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theEvcry¢rren' � . CC�STRUCTION , <br />�iT� �F • � <br />everett � � PERMIT , ' <br />cirvHn��z,�.e�as PERMIT N0. O6S3O <br />eveaerT. v:ti yazni ❑ �pMBINATION ❑ BUIL6ING ❑ MECMANICAL ❑ pLUMBING <br />ONWCR M4ilADDRl55 C�iY Try PrONF <br />A 1 n T onA on <br />�iCHrtCCT OH OLSIGNC9 MRI� hDDRE55 ��Ty <br />Z�� !m NE <br />Same <br />3EN[FALCANiHACTOH I,.qI�qDDHE55 GITv ZIP PHONE <br />same ucense � <br />kECMANKAI G(`HiqA�TUR MAII RDDRE55 (;��T( ZIP PMONE UGVlSE 1 <br />Same <br />hUMBINGLOHiR4�OA MA1lADDRC55 Cltv - <br />IIP PHONE IICUILF � <br />CLn'>ti VV WJRq <br />IjjNEW <br />vaLJ4T104OF WONK <br />4 10�00� <br />D[SCRiB[ WORK <br />Garage <br />I FGAL DESCNIFiIUR OF PROPERI <br />�'. �__BLIX:K_Ov <br />9��UDRESS <br />anna a,-�a�a�,.a <br />PLUMBINO <br />NO. TYPE OF <br />WATFR CLOSFT 1T011 Ll <br />KITCIIEN SiNK t <br />DISHWASHER <br />LAUNURYTRAV <br />CLOTNES WASH <br />FLOON DP41N <br />VACUUTA �F[AHE <br />ROOF DRAIN$ — <br />SINK �S6RVICF — <br />LIi.L vARD SEiBACN <br />U:L ONE <br />R-1 <br />ivpE OF WNST. <br />V—N <br />�iZE OF BLDG. <br />30x5G <br />HNE ZON[ <br />3 <br />❑ADDITION ❑ALTERATION L.REPtdq QDEMOLITION LiENCE ❑SIGN �rJGARAGE <br />SUB 70TAL <br />STREETSETBACK <br />LOT? REA <br />M-1 <br />IF ST01 <br />1 <br />HYYIIUVRLS <br />L ENVIRONAIENTAL CH[CK L15T <br />2. �UILDING FLANS <br />3. FIRE HYDRANT <br />a. FIRE PROTE:CTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEfAENT <br />B. HEALTH D�STRICT <br />ATtACH <br />fiLAR YARD SETBACK <br />VACAl1T SZ O <br />�_�ves ��o <br />N0. OF DWELUNG un <br />nrYucnnUN AGG. dY � PLANS CMECKED BY I APPR. FOR ISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW TfiE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINAIJC[S GOVERNING THIS <br />TYPE OF WOFK WILL BE COMPLIED WI7H VJHETHER SPEGFIED <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 STATE OR LOCAL LAW REGULAiING <br />CONSTRUCTION OR THE PEAFORMANCE OF CONStRUCTiO�d, <br />SIGNAiUR[OFCONiRnCipHOR.UiFpR12EDRGCq� G51� <br />X ��=,� �' ' �-- 8-14-79 <br />MECHANICAL <br />NO. TYPECfEQUIPMENT FEE <br />AIR COND UIJITS — i fl FA <br />REFRIG[RATION UNI"S — H P. EA <br />BOILERS — NP. EA <br />GAS FIPED A.0 UNITS — TONNAGE EA. -- <br />FORCED AIF SVSiEMS — B TL. M EA <br />WALL HE'.AT[RS — BS.U. M <br />UNIT HEATERS — BS.U. M <br />EVAPpRATNE COOLERS <br />CLOTHES DRYEFS � <br />VENTILATION fAN <br />AIR HANDI.ING UNIT — <br />STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />SUB TOTAL S <br />PERMIT t <br />vJ CH[CK NUMOCR I PIAN CHFCK PEE <br />6530 F�E 7G nn I R[C'IPT IJV <br />OUILDING <br />PLUMBING <br />PBJALTV <br />TOTAL <br />S <br />U B.C. <br />SEC.3031a) <br />VALIDATED (IN TMIS SPACE) THIS IS YOUR PERMIT <br />�8%7 �QJZ.V�"'+"`-}j' <br />_ � <br />YOUR RE�'EIPTo <br />;ii-.f�:l: 1'OU <br />� noer,ESS FILe � 5 �� ,�9 <br />