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�hr (irrr.qrcrt+ �• CCINSTRUCTION • � <br /> ��1Y OF -. <br /> e��rett PERMIT pERMIT NO. ��G53 <br /> ciTv Hn��zss.o�a, <br /> ever��rT.�vF AHzrn ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMB�NG <br /> oc:r,te i�.ai�nooetss cirr zu� i„ort <br /> RONATA PF.F.RTF4 1�2� OAKFC AVF_. Fln'RFTT 9$9(1], <br /> nn[.r�I1LCi On f`FSiG�:U� IAAiL AUDFLSS CRv Zi�' P��OLk <br /> ilElIERALCOIIiRAGTOR 1.'AILAD�RESS Cih' .'IP PIIJNE LICEfI.`.L• <br /> PACTORY DIRECT INSTALLATION P. O. BOX 1zG5 KFNm WA- qAOat g52-5975 — <br /> ;'LINANiCA!CLNPi:.Ci�P MAILADDPE55 CIiY ZIP P��ONE UCENSE• <br /> P�lRA9MGCON�RACiO�i IAAR�DURE55 CIiY ZIP Pl104[ IICENS[r <br /> ��ASS Of\Y09K <br /> ❑NEW I�ADDITION ❑ALTERATION �]REPAIR L�DEt.10LIilON ❑FENCE ❑JitiN uIiAHA(56 <br /> vaLl1At10N OF:VORn <br /> S 4.5��_00 AnIITTT(1NAT. VnT. m ni_�_i���on€j�(� <br /> bESLRIpE1Y0Ft; <br /> REPLACE PORCH AND RESIDE RESIDENCE <br /> FRcroSED usE oF L'W LowG <br /> I HEREBY CERiIFY iHAT I HAVE READ AND EXAMINED THIS AP� <br /> �.�r,a�oescaiNnoNOFreorer�rr�snov+uaowonnirncr�Founcorics� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior 19 oiocK 350oF EVERETT DIV. N TYPE OF WORK WILL BE COIdPLIED WITH WHETHER SPECIFIED <br /> H[REIN 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 STATE OR LOCAL LAW REGULATIN6 <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> ;�,;!anoune5s si[Nn�uPeovwmnscion�eAu»�oniZtoacsrvr o<n <br /> 1727 OAiCES X � ` <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> �V41GR CLOSE7 1T04[71 �IR CONC UNITS—H.P.EA. <br /> �A7HTU6 REFRI�EHAiION UNITS—FI.R EA <br /> LAVATORV IWASH BASIN) BOILERS—HP.EA. <br /> SHOV/l R GAS FIRED A.C. UNITS—TONNAGE EA <br /> hITCHEN SINK 8 DISP. FORCED AIP SYSTEh15—B.T LL M EA _ <br /> DISHWASH[R 1'JALL HEATLHS—B.T.U. M <br /> LAUNDRYTRAV UNRIiEATERS—O.T.U. M <br /> CLOTHES WASHEF LVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DHVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD _ <br /> FLOOR DRAIN AIR HANDLING UNIi— C F.M. <br /> VACUUM E3REAKERS STO\'E <br /> ROOF DRAINS—�7AINLEADERS METAL FlflEPLACE 8 CHIMNEV <br /> SINK�SERVICE—BAR.ETCJ <br /> SUB TOTAL SUB70TAL S <br /> PERMIT S PERMIT S <br /> TOTALFEE 5 TOTALFEE S <br /> SIDE YARD SETBACK S:R[LT 5[idACK fiEAR YARU SETBACK PLAN CHECK NUMBER PLAN CHECK PE[ <br /> FFE F�ECHPi NO <br /> USE ZONE LUT AREA VACANT SITE <br /> ❑VES ONO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELIING UNITS <br /> �WL�ING 5 4$0�.�0 3z �� <br /> SIZE OF BLDG. NO.OF STORIES IdA%.OCA.LOAD <br /> PI UA�PINC <br /> FIFE ZONE BASEM1IENT FIRE SPRINKL;RS <br /> � REOUIRBD MECHANICAL <br /> !ttES IlNO <br /> APPIiOVALS BY DATE OTHER <br /> t. LNVIFO4MENTALCHECKLIST PENNLTV U.�C. <br /> SEC 303l0) <br /> :! BUILDING PIANS <br /> TOTAL 32 00 <br /> 9. FIRE HVDRANT <br /> :. FIRE PRDTECTION SVS7EM PERMIT VALIDATIOH <br /> 5. GRADING WHLN PROPERLY VALIDATED(W THIS SP;8,g�IS Y041R_P[RMI.O � �� <br /> f03i ' <br /> G. DRAINAGE � ' <br /> �.rJ <br /> 7 ENVIRONMENTALIMPACTSTATEMENT (�� � . �5� <br /> H HLALTHDISTRICT .i.OU� �,l�E'�f}pf<.r, <br /> APPLICAiiON ACC.BY PLANS CHECKED UV APFR ('OR ISSUANCE BY T�IANl: YO U (�, <br /> DE/lc <br /> - --- - E �rP 7 g <br />