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� <br /> - , , ; , - . � <br /> , t . <br /> rhe eve.g.ae :. • � � <br /> � � � CITYOF �S��CTI��� � � ���� . � <br /> �V�ra�.� : ,P�MIT PERYIAIT NO. 0�08�3 �. <br /> _. � CI�1'MALL 259•8745 . . ' .. <br /> evenerr,w� eezo� ❑ COMSINATION O SWLDINQ � MECNANICAL ` � PLUMSING <br /> OWN � ' . AIAIL •. � • . . . <br /> JAMES FINLEY 4909 FOWLER AVENUE EVERETT <br /> �RCMITECT OR OESIGNER MAII ADDRESS CITY 21P PHONE <br /> GENERALCANTMCTOF MAILADDRE55 CITY ZIP PHONE �ICENSE� <br /> MELHnNIGLfANTMCTOR MAILADDHE55 CITY I�P i110NE LICENSE� <br /> NAT i�RAr. � R,�,_,F,QLrrPMFNT 1611 GRAND EVERETT 98201 258-2441 <br /> PIUMBINGCONTRACTOR M�ILADDRE55 CITY ZIP PHONE LICENSE� <br /> CU55OF WORK <br /> ONEW ❑ADDITION ❑ALTERA710N ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF 1VOpK <br /> S <br /> DESCRIBE WORK <br /> PROPOSED USE OF BUILDING <br /> I HEREBI'CERTIFY THAT I HAVE READ AND EX,aMINED THIS AP� <br /> LEWLDESGRiPT10NOFPROPERTYISNOWBELOWORATTAGHFOURGOPIE51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GQVERNING THIS <br /> �or NLOC�OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTfNCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRE55 SIG RE OF CONTRnGTOR OF Al1iMORRED AGENi DATE <br /> 4909 FOWLER AVENUE X .� �����,,ti <br /> PLUMBINO MECHANIC <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET ROILEn AIR CAND.UNIT$—HP.EA. <br /> BATNTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY IWASH BASINI BOILERS—H.P.EA. <br /> SHOWER GAS fIRED A.C.UNITS—10NNAGE EA. <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS—B T.U. M EA. <br /> DISHWASHER WNIL HEATERS—B.T.U. M <br /> LAUNDRV TfL4Y UNIT HEATERS—8 T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER NEA7ER CLOTHES DRYERS <br /> URINAL VENTIlAT10N FAN <br /> DHINKING FOUNTAIN RANGE H000 <br /> FLOOR DRAIN AIR MANDLING UNIT— CF.M. �' <br /> VACUUM BREAKERS STOVE ' <br /> RpOF DRAINS—RAMLEADERS METAL FIREPLACE 8 CHIM1WEY � <br /> SINK�SERVICE—BAR.ETC.) ater Heater 2 � <br /> 1 <br /> SUBTOTAL SUB70TAL f <br /> PERMIT t PERMIT f 3 OO <br /> TOTAI FEE S TOTALFEE f S <br /> $IDE VARD SEiB�CK STREET SE7BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECKFEE <br /> FEE F7ECEIPT NO. <br /> USE ZONE LOT hREA VALANT SITE � <br /> LiYES ❑NO FEES VALUATION FEE � <br /> TVPE OF CONST. OCGUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING b <br /> SIZE OP BLOG. NO.OF STORIES MA%.OCC.lOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIPL SPRINKLERS � <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPHOVALS BY D11TE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.8 C. <br /> SEC.309(a) <br /> 2. BUILDING PLANS ' <br /> 3. FIREHYDRANT TOTAL S OO <br /> a. FIRE PROTECTION S�STEM PERMIT VALIDATION <br /> 5. GRADING WHEN PROPEFLY VFLIDATED(IN THIS SP(�C����S IS Y�F�P�R�I,TO O �� � <br /> �) �� V U � <br /> 6. DRAINAGE � <br /> 7. ENVIRONMENTl l IMPACT STATEMENT O <br /> B. HEALTH DISTRICT 1'O U R R EC E I PT ao j <br /> APPLICATION ACC.BY FLANS CMECKED BY AFPR.FOR ISSUANCE BY 7 N A N K Y O U O i <br /> I <br /> � � A11G8� � <br /> ADDRESSFIL� � <br /> 1 <br />