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ihc Ll�ngrcrn — <br />everett r '��NSTgUCTlO� <br />CITVHALL259-B745 PER��IT PERMIT NO. 123�7 <br />EVERETT. Wq 5d201 � COMBINATION ❑ BUILDING ❑ MECHANICAL <br />YC�j( PLUMBING <br />OWNER <br />MAIL ADORE55 CITY <br />HAROT.n i.4lJcnn� ..,_ _ _ _ Z�P P�oNE <br />GENEflALGONTRALTOR <br />MAILqDDFE55 CIiY Z�p <br />PHONE LICENSEI <br />MECM4NIGAL LONiFACiOR MAIL ROORE55 <br />GTY ZIP oMONE LICEN;:E• <br />PLUMBING WNiRACTOR MPIL ADONE55 <br />CITV Zip PMONE <br />L�CENSE • <br />LLn55 OF WORN <br />�EW ❑ A�DITION ❑ q�7ERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ INOOD STOVEIFIREPLA �E INSERT <br />VALUATION OF WO <br />, A�d shoiaer sta11 <br />PNOPOSED USE OF 9W�UING <br />5619 Loiaell Rd <br />PLUMBING <br />SHOWER <br />KITCHEN SINY <br />LAUNDRYTpAY <br />CLOTHES WASHER <br />WATER NEATER <br />L'RINAL <br />ORINKING FOUNTA <br />FLOOR ORAIN <br />VACUUM BREANER: <br />ROOF DRAINS — R� <br />SINK �SERVICE — B <br />1. ENVIRONMENTAL CMECK LIST <br />2. BUILDING PLANS <br />3. FIRE HV�RANT <br />4. FIRE PPOTECTION SYSTFM <br />6. DHAINAGE <br />7. ENVIRONM <br />B. HEALTH DI', <br />� <br />OR <br />FEE <br />S <br />5 <br />S <br />i;YES L:NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPI_ICATION AND KNOW THF SAME TO 8E TRUE AND <br />COkRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />W'riETHER SPECIFIE� HEREIN OR NOT. THE GRANTING OF A <br />PCRMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OH CANCEL THE PROVISIONS OF ANY OTHER STNTE OR <br />LOCAL LqW REGULATING CONSTRUCTIOIJ OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />yGNATUR� p CONiqqCTUR OR �'U�EO 4GENi <br />1/ DATE <br />� -�� � r," 9/8/83 <br />M�cCHANICAL <br />TYPE OF EOUIPR7ENT <br />Alfl COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIREO A.C. UNITS — TONNAGE EA <br />FORCEO AIR SVSTEMS — B.T.U. IA EA. <br />WALL HEATF.RS — p,T.U. M <br />UNIT HEATERS — B.T.U. M <br />DRYERS <br />RANGEMOOD - <br />AIR HAryDLING UNIT — <br />STOVE — Wppp <br />METAL FlFEPLACE 8 CHIMNEY <br />FIREPLACeINSERT <br />HEAT PUhIP <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />C.F.M. <br />SUO TOTAL S <br />PEflM1T 5 <br />TOTAL FEE s <br />PLAN CI <br />FEE <br />VALUATION <br />5 <br />RECEIPT NO. <br />FEE <br />� 1 1 <br />PENALTY U.B.C. <br />SEC. 3G9 �a� <br />TOTAL S OO <br />PEpM1T VpLIDATION <br />WHEN PqppERLY yqLIOATED (IN THiS SPACE) TMIS�SOYQUg PEqy�IT � <br />1443 115 OU � <br />M <br />N <br />eV YOt1R RECEIPTr'+ <br />i HnNK YO U <br />ADDRESS FILE <br />.a� ; <br />'l <br />1 <br />� <br />4 <br />