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u,�� t��,�,,,����,� <br />�� r� �,, <br />everett <br />CITV HALL259814G <br />�ONSTREJCTION <br />' PERI�IIT <br />LVEREI'T,'N1 ,szo, COMBINATION • BUILDING • ME(:HANICAL • PLUMBING <br />JNJNEfl MqIL AUGH[55 ��� <br />Z�N PHONE <br />'R ''FMar� JamesfOwenby 5404 Fairview Avanue 93203 353-5862 <br />Same <br />ncro <br />❑COMBINATION <br />�6UILDING [.IPLUM8ING �MECHANICAL <br />/ALUATIONOFWORK — <br />NS[ <br />L <br />❑NEW �ApDITION ❑ALTERATI(1N ❑ftEPAIq <br />5 SS�OOO.00 ❑�EMOLISH ❑fENCL ❑SIGN ❑SWIMf.11NG PpOL <br />DESCRIBE WORK <br />Add bedroom bath basement & enlarge li <br />PROPOSED USE <br />Single family residence <br />LEGAL DESCRIPTION OF PROPERTV (SHOW 6ELOW OR ATTACFI <br />FpUR COPIE51 <br />LOT 23 gLOCK_pF�2llTylEy]�iElQI1tC IJiv_ Ik <br />IOB ADDRE55 <br />5404 Fairview Avenue <br />PLUMBING <br />TER SERVICE SIZE F.LDG. SUPPLV �IZE++ Vv <br />1EYARDSETOACK 57'REETSETBACK REARVt1R�SETH. <br />5� 20' 20' <br />EZONE LOTAHLI� VACANTSRE <br />R-z ❑VF.S ❑NO <br />PE OF CONST. OCCUPANCY GROV� ND.Of OWELUNG <br />V-N , uNirs <br />3 <br />SPECIAL CONOITIONS: <br />� ,. .-- � <br />yEs <br />IUN/�CCLPIkU11T: �IYLl�flSUIFIKLOpV <br />,m,M <br />1 <br />everett <br />g room I <br />MECHANICAL <br />TVPE OF ENERG V <br />❑GAS ❑ELEC. <br />Nn. TVPE OF EQU�PMENT FEE <br />__ AIR COND. UNITS-N.P. EA. g � <br />REFRIGERM �ON UNITS�-H.P. FA. --��— <br />�OILERS-H.P. [A. �— <br />FORCED AIR SYSTEMS-B.T.U. MF.A �T <br />- -- I <br />SPACE R WAIL NEATERS - B.T.U. --T— <br />UNIT HE/1TEF5-F3.T.U. 1 <br />-- I <br />_ �vnvonn�iveeoo�eHs <br />_ CLOTFIES DRYERS � <br />� VLNTILATIONFAN T <br />�_ Fil�NGE h1pOD � <br />Alq HANDLWG VNIT- CF.M. <br />—_ '- __— _� <br />_-- -_ I <br />WATER FIEATER <br />� FAC. �UI�T FIREPLACE R CHIAWEV � <br />-- I <br />GAS. SYSTEM: NO OP OUTLETS T <br />SU6 TOTAL 5 � <br />--. I <br />PEfiM1T 5 <br />TOT11L FEE 5 � <br />THIS PERMIT µECOMES NULL AND VOID If- WORK OH CONSTqUC- <br />TION I�UTHORIZFD IS NOT COMMENCED WITHIN 120 OAYS, OF IF <br />CONSTqUCTION OR WOHK IS SUSPENDED OR I�QANDONED FOR A <br />PERIOD OF 120 Dl�YS AT ANY 1'IME AFT[R WORK IS COMMENCED. <br />I MEREEIV CERTIFV Th1AT I FIAVE FEAD l�Nf� EXAMINED THIS AP- <br />PLICATION l�ND KNOW THE SAME TO OE TflUE t1ND CORRECT. ALL <br />P(iOVI510N5 OF LAWS qNC OR�IN/�NCES GOVERNING THIS TVPE <br />OP WpRK WILL 13E COMPLIE� WITH WIIEIHER SPECIFIEO H[REIN <br />OF NOT, THE GRANTING OP A PEfiMIT DOES NOT PRESUME TO <br />GIV[ AUTIiORITY TO VIOLATE OR CANCEL THE PFOVISIONS OF <br />ANY OTHE(i 5T4TE OR LOCAL �AW q[GULt1TING CONSTRUCTION <br />0(i TI1E PERFORMI�NCL OF CONSTFIUCTION. <br />x <br />IECK NUMAER PLAN�HECK FEE <br />�E� RECEIPT NO. <br />78/305 36.00 30�67 <br />FEES VALUATION FEF <br />occ. �ono �UILDING 5 15,000.00 72 00 � <br />PWM[iING � <br />SPqINY.LERS 11 O , <br />11IiED I <br />�es ❑No n��c�+nNicni. � . <br />_ OTHER I <br />I <br />PENALTV SEC.30�1a) � ' <br />TOTAL � <br />_ a.�. 1 <br />PERMIT VAUDATION � - - - � ^ �- <br />WHEN PqOPERI.Y VALIDl�TED �.iN TIIISSGAGE) THIS IS�YOU� P�RMIT <br />�I i i. _ 1 <br />������� � <br />— 7H�NK Y�Otf� ; <br />��� ���� ��;����,<:� �,. , N <br />eb � <br />i; �� <br />� � !`':: �,�,�� jrr, <br />. �:��� . ��' <br />.. . . i�,� .�. . <br />