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� <br /> `°`� `'�;;Y`��;F �ONSTRUCTIOf�° <br /> everett PERMIT pERMIT NO. 1Og6g <br /> CITY HALL 259-tl7A5 <br /> r.v[:rvErT.wn nszo� ❑ ^.OMBINATION ❑ BUILDING ;� MECHANICAL ❑ PLUM8ING <br /> � SPUART TURNER 1611�PALD1 AV�NUE EVERHTT 98203� 353-9176 � <br /> nr,GUTECt OP�ESCd1Cl1 MAII ADORESS CIiV ZIP FNONE <br /> GEfIERALCONtPAGiOR MAILADDR[SS CIiY ZIP PHONE IICENSE� <br /> i <br /> 14C��ANiUICONTR4CTOR MAILPDDRE55 CITY ZIP PHONE UGENSEI <br /> ��1�ne r <br /> �'�tU�ApiNGCANTRACLOR iAARIDDRE57 CITY ZIP PNONE IICENSE� <br /> C�A55OF WORK <br /> IXINEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOU7ION ❑FENCE ❑SIGN ❑GARAGE <br /> Y:dURT10N OF WOPK <br /> 5 <br /> I�ESCRIpE WOPK <br /> Install ti�rood stove <br /> vaorosen use o,r u�iowc <br /> Resic�ence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> .�Gt�pE5CFi1'i�ONO� PAOPERTYISHOWB'lO1YOHAtiACMfOURCAVIE51 PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> p 2 N. BCV Park Div 2 A�L PROVISIONS OF LAWS AND ORDINANCES GOVLRNING THIS <br /> i�, trilleiaK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SP[CIRL-D <br /> HEREIN OR NOT. THE GRANTING OF A F'ERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF AN OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTIO R THE PERFORMANCE Of CONSTRUCTION. <br /> Si r + .CONt 'iC:�C�aU���OAiZED AGP�t L`:.1F <br /> IG[3 f.pD965 <br /> 1G11 PAI.P1 .AVENUE X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> \YATER CLOSET(TOILET) AN COND UNITS—HP.[A. <br /> BATHTUD REFRIGERATION UNITS—H.P EA _ <br /> LAVA70RY IYlASH BASIN) BOILERS—H P.EA. _ <br /> S��OWEP GASFIREDAC UNITS—TONNAGEEA <br /> KITCIIEN SINK 6 DISP. fOPCED AIR SYSTEIAS—0 T U. M EA <br /> �ISITYlASHER WAIL HEATERS—B T.U. �� _ <br /> LAUN�RY TMY UNIT HEATERS—0 T U M __ . <br /> CLOTHES WASHER EVAPORATNE COOLERS _ <br /> WATER HEATER LLOTNES DRYERS <br /> URINAL VENTIIATION FAN <br /> DRINKING FOUNTAIN f7ANGE HOO� <br /> FLOOF DFAIN AIR HANOUNG URIT— C F.61 <br /> VACUUI.IBREAKERS STOVE <br /> ROOF ORAINS—RAINLEA�ERS A7ETAL FIPEPIACL A CHIAINEV <br /> su:K�seavicE —aFa.eTc� 1 lYood 5 tove <br /> 7 50 <br /> sue Torn� SUB TOTAL s IffX 1� <br /> PERMIT f PERMIT S <br /> 10TALFEE f TOTALFEE S <br /> £IDE VARD SETBACK STPEET SET�ACK REAR VARD SETOACK PIAN CHECN NUTABER PIAt!CNECK FEE <br /> FEC FECEIPT NO <br /> USL ZONE LOT hf�[A VAYES�T$INEO FEES VALUATION FEE <br /> TYPE OP CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 5 <br /> S�ZE OP BLDG N0.OF STORIES MA%.OCC LOAD <br /> PLUMBING - <br /> �"' FIREZONE BASEMENT pEOUIREDKIERS M[Cf1ANICAL 1� SO <br /> ', �YES : 'NO <br /> APPNOVALS BY OATE �THER <br /> 1. ENVIRONMENTAL CHCCK 115T p���p�7y U B C <br /> SEC.3031a1 <br /> 2. BUILDING PlANS TOTAL 1� S O <br /> I 3 FIRE MYDRAHT <br /> a. f IRE PROTECTION SYSTEAI PEHMIT VALI�ATION <br /> V/HEN PROP[RLY VALIDATED pN THIS SPACEI t�+i�IS YOUR FERA�IT <br /> 5 GMDING � <br /> G DRAINAGE � � 9 � S 0 I 7.5 0 ` � . <br /> 7 EflVIRONMEN7AlIMPACTS7ATEMENT � <br /> B MEAITM DISTRICT <br /> Af'PLICATION ACC DY PLANS CNECKED BY AP�.FOR�����,��or � YO U�R REC E I PT <br /> rf�nr�K You <br /> � �n 97 <br />