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r (heErrrgreen � � C�NSTRUCTION -� � "� � � � <br /> I CITY OF <br /> � everett PERMIT <br /> � PERMIT NO. O�6H3 <br /> CITY HALL 259�5745 <br /> EVERETf.WH ae2oi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBINfa <br /> � 01YNER MAiLA�DRE55 CIiY Z'P PMONE <br /> � <br /> � John L. Margeretich 4728 Darlington Lane <br /> iARCHITECTORDEiIGNER MNLADDFE55 CITY ZIP PMONE <br /> � OENERALCONTRACiOR MAILADDAE55 QTY ZIP PHONE IICEN5E1 <br /> F Mel Forrey 7532 I(i Lower Ridge Road 353-9659 <br /> � <br /> � MECHANICAL CONTIL\LTOP MAIL ADOFESS CITY ZIP PHONE LICENSE� <br /> �: <br /> � PLUM�INGCONTRACTOA AIAILAODRE55 CITY 21P PHONE UCENSE� <br /> 1I ClASS OF WOFN <br /> ❑NEW �ADDITION ❑ALTERATION C}aR[PAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> I <br /> I VqLUATION OF WORN <br /> � S 35�0.�� <br /> DESGRIBE 1YORK <br /> 1 Repair existing deck extend roof to cover front entry <br /> f P�OPOSED USE OF BUILOING <br /> i I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> IEGALOESCRIPTIONOFPBOPERiY�SHOWBELOWOPATiAGHFOURCAPIES� FLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> � 51 ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> j �or n�oc�._av TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> k Darlin ton Re lat of Lot X HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> g P PRESUMETOGIVEAUTHORITYTOVIOLATEORCANCELTHEPRO� <br /> t VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> E CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JC��OORE55 JIGN9i RE OF CON ACTOR O I�ITNORIZED AGENT DATE <br /> 4728 Darlington Lane X � 9/13/79 <br /> PLUMBINO MECHAN CAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIP NT FEE <br /> WATER CLOSET(TOILET) AIR COND,UNITS—H.P.EA. <br /> BATH7UB REFRIGEPATION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCliEN SINK 8 DISP. fORCED AIR SYSTtMS—B.T.U. M E4. <br /> DISMWASHER WALLHEAiLiS—O.T.U. M <br /> IAUNDRY TRAY UNIT HEATERS—B 1.U. M <br /> � CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATEfi HEATER CLOTHES DFVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RnNGE 1100D <br /> i FLOOR DRAIN AIR HANDLING UNIT— QF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DFiAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR,ETC.1 <br /> ', _ <br /> �I <br /> S SUBTOTAL SUBTOTAL S <br /> 1• <br /> PERMIT S PERMIT S <br /> TOTAIFEE S TOTALFEE S <br /> ' SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK PEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> �;� ❑YES XXNO PEES VALUATION FEE <br /> TYPE OF CANST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> V-N R-3 1 <br /> BUILDING $ 3500.00 28 00 <br /> SIZE OF BLDG. N0.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASeMENT FIRE SPRINKLERS <br /> � REOUIRED�� MECHANICAL <br /> � 3 none ❑ves ��e <br /> �� APPflOVALS BY DATE OTHER <br /> ;I 1. ENVIRONMENTNLCHECKLIST PENALTY U.f3.C. <br /> SEC.303(a) <br /> 2. BUILDING PLANS . <br /> � 3. FIRE HYDRANT TOTAL 28 00 <br /> �� <br /> a. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDA7ED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5 GRADING i � � � � U L O.O O � � <br /> 6. DRAINAGE <br /> 7. ENVIRONMENTAL IMPFlCT STA7EMEN7 C.0 : <br /> B. HEALTHDISIRICT YOU.R RE.GEIPT 0 <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � ' � <br /> �.�. <br /> � rr•t�tt� Y�u • <br /> ;: <br /> ,,,, i, ;- _ � <br /> . ` . � <br /> ADDRESS FILE � � ��9. _. <br />