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��� <br /> � ; -z <br /> — die Ecer.ereen . _. �Q N�T R U CT I O r�� -- <br /> <;,,��� , <br /> everett PERMIT PERMIT N0. �-33 �- 5 <br /> CITY HALL 259�8745 <br /> EVERETT.WF 88201 � COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING <br /> GITY ZIP PHONE <br /> O\YNER MAIL AOORESS 98,zO1 <br /> Tom Canonica 2402 Everett Aven e ��T� Z,P PHONE <br /> ARGMITECT OR DESIGNEH <br /> MAIL A�DRESS <br /> Z�p PHONE LIGENSE M <br /> GENERALGONTPAGTON <br /> MAIL ADDRESS CIiY <br /> Mql�ADORESS <br /> GTY 21P PHONE LICENSE M <br /> MECMANICALCONTRACTOR <br /> Natural Gas Equipment 1625 East Marine Viec, Drcve 9820P ZSBpHO E ucEr+se� <br /> MAIL ADDHESS <br /> PLUMpING GONTPACTOR <br /> CLASS OF WORK <br /> ❑ NEW ❑ AODITION ❑ AL7ERATION ❑REPAIR ❑ DEMOLITION ❑ FENGE O SIGN ❑ WOOD STOVFIFiREPLACE INSER <br /> VAIVAT10N OF WORK <br /> S <br /> DESCRIBE WORK <br /> PROPOSED USE OF BUILOING I HEREBY CEP.TIFY THAT�I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGPL DESCRIPTION Of PPOPERTV�SHOW BELOW Ofl ATTACH FOUfl COPIES� CORRECT. ALL PFiOVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT�BLOCK_�F WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIO�ATE <br /> �LOCALN LAW HREGU�LAITINGSCONSTRUCTION SORT THE <br /> PERFORMANCE OF CONSTRUCTION. oATE <br /> SIG A RE OF CONiFPLTOF O AUTN RIZED AGENT S�Z�B4 <br /> J09 AD�RESS X �� L j �� �,lrC� <br /> 2402 Everett Avenue <br /> MECH NICAL <br /> PLUMBING N� TYPE OF EdUIPMENT FEE <br /> N0. TYPE OF FIXTURE OR ITEM FEE <br /> AIR COND.UNITS— H.P.EA. <br /> WATERGLOSETIT�ILEn qEFRIGERATION UNITS— H.P.EA. <br /> BA7H7UB BOILERS — H.P.EA. <br /> LAVATORY IWASH BASIN) GAS FIRED A.C.UNITS—TONNAGE EA. <br /> 'HOWER FORGED AIR SYSTEMS— B.T.U. M EA. <br /> KI7CHEN SINK 8 DISP. �yq��HEA7ER5— B.T.U. M <br /> DISHWASHER UNI7 HEA7ERS— B.T.U. M <br /> LAUNDRY TRAY EVAPORATIVF COOLEF75 <br /> CLOTHES WASHER CLOTHES DRYERS <br /> WATER HEATER VENTILATION FAN <br /> URINAL RANGE HOOD <br /> ORINKING FOUNTAIN qlFi HANDLING UNIT— C.F.M. <br /> FLOOR DRAIN STOVE—WOOD <br /> VACUUM BREAKERS METALFIREPLACE 8 GHIMNEY <br /> ROOF DRAINS— RAINLEADERS FIFEPLACEINSERT <br /> SINK 1SERVICE— BAR, ETC.) HEAT PUMP <br /> i <br /> SUB TOTAL = <br /> SUB TOTAL f PEHMIT f <br /> PENMIi S TpTpL FEE S 14 SO <br /> TOTALFEE = PLAN CHECK FEE <br /> SIDE YARD SETBACK STREET SFTBACK REAR VARD SETBAGK PLAN CHEGK NUMBER I FEE RECEIPT NO. <br /> LOT AREA VACANT SIT[ FEES VALUATION FEE <br /> USE ZONE �_:YES :�.NO <br /> TYF'E OF CONST. OCGUPANCY GROUP NO.OF OWELIING UNITS S <br /> BUILDING <br /> SIZE OF BLOG. NO.OF STORIES MA%.OCC.LOAD pLUMBING <br /> FIRC.SPRINKLERS MECHA`IICAL ].4 SO <br /> FIRE IONE BASEMENT REGUIRED <br /> -. .YcS '.-�.NO OTHEH <br /> APPNOVAI.S BY DATE U.B.C. <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY SEC.303(a) <br /> 14 50 <br /> 2.BUILDING PLNNS TOTAL <br /> J.FIREHYDFiANT pERM1T�ALIDATION - �- � <br /> 4.FIRE PROTECTION SYSTEM WHEN PROPERLY VALIDATED(IN THI i iPiCOE1 THIS�S�1'OIUF�P�i��T__ ;-.^ <br /> � �� 5 Lt <br /> 5.GRADING .. . <br /> 6.DRFINAGE l' ; <br /> 7.tNVIRONMENTALIMPACTSTATEMENT . . <br /> , �. . . ���:�IPT` • <br /> B.HEALTH DISTRICT <br /> qPPLICATION ACC.gY PLANS CHECKED BV APPR.FOR ISSUANCE BY , . . . �J <br /> i `. <br /> � <br /> - f i, 'i <br /> ADDRESS FltE <br />