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lhcE�'er,�rcen �'�NSTRUCTION � <br /> `�TYOF p�RfMIT <br /> everett PERMIT NO. Og6�I4 <br /> CITY HALL 259�87d5 <br /> eveaert w� �ezo� Q COMBINATION � BUILDING C� MECHANICAL PLUMBING <br /> I:IIY Z1P PIIUN6 <br /> AIAIL�I1�Ht 55 "' <br /> i o,vr,Ea Everett 98206 259-2738 <br /> Bryon R. Hinds P .O. Box 1991 ` Y Z�p P��oNE <br /> nr�cr�ncctonoescNen n�aanao��Ess ,�.;3_ 3//J�(/,f/A`•=l=., <br /> CITY 21P FIIONE UCENS[� <br /> IdAR ADURf 55 ' <br /> GENERALCONTRACTOR <br /> S ame LICENSE 1 <br /> i}ECINNIGAL CAHTPACTOR <br /> AIAIL ADDRE55 Crtv ZII' PHONE <br /> AIAIL PUDPf55 <br /> QTv 21P PIIONE UCENSE♦ -� ' <br /> FLN.IpING CON7RALTOP <br /> C1��55 OF�YORK <br /> �N�y� ❑ADDITION �LTERAT�ON ❑REPAIR ❑DEMOUTION ❑FENCE ❑SIGN GARAGE <br /> •:��LUAiiON OF YlORk <br /> ].� rJ00. �� <br /> uESCRIBE WORK <br /> repair existing residence <br /> rnoFoseo useoF ew�oiNc I HEREBY CERTIFY THAT I HAVE READ AND EXAMWED THIS AP- <br /> single family residence pLICATION AND KNOW THE SAME TO BE TRUE AND CORREGT. <br /> �ecti�oescairnoNoveeoream�,�!owoetowor+nrt�.ci�Founcori�s qLLPROVISIONSOFiAWSANDORDINANCESGOVERNINGTHIS <br /> �or y_7 o�aK 57¢,F Milev Land -o TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PHESI;'v1E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> CONSTRUOCTION OF THE�PERFORMANCE OF ONSTRUCT ONING <br /> S�GNANrt< <�'i�G91RACi09 OR AU➢�OR=ED AGrNi <br /> 04T[ <br /> :eu noor+ess X � 8/2 0/S 1 <br /> 2519 Pine Street <br /> MECHANI 1- — <br /> PLUMdING FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT . <br /> nIR COtJD. UNITS–HP.EA <br /> Z YFTLP CLOSET(TOILETI REFRIGERATION UNRS–H.P.EA � <br /> Q BATHTUB BOILERS–H.P.EA – <br /> Q �pVATORY(WASH BASINI G�S FIPED A.C.UNITS–TONNAGE EP.. <br /> SHO\YER 4 OO FORCED AIR SYSTEM1IS–BT.0 M EA. – <br /> Z KITCHEN SINK 8 DISP. Wp��HEATERS–B.T.LL �•� ' <br /> DISHWASHEP UNIT HFAlERS–B.TL. M - <br /> _ LFUNDRYTRAY A EVAPORATIVECOOLEFS —�' <br /> 1 CLO7HESYlASH[R CLO7HE5 ORYERS - <br /> 2 WATER HEFTER ], VEWTM110N FAN O_O. <br /> URINAL qANGE HOOD <br /> DRINKING FOUNTAIN qIR HANDLING UNIT– C.F M11. - <br /> FLOOP DRAIN STOVE – <br /> VACUUM�REAKERS A7ETAL FIREPLACE&CHIMNEY - - <br /> ROOF DRFINS–RAWLEADEFiS —– <br /> SINK�SERVICE–BAR.ETC.1 --- <br /> SUBTOTAL S 3 0� <br /> SUBTOTAL ZZ �� t – <br /> PENMIT <br /> PERMIT S TOTALFEE S 3 00 <br /> TOTAL FEE S PLSN CHECk FEc <br /> SIDE YARD SEIBACK STREET SETBACK fiEAR VARD SETBACN PIAN CHECN NUM9ER qECEIPT NC. <br /> F[E <br /> LOT AREA VACANT SI7E FEES VALUA710N FEE <br /> USL ZONE L]VES ❑NO <br /> � <br /> TYP[OF fANST. OCCUPANCV GROUP N0.OF DWEILING UNITS b z S OO <br /> BUiLDING � <br /> MA% OCC.LOAD z z �� <br /> 5���ap d�p�, NO.OF STORIES p�UMBING <br /> !°IREZONE BASEIAENT FIRESPi11NKLERS p�ECHANICAI 3 OO_ <br /> R[OUIRED <br /> ^,YES ❑NO <br /> BV DATE OTH[H _ _ <br /> APPHOVALS UBA. <br /> 1. ENVIRONMENTALCHECKLIST P�NA�'Y SFC.303(a) <br /> ?. Bl1ILDING PIANS 70TAL S O 00 <br /> 3. FIRE HYDR/+NT � pERMIT VALIDATION <br /> WNEN PROPERLV VALIDA1FjD ON THIS SPACE)THIS IS VOUR PERIAIi <br /> 4. FIRE PPOTEGiIUN SYSTEM . . – _ `" . _ . ' . ' „ � . . '_ � <br /> 5. GRADING - � <br /> � - 6. D�FINAGE � <br /> "-7. ENVIRONMENiAI IMPACT STATEMENT � � � -1 � <br /> � 8. HEALTH DISTRICi � . . <br /> pppp.FOR ISSUANCE�Y <br /> APPLICATIOIJ ACC.BY PIANS CH[CKED BY � <br /> DAB DAB DAII <br /> i <br /> ADDRESS FILE <br />