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, `,"`'���r;`�o� � - CONSTRU�TIO�d - <br /> - everett PERMIT pERMIT NO. O631Z <br /> CITY HALL 259�8745 <br /> eveRen.�va sozo� ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OVJNER IAAIL ApDRE55 ��iy <br /> ZIV VMpNE <br /> Leilani LaRiviewre-White 506 Santa Cruz F�ve. Los Gatos Ca 996-0770 <br /> AflCHITEGi0RDE51GkER MAtLADORE55 CIiY ZIP PH01lE <br /> GENERF�COYT�ACIOR I.IAIL AODRE55 GITV ZIV PHONG UCENSE� <br /> Barry Const 1011 Crown Drive 259-5378 <br /> 61ECH4�JICAL CCN7RpCi0R MAR AODRESS CIiV 21P PMJNE LIGENSE• <br /> PWId6U1GCONTRALiOR AtAILADpRE55 CItY ZIP PNCHE �ICENSE� <br /> C V+55 OF PlOPK ' <br /> ❑NEW ❑ADDITION CX�[7ERATION ❑REPAIR ❑DEIdOLITION ❑FENCE ❑S:GN ❑GARAGE � <br /> VaLUAT10N OF WORK ' <br /> 5 �.7�0.0� <br /> �ESCPiBE WORK <br /> interior remodel <br /> PROPOSED USE OF BUIL�ING <br /> AlltO repair drid Sd125 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> iccn�oescniPuouoFeaoeearv�snowoe�ovronnnaa�rouacoaiesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ior 9-10 6L��—OF Beverl Hi115 D1V. 4 ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> � TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESU GIVE AUTHORI7Y TO VIOLATE OR CANCEL THE PRO� � <br /> VISI OF NY OTHER STATE OR LOC.4L LAW REGULATING � <br /> C ST UCT,1 N 0 1 MANCE OF CONSTRUCTION. <br /> JOB ADORE55 `„ryAT ' ,.CNiR/.CT A � A � .. AGENi pnt[ ' <br /> 5703 Evergreen Way X ��3��9 , <br /> PLUMBING MECHANICAL . <br /> N0. iYPE OF FIX7URE OR ITEM FEE NO. TYPE OF EQUIPMENT pEE � � <br /> WATER CLOSET(TpILET) Z OO A��COND.UNITS—HP.EA � <br /> �ATHTUB REFRIGERATION UNITS—H.P. EA � <br /> LAVATORY(\YASH BASIN� 601LERS—H.P.EA. I � <br /> SHOWER GAS FIRED A.C. UNITS—TONNAGE[A. ' - <br /> KITCHEN S�NK 8 DISP. : <br /> FORCED Alq SVSTEA75—B.i.U. M EA. <br /> DISNVlFSHER WAI.�HEATLRS—�S.U. �,� � <br /> LAUNDRY TRAY Ut:1T;{E^.TERS—n T II � <br /> M <br /> CLOTHES WASHER EVAPORNTIVE COOLERS � <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILAiIO�J FAN <br /> DRINKING FOUNTAIN RANGE HOOD . <br /> FLOOR DRrVN Alq FIANOLING UNIT-- ' <br /> GF.61 <br /> VACUUM BREAKEIiS STOVE ' � <br /> RODF ORA715—RAINLEFDERS METAL FlREPLICE&CH�MNEY .. . <br /> SINK�SERVIC[—BAR.E7C) <br /> SUB TOTAL Q OO SUB 70TAL S � <br /> PERI�IIT S PEHMIT S <br /> 707ALFEE S TOTAL FEE g i <br /> SIDE YARD SETBACK STREBT SEI�ACK R[AR YARD SETBACK PLAN CHECK NUId�ER PLAN CHECK FEE ' <br /> FEE RECEIPT NO. � <br /> USE ZONE LOT AREA VACANT SITE � <br /> ❑YLS I.7N0 FEES VALUATION FEE <br /> 7YPE OF CONST. OCCUPANCY Gf10UP N0.OF DWELLING UNITS <br /> SIZEOFBLDG. NO.OFSTORIES MAX.00QLOAD BUILDING $].]OO .00 ].] OO ! <br /> PLUMBING Q OO � <br /> FIPE ZONE BASEMENT FIRE SPRINKLERS i <br /> REOUIREU MECHANICAL I <br /> ❑VES CINO <br /> APPOOYA '„ BY DATE OTHER � i <br /> 1. ENVIRONMENTALCHECKLIST <br /> 2. BUILDING PLANS PENALTY SEC 303(a) I <br /> � . 3. FIFEHYDRANT � T�TA� 2�. OO i <br /> � � 4. FIRE PROTECTION SY6TEM PERMIT VALIDATION j � <br /> 5. GFA I NiHEN PROPERLY VALIDA7ED(W THIS SPACE)i1i16rGy0UR P�I7' 1�$'g � � <br /> 077 � •v <br /> � I� 6. DR � � i a � • ; (�J I <br /> � Z E O�IENTAL CT STATEIdENT •�.'�: � t � � '� ' i <br /> ,� B H T �STR��T c. yQ U R REC ?P'f ' <br /> � APPLICpT^RACC.Bi� PLANS CHECHED 9Y APPR FOR ISSUANCE BY THANK Y� ' <br /> -c ., <br /> 4 m o xwM - - <br /> c "` <br /> . <br /> ,A1. ;�'.�� ; 'i; <br /> .. .. (,J �:•, e` , <br /> . ,a�oRrss �=ii_r_ - - -. , :_: , ;:,r^��, . <br />