br />CtOTHfS ORYERS <br />VENTIIAiION FAN <br />RANGE lIOOD <br />Alfi HANDLING UNIT C F M <br />STOVE <br />METAI f�NEPLPC,E 8 C4IMNEV <br />SUB TOTAL <br />PLAN CMECK FEE <br />fCE HECEIPI NO <br />VRlU11T10N FEE <br />euaoirvc I s 3000.00 I 29 I 00 <br />MECHANICAL <br />OTHER <br />PENALTY U.BC <br />SEC 303 �a� <br />TaTAL • 24 00 <br />PERMIi V1ILIOATION <br />WHEN PROPERLY VALIOA7ED �1N THIS SF'A^,F.IIHIS IS YOUR PERMIT <br />8516 5014.00 -� <br />N <br />. � <br />YOUR R�C`EIPi� <br />ThiAt�K YOU <br />