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r <br /> IhcErerAreeq � ^��NSTRUCTI� <br /> CITY OP <br /> everett PERMIT <br /> GTYHALL259�B745 PERMIT N0. 10552 <br /> Ever�eTr,wn sezoi ❑ COMBINATION � BUILDING ❑ MECHANICAL <br /> ❑ PLUMBING <br /> OY:NEF <br /> h1AIL AODqE55 ��Jy <br /> Gleri R. Wdt50t1 Z��' ��oNe <br /> � 6G08 Gatewa Terrace Everett 58203 353-9460 <br /> AA-����Ecr c�ocs�eN�n <br /> MAIL ADDRE55 CITY <br /> Z��' FHOt�E <br /> GR:ERA�CONiPACiOH <br /> S a m e M1�A��ADDqE55 CIiY <br /> ZIP RIONE <br /> �I�ENSE! <br /> IdECHAtLCAI WNiRACTOR <br /> �fAIL pppPEGS q1Y <br /> Z�P PNONE <br /> UCENSE I <br /> P W Id�W G CONiRAC10R <br /> MAIL pDpRESS CItY <br /> Z�P PNONE <br /> IICEIlSE• <br /> CLASS OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION XS7REPAIR ❑DEMOLITION �FENCE ❑SIGN ❑GARAGE <br /> VALIAiION OF VlORK <br /> a 1200. �� <br /> DESC9IBE WOPK <br /> re-roof composition <br /> 4�nOPO5E0 USE OF BUILDING <br /> Sinqle Famil Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �ecn�oesceiPnoNOFanoacarr�sNowoeiowo�nnncnFour�cor�cs PLICATION AND KNOW THE SAME TO BE TFiUE AND CORRECT. <br /> ior 41 oi�y`_oF Tract 4 ALL PkOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> Westwood HEREINFOR�NOVT.vITHEEGRANTING OF q PERMITRDOESINOT <br /> PRESUME TO GIVE AUTHOfiITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR IOCAL LAW RE�ULATING <br /> CONSTRUCTION OR THE PERF ANCE OF CONSTqUCTION. <br /> :OBAODRE55 SIGNFt F NiRFCTORO ,Mp � <br /> 6608 Gateway Terrace °"TE <br /> PLUMBING � 5 19 82 <br /> MECHANICAL <br /> NO. TYPF OF FIXTURE OR ITEM FEE <br /> N0. YPE OF EOUIPMENT FEE <br /> ' WA7ER CLOSET(TOILET) <br /> 6ATHTUO AIR COND.UNITS—HP.EA. <br /> REFRIGERATION UNITS—H.P.EA <br /> LAVAiORV�WASH OASIN� <br /> SNOWER ��ILERS—HP. EA. <br /> NITCHEN SINK&DISP. GAS FIRED A.G UNITS—TONNAGE EA. <br /> DISHWASHER FORC[D AIR SYSTEMS—B.T.U. M EA. <br /> LAUNDRY TRAV WFLL HEATERS—B.T.U. �� <br /> CLOTHES R'ASHER UNIT HEATERS—B.T.U. �� <br /> WATER HEATER EVAPpRATIVE COOLERS <br /> URINAL CLOTHES DRYERS <br /> DRINKING FOUNTAIN VENTIL�TION FAN <br /> FLOOR�RAW RANGE HO00 <br /> VACUUM BREAKERS AIR HANDIING UNIT— GF.A1. <br /> FOOF ORA�NS—RAINLEADERS STOVE <br /> SINK�SERVICE—BAR,ETQI METAL FIRePLACE 8 CHIMNEV <br /> SUBTOTAL <br /> PERMIT s SUB TOTAL S <br /> TOTAL FEE S PEHMIi 5 <br /> SIDE YARD SETBACK STREET SETBACK REAR VARD SETOACK PLAN CHECK NUMBER TOTAL FEE S <br /> PLAN CHECK FEE <br /> USE ZONE LOT AREA VACANT SITE FEE RECEIPT NO. <br /> I7VES i-]NO FEES VALUATION <br /> 7YPE OF CpN57. FEE <br /> OCCUPANCV GROUP NO.OF OWELUNG UNITS <br /> SIZE OF BLDG. NO.OF STORIES MA7c.pCC, LOAD BUILDING b 1200. <br /> 20 50 <br /> PLUM�ING <br /> FIRE ZONE BASEMENT FIRE SPRINKLEPS <br /> REOUIPED MECHANICAL <br /> IIYES f iN0 <br /> APPROYqLS 9Y DqTE OTHER <br /> 1. ENVIRONMENTA�CHECK LIST <br /> -'. �UILDING PLANS PENALTY U.�.C. <br /> SEC.303(a) <br /> 3. FIRE HYDR4N7 TOTAL <br /> a. FIRE PROTECTION SYSTEM Z� S 0 <br /> PERMIT VALIDqTION <br /> 5. GRADING WHEN PI70PERLY yq�IDATED pN TNIS SPACE)THIS IS YOUR PERMIT <br /> G. DRAINAGE 2 5� U � O L O. J O �� r <br /> 7. ENVIRONMENTALIMPACTSTATEMENT <br /> IB. HEALTH DISTHICT �,O <br /> I APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY YO U R R E C E I P�' <br /> Ie <br />; i���:�r�r; You <br />� ADDRESS FILE I �} l�AY $2 <br />` <br />