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ei�erett � rtr�m� � PERMIT N0: o8a23 <br />CITY HALL 259�8745 <br />EVERETT,'.VA 9820t ❑ COMBINATION �#BUILDING ❑ MEC�IANICAL PLUMBING <br />OWNER <br />MAIL ADD9E55 GTY ZIP ���E <br />Ecerett Herald 1206 California Everett 98201 259-5151 <br />aRCH1TECT OR DESIGNEA <br />MAII /J' ORESS CITY ZIP PMONE <br />GENERALCONTiiACtOR NAILA�DPE55 Gn' ZIP PNONE LIGENSEI <br />Newland Constru�tion P.O. Box 958 Everett 98206 259-9191 <br />MEGHANIC/L CONiqACTOR MAIL AD�RE55 Gltt ZIP PMONE LICENSE I <br />NE WL AC *34:+C�0 <br />PLUMBING fANTRFGiOR MAIL ADORESS LITY 21P MONE LICENSE � <br />�SS OF \YORN <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR }E�DEMOLITION ❑FENCE L7SIGN GAFnGE <br />.UATION OF WOPK <br />S �Q.�Q _ <br />DEMOLISH SINGLB FAMILY DWELLING <br />Foua <br />�aT 31-3��oc 6K 21 oF <br />2702 Grand <br />PLUMBING <br />N0. TYPE <br />WATE(i CLOSET (T( <br />KITCHEN SINK 8 DISY. <br />DISHWASHER ,_ <br />LAUNDRYiRAY __ <br />C,L01ME5 WASHER <br />WPTER NEATER <br />URINAL _ <br />DRINKING FOUNTAIN <br />FLOOR DHAIN <br />VACUUM BREAKERS <br />ROOF DRAIi 7S — RAINLEAD� <br />SINK �SERVICE — BAR. ETC' <br />SUB <br />rett <br />SIDE YARD SEiBACK SIREET <br />USE ZONE LOT ARI <br />TYPE OF CONSi. OCCUP� <br />S12E OF BIOG. NO. OF <br />FIRE ZONE BASEMI <br />1. ENVIRONMENTALCHECKLIST <br />2. BUIIDING PLANS <br />3. FIRE NYDRAN7 <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. EIJVINONMENTAL IMPACT S7ATEMENT <br />e. HEALiIi DISTRIC7 <br />APPLICATION ACC. BY PLANS CHECKED BY <br />I HEREB'( CEHTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATIC'; AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WURK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEF�IN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATf_ OR LOl'•AL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAT�OF CONTRACiOR 05 AUTNORIZED AGENT � DAiE <br />/ �� � 1/26/81 <br />AIF COND. UNI1S — H.P. EA. <br />REFRIGERATION UNITS — HP. EA _ <br />BOILEflS — HP. EA. <br />GAS FlRED AG. UNITS — TONNAGE :A� <br />FORCED AIR SYSiEMS — B T.U. M EA. <br />W�LL HEATEFS — B.T.U. M <br />UNIT NEAIERS — B.T.U. M <br />EVAPOFATIVE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR H�NDLING UNIT — C.F M. <br />STOVE <br />1.,1FTAI FIRFPLACE 8 CHIMNEY <br />9EAR VARD SET�ACK PLAN CHECK N <br />VACANT SITE <br />❑YES ❑NO <br />NO. OF DWELLING UNITS <br />BUILDING <br />MAX.00C.LOAD <br />PLUMDING <br />FIRESPRINKLERS MWHANICAL <br />RLOUIR[D <br />f7YE5 f 1N0 <br />BY DATE OTHER <br />PENALTY <br />TOTAI <br />APPR. FOR ISSUANCE BY <br />FEE <br />$ <br />U.BA. <br />SEC. 303 (a) <br />RECEIPT NO. <br />� .n���..� ..�. <br />PROPERLY VALIDATED (IN THIS SPACE) iH1S IS YOI�R PERMIT <br />i31S �000.00-N <br />� <br />' r; \.`��'T� <br />. � •., .i .. �� <br />,�oorzEss r-i�r_ <br />7 .: �,; � I <br />