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�he E�'C�veOF �'Cr NSTF�U CTI O N <br /> everett PERMIT pERMIT NO. 1.O4�.E <br /> CITY HALL 259�8745 <br /> eveaerr, wn eezo� ❑ COMBINATION �cBUILDING ❑ MECHANICAL � PLUMBING <br /> OWNER I.IRILADpRF55 GiY ZiP PHONE <br /> Everett Housing Authority 258-9222 <br /> ARCHITECi OF GE9GNER AIAIL ND�RE55 QTY ZIP FHONE <br /> GENERAL CONTPACTOR 1/AIL ADpRE55 CIiY IIP PHONE LICENSE/ <br /> MECNANICAICONTRACTOH A�AllA0DBE5S CIiY ZIP PnONE �ICENS[I <br /> PWMI3rtJGCONipACiOq MAIIApORE55 CItY ZiP PMONE LICENSEI <br /> C1A550f WORK I <br /> ❑NEW ❑ADGITION ❑ALTERATION ❑REPFIP X�7EMOLITION ❑FENCE ❑SIGN ❑GAPAGE <br /> VA�UATION OF 1VORK <br /> $ <br /> OGSCf�IpE WORK � <br /> Demolish Garage <br /> aaoros�o usE oF ouaowc <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE REP.D AND EXAMINED THIS AP- <br /> ieca�oescmm�or�oFr�WOPearv�sNowee�owonnnncNFouncowes� PLICATION AN� KNOW THE SAME TO BE TRUE AND CORRECT. <br /> � Everett Land Co. s lst ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior o�oc�l F TYPE CF NJORK WILL BE COMPLIED WITH INHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRAMTING OF A PERMIT DOES h0T <br /> PRESU�1E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> `JISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> �oe nooness sicr�tiruak oF coN ancror+o�r . i , onre <br /> 3009 Lombard �/�/ � q���82 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OH ITEM FEE NO. TYP�OF EOUIPMENT FEE <br /> WATER CLOSET�i01LET) AIR WND.UNITS—HP. EA. <br /> �AiHTU� RFFRIGERATION UNITS—H.P.EA <br /> LAVATpRY�WFSH BASIN) �OILERS—H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS—TONNAGE EA. <br /> KITCHEN SINY.8 DISP. FORCED AIG SYSTHMS—B.TL. M EA. <br /> DISHNJASHER 1NALL HEATERS—B.T.U. M <br /> L/�UNDRY TRAY UNIT fiEATERS— B T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> UPINAL VENTILATIUN FAN <br /> DRINKING FOUNTAIN RANGF.HOOD <br /> FLOOR ORAIN AIR NANDLING UNIT— QF.M. <br /> VACWld BREAKEflS STOVE <br /> ROOF DRAWS—RAWLEADERS METAL PIREPL4CE 8 CHIMNEY <br /> SINK ISERVICE—BAR. ETC.) <br /> SUBTOTAL _ SUBTOTAL S <br /> PEHMIT S PERMIT S <br /> TOTALFEE S 70TAlFEE S <br /> SIDE YARD SETAACK STREEi SETBACfC REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑VES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCLIPANCY GROUP NO.OF DWEILING UNITS <br /> BUILDING 5 OO OO <br /> SIZE OF BLOG. NO.OF STORIES MAX.OCC.LOAC <br /> PLUMBING <br /> FIF7EZONE BASEMENT FIRESPRINKLERS <br /> REOUIRED MECHHNICAL <br /> fIYES ❑NO <br /> APPROVALS BY DATE OTHER i <br /> 7. FNVIRONIdEIJTAL CHECK LIST — �J <br /> P[NALTY U 6 C. <br /> 2 BUILDING PLANS SEC.303(a) <br /> 3. FIREHVDRNNT TOT/:L OO OO <br /> �i FIRE PFlOTECTION SYSTEM PEHMIT VALI�ATION <br /> 5. GRADING WHEN PFOP[RLY VAIIDATED pN THIS SPACE)THIS IS YOUR PLRMIT <br /> f,. DRNNAGE <br /> � ° � 6 s000. oa — � <br /> i 7_ENVIRONMENTAL IldPACT STATEMENT . � ,�. <br /> - e. "�A�T"o�STp�°T 1�"O U R R EC E I PT � <br /> RPPLICATION ACC.OY PIANS CHECKED BY APPR.FOR ISSUANCE BY <br /> TH.Ai��K YdU <br /> -:;5 PIL? <br /> - 8 �� 82 <br />