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`heE'.�RYeoF � rONSTRUCTION <br /> everett PERMIT pERMIT NG. 11141. <br /> CITY HALL 259�87a5 <br /> EVERETT.\NA �ezoi ❑ COMBINATION ❑ BUILDING �tMECNANICAL ❑ PLUMBING <br /> OWNEF AIqILADDRE55 CITY ZIP PHONE <br /> John Maltsberger 1615 Fulton Everett 98201 <br /> FRCHITEGTORJESIGNER MFILADDRE55 CITY 21P PHONE <br /> GENEr,qLCONTFACTOR AIAILA�DRESS CITY ZIP PHONE UCtNSI • <br /> San.e <br /> MECHANICA�CONTRApTOR MAILAD�RESS CIT\' ZIP FMONE UCENSE� <br /> PLU6IBINGGONiRACT�P MAILADDPE55 CIiY '.IP PMONE IiCENSf� � <br /> CLn550F WORN <br /> ❑NEW ❑ADDITICN ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAWATION OF\YORK <br /> E 4SO.00 <br /> OESCRIBE WOPK <br /> Install lined block chimney <br /> PROPOSEp USE OF BUIIDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGALDESCRIPLIONOFPROPERiY�SHOWpEIOWORATTALNFOUFCOPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS ANO ORDINANCE�GOVERNING THIS <br /> �or s�ocK_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 /> VISIO S--0 NY OTHER STATE OR OCAL LAW REGULATWG <br /> STRUCTI N OR THE P MA E OF CONSTRUCTI <br /> JOB AO�RESS � 51(1NATURF.OP �NiRAC {i OR AVT )R12E �AGE i UAIE 14 8 <br /> 1615 Fulton � � <br /> PLUMBING MEC ANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) AIR COND.UNITS—HP.EA <br /> �ATHTUB REFRIGERATION UNITS—HP.EA <br /> LAVATORY�WASH BASIN) BOILERS—HP.EA. <br /> SHOWER GAS PIRLD�C.UNITS—TONNAGE EA <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER IVALLHL�TERS—�T.U. M <br /> LAUNDRY TPAY UNIT HLATERS—�.i.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLEF$ <br /> WATER NEATER CLOTHES DFYERS <br /> URINPL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> F�OOR ORAIN AIR HANDLING UNIi— C FM. <br /> VACUUM PREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS M1IETAL FIREPLACE R CHIMNEY <br /> SINK�SEHNCE—(3AR,ETC.) <br /> SUBTOTAL SUB TOTAL f <br /> PERMIT S PERMIT S <br /> TOTAL FEE S TOTAIFEE S <br /> SIDE YARD SETBACH STf7EET S[T�ACK RLAR YARD$ETBACK PLAN CHECK NUMBER PLAN CHECK FE[ <br /> fBE RECEIPT NO <br /> USE Z01JE LOT AHEA VACANT SITE <br /> f:vES I-1N0 FEES VALUAiION FEE <br /> TYPE OP CONST. OGCUPANCY GROUP N0.OF DWELLING UNITS <br /> BUILDING �450 . 10 00 <br /> SIZE OF BL�G. NO.OF STORIES h1A%.OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE �ASEMENT FIRE SPRINKLERS <br /> RF.OUIRED MECHANICAL <br /> f IYES :-7N0 I <br /> APPHOVALS BY DATE OTHER � <br /> 1. ENVIRONMENTAL CHECK UST PENALTY U B.C. <br /> SEC.303(a) <br /> 2. DUILUING PLANS <br /> 3. FlR"eHYDRANT TOTAL LO 00 <br /> a. FIRE PROTECTION SYSTEh1 PEHMIT VALIDATION <br /> WHEN PROPERLY VAIIDATEO(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. G�ADING 8 g b a ' E O I Q. O O �� � <br /> I 6. DRAINAGE <br /> �'_ <br /> 7. ENVIRONMENTALIMPACTSTATEMENT • �� <br /> B. HEALTHDIS?RICT Y�U�R REC�EfPT r{ <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> THANK Y��U <br /> : ) 5 � 81 <br /> ADDRESS FILE , <br />