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-1J ' R ` �( <br /> 4Y" <br /> 7 <br /> thr Ercrgmen � ^^y e�Q�r�I O� � <br /> CITY OF V` V � 1 V <br /> �verett PERMIT pERMIT NO. 0773�9 <br /> GTY HALL 259-8745 <br /> eveaErr.wn eazoi ❑ COMBINATION QCBUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILADDHC55 GTV ZIP PMONE I <br /> Robert E LllriSZQulSt 9?95 S+h Acanua R�a1-1-1a 9R191 ti74-df1Q� <br /> ARCNItECTOFDCSiGNER MAILADDRE55 CITY ZIP PnONE <br /> GENERALWNTRACTOR MAILADDRESS CRY 21P 'Z33'+�1�BAL'YV rII I <br /> Bavview Construction,�nc 27'�n C�� ���'� �verett Td11 '`�� �up � <br /> MEGNRMUL CONTRRGTOR MAIL ADDRE55 CITY ZIP CHONE LiCcNSE t <br /> PLUMdING CONiRACiOR MAIL ADDR[55 CITY 21P PHONE LIGCNSE t <br /> CUESOF WORK <br /> ❑NEW ❑ADDIiION ❑ALTERATION ❑FEPAIR C}�DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALURTION OF WORK <br /> 5 <br /> DESCFIBE WOPN <br /> Demolitio <br /> PROI'OSED USE OF BNLOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> i�ca�oescamnoN oF vaoPer.tr rs�ow neiow oa AnnCN Foua cor�cs PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINAPJCES GOVERNING THIS <br /> io� eioc�_oF _ TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> Lot 5 and NOYth � of Lot 6, BlOck 61 HEREIN OR NOT. THE GRANTING OF A PE'iM1T DOES NOT <br /> Pla't of Evereti: D] PRESUMETOGIVEAUTHORITYTOVIOLATEORCANCELTHEPRO- <br /> VISIONS OF ANY OTH[R STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOBhL�Dq[55 SiGN tUREOFCANT('ACiORO�AUtHORIZ[ AGCNi �AiE <br /> X . -�y-{�' '- 6 19 8 0 <br /> PLUMBING MECy�ANICAL <br /> HO. TYPE OF FI%TURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATFf7 CLOSE.T(TOILET� Aifi COIJD.UtJITS—H P.CA <br /> �ATNTUB PEFRIGERAiION UNITS—N.R EA <br /> UIVATOfiV(WA51'�dA51N) BOILERS—H P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. _ <br /> KITCHEN SINK 8 DISP. FORCED AIR SYST[MS—B i.U. M EA. _ <br /> DISHWASHEP WAILHEATERS—OT.U. M <br /> IAUNDFY TPAY UNIT NEATERS—B T.U. M <br /> CLOTHES WASNER EVAPORATN[COOLEFS <br /> WATFR NEATER CIOTHeS DRVERS <br />� URINAL V[IJTILATION FAN <br /> 1 DRINKING FOUNTAIN Rf NGE HOOD <br /> 1� F�OOi7 DRAIN AIH HANDUNG UNIT— C F.M. _ <br />� STOV[ <br />� VACUUM BREAKEPS — <br /> I ROOF DFAINS—RAINLEADERS ME7AL FIREPLACE 8 GHIMNEV <br />' SINK(SERVICE—�AR,ETC.) <br /> I <br /> i SUBTOTAL SUBTO7AL f <br /> PERMIT S PERMIT S <br /> TOTAL FEE i TOTAL FEE _ <br />( SIDE YHRD SETBACK STREET S@7BACK REAR YARD SETBACK PLAN CHECK NUMOER PLAN CHECKFEE <br /> FEE RECEIPi NO. <br />� USE ZONE LOT APeA VACANT SITE <br /> L7YE5 ❑NO FEES �ALUATION FEE <br /> 7YPE OF CANST. OCCUPANCY GFOUP NO.OF DWEILING UNITS <br />'� BUILDING b <br /> SIZE OF BLDG, NO.OF STORI[S MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMLN7 REOUIRED KLERS MECHANICAL <br /> ❑YES ❑IJO <br /> pPPROVALS BY OATE OTHER <br /> 1. ENVIRONMENiALCHECKUST PENALiV UBC. <br /> SEC.303(a) <br /> 2. OUILDING PLANS <br /> TOTAL OQ QQ <br /> 3. RRE HYDRANT <br /> n. FI�E PROTECTION SYSTEM PERMI7 VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GHADING n <br /> 6. DRAINAGE j 6� � � V O O.O O � <br /> L ENVIRONMENTAL iMPACT STATEMENT r' <br /> 8. H[ALTH DISTFICT �'4 IJ R ��C E'P� <br /> APPLICATION ACC.BV PLANS CMECKEO BV APPR.FOR ISSUANCE dV <br /> T;-;ANK YOU <br />