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• , <br /> N�er�'crveoF �r�NSTRI)CTION � � � - <br /> evere�t P�RAIIiT pERMIT NO. OHO6O <br /> CITY HALL 259�87n5 <br /> ;ver,err,wn eazo� ❑ COMBIMATIOPd ❑ B.EILJI`:G ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MMLADDFE55 QTY ZIP PMONE <br /> R. E. BOLDING 4912 COLBY EVERETT 98?.03 252-09n7 <br /> ARCHrt[CTOR�ESIGNEH M1IAILAOUNESS CITY ZIP PHONE <br /> GENERALCONiRACiOF MAILAO�PESS CITV 21P PHONE LICENEE� <br /> MECHANICPL WNTRACiOR MAIL FD�RESS CITY ZIP PHONE UGENSE I <br /> PWMBINGCONiRACiOR MAILAD�RESS CIiY ZIP PHONE LICENSE♦ <br /> CIA55 OF\VORK <br /> ❑NEW ❑ADDITION ❑AL7ERA710N ❑REPAIR �DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAI.l1ATI0N OF WORK <br /> S <br /> OESCRIBE WOf1K <br /> DEMOLISkJ HOUSE <br /> PROPOSED USE OF BWLDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �ecn�oescaianor+oFa�oeeatris�rowoe�owoennnc��rour�corie;i PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 6 60 PLAT OF EVEItETT ALL PROVISIONS OF LAWS AND ORDINANCES GOVE:RNING THIS <br /> �or e�ocK_�F TYPE OF WORK WILL BE CUMPUED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTIIORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTIiER STATE OR LOCAL IAW REGULATING <br /> CONSTRUCTION OR THE PFRFORMANCE OF CONSTRUCTION. <br /> !OBPOUPESS SIGN�TUp[pF�AFIIHACTOP AFUTHOPIZEOAGENT DNE <br /> 2611 LOMBARD X . �� (..����'�!,.� - 8-5—£i0 <br /> PLUMBING �.1ECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPME FEE <br /> N/ATER CLOSET(TOILET) AIR COND. UNI7S—H.P.EA. , <br /> BAi HTUB REFPIGERA'ION UNITS—H.P.EA" <br /> LAVF.TORV(WASH BASIN! UOILFRS—H.P.EA. _ <br /> SHOWER GAS FIFEU A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—B T.U. M EA. _ <br /> DISHWASHER VJALL HEqTERS—B T.U. M <br /> LAUNDRY TRAY UNIT HE�TERS—B T.U. M <br /> CLOiHES WASHER EVAPORATWE COOLERS _ <br /> � WATER HEATER CLOTHES DRVERS <br /> URINAL VE�JTILATION FFN <br /> DRINKING FOUNTAIN �7.4�GE HOOD <br /> FLOOR URAIN PIR HANDLING UNIT— C.F.M. <br /> VP.CUUM BREAKERS STOVE <br /> ROOF�RAINS—RAWLEADERS METAL FIREPLACE 8 CFIIMNEY <br /> SINK ISERVICE—9AR,ETGI <br /> SUB TOTAL SUBTOTAL 3 <br /> PEqMIT S PERMIT S <br /> TO7Al.FEE S TOTAL FEE E <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SF.7BhCK PLAN CHECK NCMBER PLAN CHECK FEE <br /> FEt RECEIPT NO. <br /> USE ZONE !OT AREA VACANT SITE <br /> ❑VES ❑NO FEES VALUATION FEE <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLDG. NO.OF S70RIE5 MA%.OCC.LOAD _4Il <br /> P W MBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑VES ❑NO <br /> -- APPNOVALS B'( DATE OTHER <br /> t. ENVIRONMENTAL CHECK LIST PENALTY U 9.0 <br /> 2. BUILDIIJG PLANS SEC.303(a) <br /> 3. FIflF.HYDRANT TOTAL G O OO � <br /> 4. FIRE PROTECiION SYSTEM PERMIT VALIDATION <br /> � `NHEN PflOPERLY VALIDATED QN THIS SPACE)THIS IS VOUR PERM❑ <br /> 5. GRADING 5 8 E 0 � O O O. O.O �� � <br /> 6. DflAINAGE - � <br /> 7. ENVIRONMENTAIIMPACTSTATEMENT O <br /> 8. HEALTH DISTRICT ���� �� �; REC[1(� � <br /> APPLICATION ACC.BY PLANS CHECKED BV APPR.FOR ISSUANCE BY � � }q N K Y O U <br /> — 6nuc80 <br /> ADDRESS FILE <br />