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(� <br /> dir!i rerCr�rq <br /> e��er�tt � �ONSTRUCTIO�'� <br /> PERMI � PERMIT N0. 1Z972 <br /> CITV MALL 259 P7a5 <br /> Eveaerr.wnsexoi �] COMBINATION �BUILDING ❑ MECNANICAL ❑ PLUMBING <br /> OWNEP Mnil �DDRE55 Cilv 21P ���ONE <br /> Miller 1225 East Casino Everett <br /> AqCMRELI OR DkSiGNEL' MRiI R��NE55 Crtv IiP PnONf <br /> OENERIL LUNiP�G10R MML�DDRE55 CIIY 21P PMONE LICENSE� <br /> Same <br /> MECN�NIC�I GONTR�LTOR M\IL RDORE55 CITY ZIP PHONE LICENSE• <br /> PLUMBING GONTRACTOR M�IL A�ORE55 CITY 2iP PMONE 4CENSE� <br /> CLA55 OF WORN <br /> ❑NEW ❑ AODITION �ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WO00 STOVE/FIR�'.PLACE INSERT <br /> V�WAiION OF WORN <br /> s 750.00 <br /> f1E5GRIBE WOPk <br /> Add cloaet and lavatory in bedroom area <br /> PROPoSED iISE OF BUILUIN6 <br /> Single family residence I HEREBY CERTIFY THAT I HAVE REAU AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEO�L DESCRIPTION OF PROPERTY�SMOW BEIOW OR�iT�CH FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 16-17 Beverly Home Tracta Nl GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �or_e�ocK_or WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT�OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB�ODNE55 SIGN��C OF ONTR�Li R• OP12E� OENT D�TE <br /> 1225 Eaet Casino Road X 2/8/84 <br /> PLUMBINO MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE N0. TVPE OF EOUIPMENT FEE _ <br /> 1 WATERCLOSET�TOILET) 2 OO A�R COND.UNITS - HP. EA. _ <br /> BATMTUB f1EFRIGERATION UNITS - HP. EA. _ <br /> 1 IAVATORY�VYASH BASIN� BOILERS- H.P. EA. <br /> SMOWER GAS FlNE�A.C. UNITS- TONNAGE EA. <br /> KITCHEN SINN 8 DISP. FOflCED AIR SYSTEMS- B.T.U. M EA. <br /> DISHWASMER WALL HEATEFS- B.T.II. M <br /> LAUNDRY TRAY UNIT MEATERS- BS.U. M <br /> CLOTHES WASMER EVAPORA7IVE COOLERS <br /> WRTER HEATER CLOTMES DRYERS <br /> URINAL VENTILATIuN FAN <br /> DRINKING FOUNTAIN RMNGE HOOD <br /> FIOOR ORAIN AIR HANDLIN�UNIT - C.F.M. <br /> VRCUUM BREAKERS S70VE -WOOD <br /> ROOF DRRINS- RAINLEADERS METAL FIREPLACE e CHIMNEY <br /> SINN(SEFVICE- BAR,ETG) FIREPLACE INSEHT <br /> HEAT PUMP <br /> BUB TOIAL 3 4 00 SUB TOTAL ! <br /> PERMIT f PERMIT f <br /> TOTAL FEE 3 4 00 TOTAL FEE f <br /> SIDE YARD SETBACK STREET SETAA6R REAR VARO SETBACN PLAN CNECI(NUMBER PLAN CIiECN FEE <br /> FEE NECEIP7 NO. <br /> USE 20NE LOT AREA VACANT SITE - <br /> VES NO FEES _ VIILU�TION FEE <br /> TVPE OF CONSi. OCCUP�NCY OROUP NO.OP DWELLING UNITS <br /> BUILDINa s 750. 14 50 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC LOAD <br /> PLUMBINO <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECMANICAL <br /> REOUIRED <br /> YES NO <br /> APPROV�LS BY D�TE OTHER <br /> 1.ENVIRONMENTRL CM 115T PENALTV U B C. <br /> SEC.30J UI <br /> 2.BUILDINO PLANS ^ <br /> TOTAL 1B SO <br /> 3.FIRE HYDRANT <br /> I.FIRE PROTECTION SVSTEM PERMIT V�LIDRTION ;Rp�4F c�dYri � �B _,� <br /> i S.QRADING WMEN PROPERI.Y VALIDATED pN iHl .;l ��TMI_71j.�U P IT-- (� <br /> � � <br /> �6.ORAINAGE � � <br /> ' 7.ENVIRONMENTALIMP TSTATEMEN7 (V <br /> � B.NEALTHDIS ICT .0 � '� R'.�C ��IPT �...� <br /> �APPLICATION rCC. BV PLANS CHECNED BY APPR.FOR ISSUANCE BV :, ,.'� �.`. U <br /> 1 <br /> �- -rl <br /> ,�� - R f�D S4 <br /> ,wuHEss rur <br /> � <br /> , <br />