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°� ` ° ;�,,� � CnNSTRUCTION <br /> - .- everett <br /> "T, °' pERMIT <br /> � everett <br /> cirv Hn�� zs�e�ns + <br /> eve�eTT. wn �azo, COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> OWNER MAIL ADDNkSS ZIP YIIONE <br /> � <br /> Burnett Brothers Jewlers 1620 Hewitt 98201 252-7721 �^ <br /> ARCl/ItECT Oq UL51CnVE1i MNL AUDR[55 P110NE LICFN56 NO. .�j <br /> i <br /> � <br /> GENERAI CONTRACTOIi MAIL ADDNH55 PHONE LICENSE NO. Z ` � <br /> Riverside Roof Compan} 2916 State Street 258-4646 RI VE RR *3021 C �. � � - <br /> MECNANICAL CONTFl�CTOR MAIL AUDFESS PHONE LICENSE NO. � � <br /> � <br /> � m <br /> PLUM6ING CONTRACiOR MAIL ADDRESS PHONE LICENSE NO. (� 9 <br /> � <br /> PEHMIi CLASS OF WORK � <br /> ❑COMBINATION <br /> �BUILDING ❑PLUM1IUING �MECHANICAL <br /> ❑NEW ❑ADDITION ❑ALTEAATIpN jORFPAIR <br /> VALUATION Of WORK <br /> § 3�Z7�.�0 ❑�EMOLISM ❑FENCE ❑SIGN ❑SWIMMING POOL <br /> � OESCFIBE WORK <br /> Hot built up re-roof <br /> PROPOSEO USE <br /> . MECHANICAL ! <br /> comnercial <br /> LEGAL DESCRIPTION OF PROPERTV ISI/OW BELOW UR ATTl�Cl/ TY�E OF ENERG V <br /> . FOURCOPIE51 ❑GAS ❑ELEC. <br /> LOT�l BLOCK�BBF—�ygrQ�t NO. TVPE OF E�UIPMENT FEE <br /> AIR COND.UNITS-H.P. EA. S I <br /> REFRIGERATION UNITS-M.P. EA. —� <br /> HOI LER$-II.P. EA. � <br /> FOHGEO AIF SYSTEMS-B.T.U. MEA. <br /> I <br /> JOB AOORES$ SPACE !4 WALL HEATERS - � <br /> B.T.U. <br /> 1620 Hewitt Avenue VNIT H.ATERS-fl.T.U. I <br /> CVAPONATNE GOOLEPS ' <br /> PLUMBING — c�orraes onveRs ' <br /> I <br /> VENTILATION FAN <br /> RANGENOOD � <br /> NO. TVPE OF FI%TURE OR ITEM FEE fUq IIANDLING UNIT- C.F.M. I <br /> BATM TUBS S — —— � <br /> CLOTHESWASHER � Wq75q HEATER � <br /> DISH WASHERS � FAC. flUIIT FIREPLACE A CH�MNEV � � <br /> DRINKING FOUNTAINS � ^,ns. Sr57EM: No OP oUTLE75 � <br /> FLOOR ORAINS i <br /> KITCHEN SINKS & DISP. i _�__ sVn tOrn� E � � <br /> BAR SINKS � PER�d1T S <br /> HOOF DRAINS - fiAIN LEADEfiS TOTnL FEE S � <br /> SHOWER BATH$ THIS PtqMll DECOM[S NULL AND VOIO IF WORK OR CONSTRUC <br /> SERVICE $INK$ TION AUTI/ORI2E0 IS NOT COMMENCED WITMIN 120 0AV5, OR IF <br /> SUMPS - SEWAGE PUMP CONSTqUCiION OFi WORK I,^,SUSPENOED OH ABANOONEO FOR A <br /> � PERIOD OF 170 DAVS AT ANV TIME AFTER WORK IS COMMENCED. <br /> URINALS <br /> WATER CLOSETS i I HERfOV GERiIFV THAi I HAVE READ AND E%AMINED THIS AP� <br /> WATER HEATERS - ELECTRIC � PLICATION AND KNOW TME SAME TO 0[TRUE AND CORRECT. AlL <br /> PROVISIONS OF lAWS AND ORDINANGES GOVERNING TMIS TVPE I <br /> WASH BASINS i Of WORK WILL 8[ COMPLI[D WITH WHETNER SPECIFIED MEREIN � <br /> LAUNDRV TRAVS OR NOT, THE GNANTING Of A PERMIT OOES NOT PRESUME TO I <br /> GNE AUTHORITV TO VIOIATE OR CANCEL TME PROVISIONS OF <br /> ANY OTH[R STME OR LOCAL LAW REGVLATING CONSTRUGTION I <br /> � Oq THE PEHFOFMANCE OF CONSTRUCTION. I <br /> � <br /> SUB TOTAL I <br /> PERMIT S � <br /> TAL FEE X CheCk M9234 11 8 78 <br /> WATERSERVICESIZE BLOG. SUPPLVSIZE SIGNATUR[OFCONTRACTOIIORAUTH.AUENT DATE � <br /> SIDEYARDSETBACK STREETSETBACK qEARYAROSETOAC PLANCHECKNUMFIER PLANCHECKFEE � <br /> FEE RECEIPT NO. <br /> USE ZONE LOT APEA VACANT SITE j <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF IJWELLING <br /> UNITS I <br /> . SI2E OF BI�G. NO.OF STORIFS MAX,pCC. I.OA� IIUILDING $ 32]�.0� Zg I 0� � <br /> PLUMpING � ' <br /> FIRE20NE BASEMENT FIRESPRINKLERS . <br /> ' REOUIREO <br /> ❑VES ❑NO MECNANICAL � � <br /> SPECIALCONDITIONS: UTHER � �, <br /> I <br /> PENALTV -. SEC.907fa) � �, <br /> TOTAL 28 I 00 i <br /> PERMIT VALIDATION � <br /> WH@NVqOP[RLVVAI.IDMEDII���PAQ��wMI� �� i � <br /> � � � �� � <br /> � , � <br /> , �� .��W � . � <br /> �rM�►N� ���'� I <br /> nrvur,nnor�ncctrnoxr: v�nnscrncainxr. mm�nv�n�n�u^;nn�'.inv # Q'�' <br /> . � • ., i •.�l ^ � � � <br /> . . . .7f?�.`0, -'I i�. • � �F�{�� �� ��.. <br /> � _�. <br />