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- r,��. � ,�.,�,�.�.,� �'ONSTR�JCTIOr' <br /> �vc� � s <br /> ���Yl.l.� P �f�MiT PERMIT NO. �!�' �- � �� <br /> CITY HALL 759�8745 <br /> EVERETT,`Nl.9B201 ❑ COMBINATIOIV ❑ BUILDING �x�c MECHANICAL PLUPABING <br /> OIVHEH I.IAIL ApDRE55 <br /> QtY 21P PHONE <br /> Shaun Wellman 2030 Lombard LVerett 98201 <br /> pNGHITEGT OR DES�GNER MAIL AODiiE55 <br /> LITY ZIP PHONE <br /> GENERAL CONTRACTOR IdAiL PDDRESS <br /> CITV ZIP PHONE IICENSE� <br /> tdECMANICFL CONTPAGTOR MAIL AO�RESS <br /> CITY Z�P PMONE UCENSE x <br /> Natural Gas Equipment Co Inc 1625 East Marine View Drive 98201 258Ho4�l1 <br /> PLUMBING GONTRAGTOF <br /> - 1dAIL ADDRESS CITY ZIP <br /> GLA55 OF WORK <br /> ❑ NEW ❑ ADDITION ❑ AI.TERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOOD 5T0�'FJFIREPIACE INSEP <br /> VAWAiION OF WOPK <br /> i <br /> pE5CRi0E WOiiN <br /> aaovoseuuseoF eunou+c I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THF RAMF Tn BE TPL�� AiJu <br /> LEGALOESCfiIPTIONOFPflOPERTYISHOWBELOL90PFRACHFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND OFlDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMf'LIED WITH <br /> �or_a�ocK_oF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTWG OF A <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHOR!TY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL I_AW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. oATF <br /> 51G HE OF WNT�/+CTOR OR FUTHORIZED AGENT <br /> aoH Af]ORESS ���-�� ,'�j'L� <br /> 2U30 Lombard X �-� <br /> MECHANICAL <br /> PLUMBING FEE <br /> FE'c NO. TYPE OF EQUIPMENT <br /> NO. TYPE OF FIXTURE OR ITEM pIP.COND. UNITS — H.P. EA. __ <br /> WATEP.CLOSET I7C:LE71 <br /> REFRIGEflATION UNITS — H.P. EA. <br /> BATHTUB <br /> OC�ILERS — H.P. EA. <br /> LAVATORY�WASH 9PSIN) <br /> — -- Gl�S FIRED P..C.UNITS — TONNAGE EA. <br /> SHOWER <br /> FOP.CED AIR SYSTEMS— 8:f.U. M EA. <br /> KITCHEN SINK 8 DISP. <br /> __ WpLL HEATERS — B.T.U. M <br /> DISHWASHER <br /> _ UNIT HEATEFS— B.T.U. M <br /> LAUNDRYTRAY <br /> EVAPORATIVE COOLERS <br /> CLOTHESN.'ASHER GLOTHES DRYERS <br /> WATER HEATER <br /> VENTILATION FAN �' <br /> URINAL � <br /> RANGEHOOD r <br /> ORINKING FOUNTAW �F N, f. <br /> AIR HANDLING 11N1T — _ r; <br /> FLOOR ORAIN STOVE —W��� <br /> VACUUM BREAKERS <br /> ROOF DRAINS— RAINLEADERS <br /> METAL FIFEPLACE 8 CHIMNEY -- <br /> — FIREPLACEINSERT <br /> SINK(SERVICE— BAR,ET.0.1 <br /> — HEAT PUMP <br /> H V- <br /> – 1 'r7ater Heater � �� <br /> — H � <br /> � ' <br /> S SU8 TOTAL S r' � <br /> SUB TOTAL `' - <br /> PERMIT S M '- <br /> PERMIT 5 ' � <br /> 70TAL FEE 5 G �. <br /> TOTAL FEE S p�AN CHECK FEE � <br /> SIDE YARD SE7BACK STRF.ET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER ,� � <br /> FEe RECEIPT NO. � : <br /> LOT AREA VACANT SITE yp�UATION FEE IC� : <br /> USE ZONE ._yE5 , .NO FEES r <br /> :� <br /> 7YPE OF CONST. OCCUPAhCY GROL'P NO. OF DWELLING UNITS �-+ `- <br /> BUILDING 5 <br /> SIZE OF BLDG. NO.OF STO�71ES MAX.OCC. LOAD -- � � <br /> PLUMBING � '� <br /> __!— � : : <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL 14 SO � <br /> FEQUIRED � � � <br /> ���.YES I NO �-7 �_ <br /> APPROVALS BY DATE OTHEF U.B.Q � <br /> 1.ENVIRONMENTAL CHECK LI?T PENALTY SEC.J03(a) - <br /> — 14 50 - <br /> 2.BUILDING PIANS TOTAL <br /> 3.FIRE HYDRANT � <br /> PEflMIT VALIGFTION c IT <br /> 4.FIFE PROTECTION SYSTEM WHEN PflOPERLY VALIDATED�1N TI-�iSSEAQE)THI�S IS�Y�IfR Pr.�ht_ IS� <br /> l� 7 � �� <br /> 5.GRADING <br /> � <br /> c— <br /> 6.DRAINAGE <br /> Cr' <br /> Z ENVIRONMENTALIMPACTSTATEMENT . <br /> g.HEALTH DISTRICT � ' � � ' <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FORISSUANCE S� . . . � <br />