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,:;., <br />i': <br />':k. <br />{ � r'i <br />Y... YI , <br />+V F.L�.n <br />���� �,�. <br />� � <br />�c ; <br />- „a'' <br />i;�'�., � <br />S <br />,r , <br />< y�il !:'r �ji'. <br />� <br />1YY i�.;�;�.1..>`,;',_ <br />I <br />. � <br />4wi .y::. i . <br />5t�„ -n.:.� . <br />{r�`�yj',. . <br />.: ;iF•,�l ;'♦-'� �, <br />�� jr <br />r.r.. } r , � <br />� s �r . � <br />i <br />,o.,,-; u,�::. <br />i <br />�^,;v,� -� ` <br />, �-y.c.r:� '� � <br />n,�� E��,�„�,���,� <br />�����,� <br />eve rett <br />CITV HALL 259014G <br />EVERETT,N'A 9A2U1 <br />GONSTRUCTION <br />PERMIT <br />COMBINATION • 6UILDIn�G • MECHANICAL • PI_UMBING <br />OWN[R MAILl1DLJHE55 ZIP PHON6 <br />'O <br />Loran Thompson P.O. Box 53G7 96206 353-9701 m <br />------ ----- � <br />ARCHITECT OR DESIGNEIl MAIL iIODRE55 PLIONE LICENS[ NO. � <br />GENEItAL CONTHACTOfi MAIL A�DliESS � Nh10NE LICENSE NO. z <br />Pacific Construction 10711 Pellerin Road 334-6118 PA CI FC 243Q � <br />MECHANICAL CONTRACTOR MAIL AODRE55 PHONL LICENSE NO. � <br />W <br />W m <br />PLUMOING CONTFlACTOF MAR AUGHE55 PHONE LICENSE NO. �� � <br />� <br />PERMIT CLASS OF WORK �I <br />❑ COMB�NATION <br />�Jj EUILOING []PLUMOING �MECHANICAL <br />i ❑NEW ❑A�DITION L�I4LTERATION ❑REPAIR <br />VALUATION OF WORK �' <br />S F;�SOO.00 I ❑�EMOLISN ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCR:dE WOFK <br />remodel existing station <br />PROPOSED USE MECHANICAL <br />retail store and qas station — <br />LLGALDESCRIPTION OF PROPERTV ISHOW DELOW OR ATTAGIi TYPE OF ENERGV <br />FUUqCOPIE5) p ❑GA;i ❑ELEC. <br />LO7 17 &�p'CK 6 oF Beverl H1I.�.5 Div. ;#4 NO. __ TVPE OF E�UIPMENT FEE <br />AiP COND. UNITS-H.P. EA. 5 I <br />REFRIGERATION UNITS-H.P. EA. <br />OOII.ERS-H.P. EA. � <br />f-URCED AIR SVSiEMS -�.T.0 MEA. <br />I <br />JOB ADDHESS ;;PqGE & WALL HEATEF.S - B.T.IJ. <br />6128 �vergreen Way _ =rUNIT HE�ITERS �.T.u. i <br />EVAPORATNE CO(]LEqS <br />PLUMBING CLOTPES DRYERS I <br />\'ENTILl�TION F{1N <br />f1ANGE! HOOD 1 <br />NO. TVPE OF FIXTURE OR ITEM FEE �,ia HnN�LWG UNIT-- C.F.M. <br />BATH TUBS 5 - � <br />CLOTHES WASHER � - wq7Ea FiEArER <br />DISH WASHER''. i -- ------- —�--�----- � <br />�RINKING FOUNTAINS � ._ FAC.ElU1LT FIqEPLACE & CHIMNEV � <br />FLOOH DF7AIN5 i GAS. SVSTEM: NO OF OUTLETS �— <br />KITCHEN SiNKS & DISP. i __ _____ _ <br />SUO TOTqL S I <br />6ARSINKS � rcfintlr 5 <br />ROOP DRAINS - fiAIN LEAOERS � 7orn� Fe[ 5 I <br />SHOWER BATHS THI;'� PERMIT 6F.COMES NULL AND VOIO IF WOPK OR CONSTRUC� <br />SERVICE SINKS TIOtJ AUTHOR12E0 IS NOT COM�AENCEO WITHIN 120 DAYS, OR IF <br />SUMPS - SEWAGE PUMP CONSTRUCTION Oq WORK IS SU :PENOED OR ABANDONED FOR A <br />� PERIOD OF 120 DAYS AT A'VV TIME AFTER WOFiK I$ COMMENCED. <br />URINALS � I HEREBY CEFTIFv THAT I HAVE qEAD AND E%AMINED THIS AP� <br />WATER CLOSETS � PLICATION ANO KNOW THE SAME TO �E TRUE AND COfiRECT. ALL <br />WATER HEATERS - ELECTRiC � PFOV ISIONS oF LnWs nND oaDin! , <br />f NCES GOVEFNING TMIS TVPE <br />WASH QASINS i OF WORK WILL OE COMPLIED WITH WHETHER SPECIFIED NEREIN <br />LAUNORY TRAVS �� NOT. THE (iRANTING Of- A PERMIT DOES NOT PRESUME TO <br />i GIVE AUTHORITY TO VIOLATE OF CANCEL THE PqOVISIONS OF <br />ANY OIHER GTATE OR LOCAL LAW REGUTATING CONSTFUCTION <br />� OR THE PEFFORMANCE OF CONSTRUCTION. <br />SUB TOTAL i <br />PERMI'f 5 ��� ��//� <br />TOTAL FEE _N��� L .q-y.-�'�-�,� �ej-a$ � <br />WATER SERVICE SIZE BLOG. SUPPLV SIZE � SIGNl1TUREOF 'ONTFACTORORAUTM.AGENT DATE <br />SIDEVAROSET�ACK STREETSET�ACK REARVARDSETI3ACKPLANCHECKNUMf3Efi PLANCHECKFEE <br />77/753 FEE •24. OO RECEIPT NC�. <br />USE ZONE LOT AREA VACANT SITE ��rl � <br />❑vEs �No FEES VALUATION FEE <br />TVPE OF CONST. OCCUPANCV GFOUP NO.OF DWELLING <br />V—N F-2 uNirs ___ i <br />SIZE OF BIDG. NO. OF STORIES MAX. OCC. LOAD BUIIOING 5 e� SOO. OO �}B IOO <br />1 PLVM�ING � <br />FIRE ZONE BASEMENT FIflESPRINKLEftS <br />i REQUIRED � <br />3 ❑VES �]NO MECHANICAI. I <br />SPECIAL CONUITIONS: OTMER � <br />_ I <br />- ---- PENALTY SEC. ]O71a1 � <br />TOTAL �j 8 IOO <br />PERMIT VALIDATION �c �� �,��-�Y�p�}� � <br />WHENVflUPERLV VAIIUATEDIIN VI ACEI � 94R��T <br />_ _ _ /.� <br />-------- - — �/�/ <br />Yov-� R�eeit�� <br />,vx•�.iennmm�r.ur.uuv rianuuie�uuv nrruavtniunisr.nnur�uv ����1� 1��� <br />� <br />k.C.eb - <br />3 e0ncx±7�1 . <br />ADDRESS f ILE � ` "_� :� ; .i. <br />i <br />