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� <br /> thrEverKreen C�NSTRUCTION � <br /> ciTv oF <br /> everett PERMIT PERMIT NO. OH_TH� <br /> cirv Hnu zse aias <br /> eveaerr wn eazo� ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ pLUMBING <br /> OWNER MAIIADDRE$5 CITV ZIP PHONE <br /> Lloyd Larson 2117 Biglow Fveretr 98203 252-8422 _ . <br /> ABCHRECTORDESIGNER MAILAODRESS CIIY ZIF PHONE <br /> GENEPALCANTRACTOR MAILAD�RESS GITV ZIP PMONE LICENSEb <br /> Same <br /> MECHFNICPL CONTPFCTOR MAIL ADDRE55 GITV ZIP PHONE LICENSE X <br /> PLLIMBING CONTRACtOR MAIL ADDRESS QiY ZII' YNONE LICENSE Y <br /> C�55OF WORK <br /> ❑NEW ❑ADDITION ❑AITERATION ❑FEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ��ARPGE <br /> VPLUATION OF WORK <br /> $ 4 ,000. 00 � <br /> DESCRIBE WOPK <br /> Garage and work shop <br /> PROPOSEO USE OF BUILDING <br /> ltYfidjY9lX Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �ecn�oescr+iariaNOFaaoPea*rtsHowAe�owoanrrncnFouecovies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS An�D ORDINANCES GO`✓ERNING THIS <br /> ior 6—� e�ec�_oF _Lowell TYPE OF WORK WILL BE COA4PLIED WITH WH[THER SPECIFIED <br /> HGREIN OR NOL THE GRANTING OF A rERMIT DOES NOT <br /> PRESUME TO E AUTHORITY l0 VIOLATE OR CANCELTHE PRO- <br /> VISION A Y OTHER STATE OR LOCAL LAW REGULATING <br /> CONST I OR THE PERFORMANCE OF CONSTRUCTION. <br /> doe nooFess sicNn* e N ncroa on n rNoarz�o nc� oArE <br /> X 1/19/81 <br /> 2117 Bigelow _ <br /> � PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFFIGEflATION UNITS—HP.EA <br /> LAVATORY(WASH BASIN) 601LEH5—H.P.EA. <br /> SHOWER GAS PIRE�A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK&DISP. fORCED AIR SVSTEMS—B T.0 M EA. <br /> DISHWASHER WALL HEATERS—9 T.U. M <br /> LAUNDRY TRAV UNIT HEATERS—B.TL. M <br /> CLOTHES WASHER EVAPORATNEGOOLERS _ <br /> YJATER HEATER CLOTHES DRVERS <br /> URINAL VENTILATION FAN _ <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANULING UNIT— C.F.M. <br /> VACUUM BRFAKERS STOVE <br /> ROOF DFlAINS—RAMLFADERS META�FlREPLACE g CNIMNEV <br /> SINK(SERVICE—BAR.ETC.) <br /> � SUB TOTAL SUB TOTAL S . <br /> VERMIT S PERMIT S <br /> TOTAL FEE f TOTAL FEE f <br /> S�DE VARD SETBAGK SIAEET SETBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 61/8787 FEE 28.93 R���T�. <br /> USE ZONE LOl AREA VACANT SITE FEES VALUATION FEE I <br /> 11VES i$f� <br /> TV�E OP CANST. OCWPANCV GROUP NO.OF DWELLING UNffS <br /> V-N M-1 1 eui�oiNc �q ,000.00 44 50 <br /> SIZE OF BLOG. NO.OF STORIES MAX.OCC.IOAD � <br /> 2�'x34 � 1 PLUMBING <br /> FIRE ZONE BASEMENT FIRE S°RINKLERS MECHANICAL I <br /> REOUIRF�.. . <br /> ❑VES �Nb <br /> APVflOVALS BY DATE OTHER <br /> 1. ENVIRONMENTAI CHECK LIST � PENALTV U 8 C. <br /> SEC.303(a) <br /> 2. BInLDING PL4NS TOiAL �I�I S O <br /> 3. FIRE HVDRANi <br /> 4. FIPE PPOTECTION SVSTEM PERMIT VALIDIITION <br /> WHEN PROPERLV VALIDATFD(IN THIS SPACE)THIS IS VOUR PERMIT <br /> .', GRADING � � � L P n � y. C J _� � <br /> 6. DRAINAGE .G ll � <br /> Z ENVIRGNMEPITA�IMPPCT STA�EMENT ~ <br /> _ � <br /> B. HEALTH DISTRICT . � r�"(� i�� p <br /> qPPLICATION ACG BV PL4NS CHECKED BV APPR.FOR ISuUANCE BV � � <br /> ' `", U <br /> v.c. <br /> � � <br />