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U�rLI•er�rern �ONSTRUCTION � <br /> QTV OF <br /> everett PERMIT PERMIT N0. 1103 � <br /> CITY HqLL 259�87d5 <br /> evEaerT,wn sazo� ❑ COMBINATION D�BUILDING ❑ MECFIANICAL ❑ PLUMBING <br /> c�uauv Mni�nuor�ess otr zir �,�,o��i <br /> Society of 5t. Vincent �e Paul 6430 South B�o�dway 98203 355-3504 <br /> PnbUtCCiOR U[S�GNEB MFIL ADORC55 QtY ZP Pr�ONE <br /> GCNERnL WNiRnCiOR M0.1L ApDqE55 CiiY Tip MONE UCCt�SE I <br /> Same � <br /> MECH4ryiCAlfANTRAGiOR MAILAD�R[55 dIY ZIP PHONE LICENSC� <br /> C�UIdBINGCANTRAGTOP IAAILADDRE55 QTV ZIP PHONE LICENSEI <br /> GLA55 OF Y10RK <br /> ❑NEW ❑ADDITION PCI�SLTEFATION ❑PEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAqAGE <br /> VA W Ai ION OF WORR <br /> � 3 � �0�. �� <br /> UEtiCR10E WO�K � <br /> install=two balcony floors � <br /> �roaoseo usc oF ew�owc � <br /> retail sales I NEREBY CERTIFY THAT I HAVE READ AND EXAMINED TIiIS AP- <br /> uc4ioesca�rrionocrnoae�ar�rs�wweuo�voenTTaeNrouawwes FLICATICN AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> �LL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> i.or eiaa—or TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO <br /> HEREIN OR NOT. THE u'RANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br /> VISIONS OF ANY OTHER STATE GR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> do�AODfiE55 S�GuniuPE o�coNlRnGioR oR Aulr oRiZt:�nrLr�t DnrE <br /> 6430 Broadwa X �_ �Q-`_c,� Z <br /> PLUMBING MECNANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMEN7 FEE <br /> WATF.H CLOSET(TpRET� AIR COND UNITS—H P.EA <br /> �PTHiUB REPHIGERATION UNI?5—Hp,EA <br />, LAVATORY�1VASH BASIN) BORERS—H P.EA. <br /> SHOWER GAS FIRED A C UNITS—TONNf GE EA <br /> KITCHEN SINK 8 DISP. FGHCEO AIR SVSTEMS—�T'�. M EA. <br /> DISHWASHER V✓ALL HLAT6R5—�T.U. M <br /> LAUNORV TRAV UNIT HCAi[RS—B T.U. M <br /> CLOTHES NASH[R EVAPORATNE COOLERS <br /> WAiER HEATER CLOTHES URVEFS <br /> ���N�� VEIJTILATION fAN <br /> ORINKING FOUNTAIN RANGE HOOU <br /> FLOOR DRAIN AIR HANULING UNIT— C Fld. <br /> VACUUM Bf7EAKERS STOVL <br /> ROOF DIiAINS—FAINLEADERS METAL FlREPLACE 8 CHIMNEY <br />� SINK�SERVICE—BAR.ETCJ <br /> SUU TOTAL SUBTOTAL S <br /> PEHMIT f PERMIT S <br /> TOTAL FEE S TO7AL FEE S <br /> SIUE VARD SETBAGH STREET SETOACK REAR YAPD SETBACK PLAN CHELK NUAI�ER PLAIJ CHECK FEG <br /> FE[ REC[IPT NO. <br /> 82/11038 25 . 03 59265 <br /> USE ZONE LOT AREA VACANT SITE <br /> (]YES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> V-N B-2 BUILDING $ 3 , 000. 38 50 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING , <br /> FlRE ZON[ pASEMENi FIRE SPR�NKLERS <br /> REOUIqE MECHANICAL <br /> - [1VE5 I� <br /> APPPOVALS BY DATE O1'I1ER <br /> L ENVIRONMENTALCHECK UST — <br /> PENALTV U B C. <br /> 2. DUILDING PLANS SEC.303(a) <br /> 3. FIRE HVDRANT TOTAL 3 8 5� <br /> a. FIRE PRO7ECTION SYSTEM PERMIT VALIDATION '� <br /> ' S. GRADING WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT . <br /> 6. DPAINAGE 8 1 g't s O � 8.5 0 —� �• <br /> 7. ENVIRONMENTAL IMPACi STATEMENT • Q <br /> 8. HEALTH DISTRICT ❑t–'I <br /> AnpLICATION ACC.BV PLANS CHECNED BY APPR.FOR ISSUANCE BY YO U R REC E I t��� <br /> STG HWM <br /> T H,�N!: Y t� U <br />