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-� i <br /> r ,� <br /> , <br /> "".` �"""".� " �ONSTRUCTiON <br /> everett PERMIT PERM�T No. 11�86 <br /> CITY YALL.'S9-07a5 <br /> eveaerr.�•;a9azoi ,��'—�OMBINATION �� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> r - <br /> OWKER MA4�D�AE55 CIiY LP PnONE <br /> HOGLAND TfUi\SPHR �221 Paine Street �verett 98201 252-2102 <br /> cRCniTECi OR�ESi'1NER M/•il�DDRE55 CrtY 2ia PHOt�E <br /> 4ENERPL WNiR1CLOP MAIL��ORE55 GITY ZIP PMONE UCENSE I <br /> Hogland Transfer <br /> MECHANICALCONLNNCTOR MRILADDRE55 GiY ZIP PMONE IILENSE� <br /> � PLUMBING GONiR�GTOP MAIL ADOaE55 CITV ZIP PHONE LICERSE♦ � <br /> cuss oc wonn <br /> C]NEW O ADDITION � ALTERATION �']REPAIfl O OEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPI.AGE�NSEFT <br /> V4W4TION OF WORN <br /> SB�Q�. Q� <br /> �ESCFiBE WOHN <br /> Repair cement Ulock wall <br /> PaOP05[0 USE OF BUiLDiNG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND � <br /> LEWLDESCRIPTIONOFPROPEPTYISMOWBELOWOPRTTRCMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYFE OF WORi(WILL BE COMPLIED WITH <br /> LOT�BLOCM�OF WNETHER SPE:IFIED H[REIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> — OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERF NCE OF C STRUCTION. <br /> JOB RO�NE55 S�GN !ll OF CON np pUTMOR11E0 AGENi DATE <br /> 3218 Paine St 4/15/83 , <br /> PLUMBING MECHA CAL <br /> N0. iYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOIIED AIR COND.U1UT5 — HP. EF _ <br /> BATMTUB REFRIGERATI01: UNITS — HP. EA. <br /> LAVATGRV�WA511 BASIN� BOILERS— HP. EA. <br /> SHGWER GPS FIRED A C.UNITS— TONNAGE EA. <br /> KITCHEN SINK 8 DISo. FORCED AIR SYSTEMS— B T.U. M EA. <br /> DISHWASMER WALI NEAiERS— BT.U, M <br /> LAUNDRV TPAY UNIT HEATERS— BT.U. M <br /> CLOiM[5 WASMER EVAPORATIVL COOLEPS <br /> WATEF MEATER CLOIHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINNING FOUNTAIN RANGE MCOD <br /> FLOOP DRAIN AIfl MANDLING UNIT— C F.M. <br /> VACUUM BREAKERS STOVE — WOOD <br /> ROOF ORAINS— flAINLEADERS � MEiAL PIPEPLAGE 8 CHIMNEY <br /> � <br /> SINK(SERVILE—BAP,ETG� FIREPLALE INSERT <br /> HEATPUMP <br /> SUPTOTAL i SUB TOTAL f <br /> PERMIT S PERMIT S <br /> TOTALPEE S TOTAL FEE f <br /> SIDE YAPD SETBACR STPEETSETBACK FEAR�AR�SETBAGK PLAN GHECK NUMBER PLAN CMECK FEE <br /> FEfl RECEIPT NO. <br /> USE ZUNE LOT AREA VACANT SITE --- <br /> VES NO FEES VALUATION FEE <br /> TY7E OF CONST. OCCGPANCY GROUP �J.OF OWELUNG UNITS _ <br /> ouaoinc s $ 000. 68 50 <br /> SIZE OF BLDG. NO.OF LTORIES MAX.OGC IOAG — — <br /> L -- PLUMBING � <br /> FIRE ZONE BASEMENT FIRE SPflINKLEFS MECMANICAL <br /> REOUIRED <br /> YES NO <br /> APPROVALS BY OATE OTHER <br /> 1.ENVIRONMENTAL GNECK L15T PE��A�Ty U B C. <br /> SEC.303�a� <br /> 2.BUILDINGPLANS TOTA� GS SO <br /> 7.FIFE MYDRANT <br /> L 4.FIREPR�)TECTIONSVS7EM WHENITPROPERLYOVALIDATED�1NTHISSPACE�TMIS 5❑yOUqp P�[q 1T [�(7� <br /> 5.GRADING 5 G 9 2 � V � V. J� � Qj <br /> . 6.�RAINAGE <br /> � <br /> 7 ENVIRONMENTALIMPACTSTATEMENT <br /> r� <br /> B.HEALTHDISTRICT YOUR RECEIPTT� <br /> NPPUCATION ACC.BY PLANS CHECKED BY APPR.FORISSUANGE BY <br /> TNANK YOU <br /> LC LC <br /> � J 1°; o.�i <br /> l.CURESS f II E <br /> L J <br />