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',1e`°�r�`oF � � �ONSTRUCTIOIV� � � 4 . . <br /> everett PERMIT pERMIT NO. O6S23 <br /> QTV HALL.^598745 <br /> EVERETT.\YA �azoi ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> ovrrvcn ninanooaess cm ziv rHON[ <br /> D. B. Ridler 1501 Broadway 98201 252-6331 <br /> nRC�n1ECi OR DCSiGNCR MAIL AODRE55 CIiY LP i9�ONF <br /> G'_REPaLCONiqACTOR MA�LADDRE55 GIiY ZIP PHONE UCCNS!I <br /> Same <br /> �.�FC��\IiICi�LCONTMCiOR I,IqILA0DRE55 CIiY ZIP PMONE IICENSE� <br /> FWMBiNGCONiPACTOR AIAILAD�RE55 �ITV ZIo GMONE LiCENSEY <br /> CLAS$OF ISORK <br /> ❑NEW ❑ADDITION t�ALTERATIJN ❑REPAIR ❑DEMOLITION ❑FENCE , ❑SIGN ❑GAaAGE <br /> VALt1AilON OF\VORK <br /> , 1500.00 <br /> DCSCRiPE\40RN <br /> remodel upSgK�t8M8g upstairs <br /> anovosm use ov om�oi�:c <br /> Slrig10 family residence I HEREBY CERTIFY THAT I HAVE READ AND tKAMINED THIS AP� <br /> uc.��eescairr�.oso�aaovcarv,a�owoe�oe�onnnncnvouRcowes� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> .1-2 oL�K 314oF Remmingtons lSt TYPE O VWORK WILL 8E COMPLI�ED W TH WH T�ER SPECIF EID <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH[PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSI'RUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> p �� �s se^�nr F e ncroa • nrorvizeo nc�i�r �nie . <br /> 150'�' B�oadway X / �� �/,��/ 3 � <br /> tie,,C.�.—c <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> \YATER CLOSET�TOILET) AIR COND.UNITS—H.P.EA. <br /> BATHTU� REFRIGERATIOI�UNITS—H.P 61 <br /> LAVATORY�WASH BASINI BORERS—H.P.EA. <br /> SHOW&R GAS FlRED AG UNITS—TONNA 3E EA. <br /> KITCHEN SINK 8 DISP. FOf7CED AIR SYSTEMS—8 T.U. M EA. <br /> DISHWASHER WALL HEATEliS—�.T.U. M <br /> LAUNDFVTRAY UNITHEAtERS—BT.U. M <br /> CIOTHE5lNA5HER EV4PORATNECOOLERS � <br /> WATER�+[ATER CLOIHES DRYER$ I <br /> URINAL VENTIIATION FAN <br /> DRINKING FOUNTAIN RA�1GE HO00 <br /> FLOOR ORAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> RCOF ORAINS—RAINLEADERS METAL PIREPIACE 8 CHIMNEY <br /> SINK�SERVICE—BAR,EfQ) <br /> SUBTOTAL SUBTOTAL S <br /> PERMIT f PEHMIT S <br /> TUTAL FEE S TOTAL FEE f <br /> SiD[YARD SEiBACK STREE7 Sc10ACK PEAfi YARD SET�ACK PLAN CHECK NUMBEF PLAN CHECK FEE <br /> FEE RECEIPT NO <br /> USE ZONE LOTAREA VACANI�ITE <br /> ❑YES �7N0 FEES VALUATION FEE <br /> TYPE OF V�I\i. OCCUPRANC3Y GROUP NO.OFiWELLING UNITS <br /> BUILDING SLSOO.00 ].S OO <br /> SIZG OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> 2 PLUM9ING <br /> FIf�E<ONE BASEMENT FIRE SPRINKLERS <br /> none �1EOU1F7�q[ MECHANICAL <br /> ❑YES 'ONO <br /> APPROVALS BY DATE �THFR <br /> 1. ENVIRONMENTAL CHECK LIST <br /> P[NALTV U.00. <br /> 2. BUILDING PLANS SLC�`����`�� <br /> 3. P�REHYDRANT TOTAL � ].S OO <br /> a. FIpE PqOTEGT10N SYSTEM PEHMIT VALIDATION � <br /> WHEtJ PROPERLY VALIDATED pN THIS SPAC[�THI515 VOUR PEFMIT <br /> 5. GHADING <br /> u. DRAINAGE Q�S � �O I S. Q Y �� I= <br /> Z ENVIRONMENTALIMPACTSTATEMENT ' ��� <br /> 9. HEALTM DISTNICT ' � <br /> APPLICATION ACC.BY PLANS CFIECKED 6Y APPR FOR ISSUANCE DY YO U�R REC E fPT O <br /> v.c. <br /> TNAi�K YOU <br />_ _ _ ____ _ ADDRESS FILE L3_AUG_]S ___— <br />