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�,�� �,����a° rONSTRUCTION <br /> everett PERMIT pERMIT N0. O977Z <br /> CITY HA1 L 259�B7C5 <br /> eve�erT.wn eezui ❑ COMBINATION ❑ BUILDINf3 �t MECHANICAL ❑ PLUMBINO <br /> uwrviu u�ii�uoaiss �nr nr i�nuHe <br /> Howard Lorentz 5804 Cady Road Everett 98203 355-1GB3 <br /> •acnnlci nn ticsGNt N Mul�oonEss cnv 2�r M�oH[ <br /> f.tllf M1 LONiRACLOR MM��pOPES$ CIiY IIP PNONE IICCNSE� <br /> Same <br /> MKrurviULfANIRACiON ueiUt��n[Ss C�ir I�r V+�oN[ LCENSE� <br /> 1'LUMPiNGGCNiRdCiqi MAi��DOPE55 CItY IiP FNONE LILFNSEI <br /> CU55Of W011M <br /> ❑NEW ❑ADDITION ❑AITERA�ION ❑REFAIR C�DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> WWAiIONOf W0� <br /> S <br /> [1ESLRiBE WOHN <br /> install wood atove <br /> PHpPOSEp USE 0�PUILUINO <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �eeeioEscnivrwHorvnorearvisHoweeiowonerrncurouncovi�s� PLICATION AND KNOW THE SAME i0 BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior eiocrc_or TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUiHORITY 10 VIOLATE OR CANCEL TIaE PRO� <br /> �— VISIONS OF ANY OTHER SiATE OR LOCAL LAW REGUTATING <br /> CONSTRUCTION OR THE PERFORM�NCE OF CONSTRUCTION. <br /> sicH.�unto�cor+rn�cronon�ui�oau��ncEr�r o�r[ <br /> ,ro �ooncss 9/11/81 <br /> �804 Cady Road X <br /> PLUMBINO MECHANICAL <br /> N0. TYPE OF fIxTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET QOILET AIR COHD VNITS—H P F.A <br /> BATHTUB REFFIGERATION UNIiS—H P EA <br /> IAVAiORY nVRSH BASIN� BOREFS—M P EA <br /> SHOWER GAS Rt1E0 AC UNITS—TONNAGE EA <br /> KITCNEN SINY.6 DISP. FORCED AIR SV57EM5—B T U M EA <br /> DISHWASNER WAII HFATERS—8 TL. M _ <br /> LAUNDRY TRAY UNIT NEATCRS—8 T U M <br /> GIOTNES WASHER EVA{�AATWE COOLERS <br /> WATEII HEATER CIOTNES DRYERS <br /> URINAL VENilIAiION FAN <br /> DRINKING FOl1NTAIN RANGE HWD <br /> FLOOR DRAIN AIR NANOLING UNIT— C F.M <br /> VACUUM PREANERS STOVE S� <br /> POOF�RAINS--RAMIEADERS METAL FlREPUCE G CNIMNEY <br /> SINK�SERVICE—BAR,ETC� <br /> BUB T0Tl1l BUB 70TAL f <br /> PERMIT f PERMIT 1 10 OO <br /> 70TALFEE f TOTRLFEE i <br /> SIUE VARD SETBACK SiREEi SEIBAGK REAR YARD SETBACR PLAN CNk.�N NUMDER PLAN CHECK FEf <br /> FLE AFCEIPi NO <br /> USE ZONE LOi RPEA VACANi SITE <br /> ItrEs IINO FEEB VALU�TION FEE <br /> 7YPE OF CANST OCCUPANCY GROl1P NO OF DWELLING UNITS <br /> BUILOING S <br /> SIZE OF 6LDG NO OF STORIES MA% OCC lOAO <br /> PLUMBIN� <br /> FIRE 20NE BRSEMENi REOUIRED K�ENS MECNANIGL <br /> �rves i�r+o 14 50 <br /> APPNOV�L6 EY DATE OTHEn <br /> 1 ENVIRON1.1iNTAL CNECN LIST pFNq�T� U B C <br /> fiEC J071a1 <br /> Y BUILDINOPLANS �ora 14 50 <br /> 3 FIRE HYDP�NT <br /> e. f IRE PROTECTION SVSiEM PERMIl VALIDATION <br /> WHEN°ROPEPLY VAIIDATED�1N THIS SPACEI TNiS IS YOUR PEPMIT <br /> 5 G�..DINO i . � I �I, � ' --(� <br /> 6 DRRINAGE � <br /> 7 ENVIRONMENTAL IMPACT STATEMENT ~ <br /> i "� <br /> ' B NEALTH OISiRICT " � (,� <br /> APPIICPTION ACC BY PUNS CHECKED BY APPR.FOR ISSUANCE BY '. � <br /> _ ' <br /> � � � I <br /> ADDRESS ''il_E <br />