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�he E��crAmrrt <br /> ��Tt �� �f:,.�n .:.�ONSTRU�TIO �." , <br /> �verett PERMiT PERMIT NO. �.5235 <br /> CITY HALL 259�8745 <br /> EVERETT,NJA 98201 ❑ CUMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MFI�A�DRESS GRY ZIP PHCNE <br /> Fay'n Pak Stores Inc. P.O. Hox 808 Kent 98031 854- 4so <br /> ARLMREGT OP pESiGNER MAIL AODPE55 p�TY ZIP PHONE <br /> G'_NEPA��pNTRAGTOF ldqlL A��RESS CITV ZIP PHONE �ICENSE II <br /> Same <br /> MEGMANICA:CONTRACTOR MAR A�DRE55 CITY Z�p PNONE LICENSE N <br /> PLUMpING CONTHACTOP IAqIL AUORESS CITV ZIP PHO4E LICENSE 1 <br /> CLASS O:'WOiiK — <br /> ❑ NEW ❑ AD�ITION �AL7ERA710N ❑REPAIR O DEMOLITION ❑ FENCE ❑ SIGN O WOOD S70VFJFIREPLACE INSEF7 <br /> VALl1ATION OF WORK <br /> S 6����0.�� <br /> �ESCR16E WORK <br /> Tenant Improvement <br /> PROPOSEO USE OF BUILOING <br /> retail Sales I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL DESCRIPTION OF PHOPERTY�SMO\V BELOW OR ATTACM FOUR COPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCN_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIEI HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB FDDRESS SIGNATURE OF CONTRACTOR R AUTHORI2E�PGENT DATE <br /> 10115 Evergreen Way X '��_�`3._r�._r___�_ 7 31 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WA7ERCLOSE7(TOILEn AIR COND. LINITS— H.P. EA. <br /> BA7HTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY�WASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS— TONNAGE EA. <br /> KI7CHEN SINK 8 DISP. FORCED AIR SYETEMS— B.T.U. M EA. <br /> DISHV�ASHER WALL HEATERS— B.T.U. M <br /> LAl1NORV TFAY UNIT HEATERS�— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLEFS <br /> WATER HEATER CLOTHES ORYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOl1NTAIN RANGE HCOD <br /> _ � FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> _ � 'vi;(;UUAI BREAKERS STOVE— WOOD <br /> � FJOF DRAINS— RAINLEADEHS METAL FIREPLACE 8 CHIMNEY <br /> � SINK(ScRVICE— BAR, ETC.� FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL 5 SUB TOTAL 5 <br /> PERMIT S PERMI7 S <br /> TOTA:FEE S TOTALFEE 5 <br /> SIDE YAqD SETBACK STREET SETBACK R�AR YARL`SETBACK PLAN CHECK NUMBEF PLAN CHECK FEE <br /> N/A N/A N A 85/15235 FEL05.40 �����r No. <br /> USE ZONE LOT AA[A VACANT SITE <br /> C-1 N�A �:-��ES �:7FCp FEES VALUA710N FEE <br /> TYPE OF CONST. OCCUPANCY GROUP N(1.OF DWELLING UNITS <br /> V-N B-2 � BUILDING 560,000. �� 00 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCQ LOAD <br /> N�A 1 N A PLUMBING <br /> FIREZONE BASEMF.NT FIRE SPRINKLERS MECHANICAL <br /> REDUIRED <br /> YES O <br /> APPROVALS BY DA7E O7HER <br /> 7.ENVIRONh1ENTAL CHECK LIST U.B.G. <br /> PENALTY SEC.303(a) <br /> 2.BUILDIWG PLANS <br /> 3.FIRE HYDRANT TOTA� �3. 00 <br /> 4.FIflE PROTEC710N SYSTEM pERM1T VALIDA710N <br /> S.GRADING WHEN PROPERLY VALIDATED(IN THIS SPACEI THIS IS YOUF PERMI7-- � <br /> �6.DRAINAGE M <br /> ' 7.ENVIRONMENTALIMPACTSTA7EMENT N <br /> � 8.HEALTH DISTRICT ' �i � <br /> APPLICATION ACC. BY . PLANS CHGCKED BY APPR.FOR ISSUANCE BV . � <br /> i <br /> JEF <br /> ADD^nf5` FIL(: <br />