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�heErc�vOF ^ONSTRUCTIOI� � �� <br /> everett P�RMIT pERMIT NO. 09275 <br /> CITY HALL 259�8745 <br /> �vERETT.VlA oazu� ❑ COMBINATION �B�ILDIMG L7 MECHANICAL ❑ PLUMBING <br /> OY�NEF MA�L qDCHE55 QLY ZIP PHONE <br /> Ardies Carpet 3402 Smith Everett <br /> ARCNREGTOADLSIGNER MAIIADDRE55 CITY ZIP PHON' <br /> Q'_i.ERAL CONiRhCiOR MRII.AODBE55 GTY ZIP PHONE LIGEASE I <br /> Newland Construction P.O. Bcx 958 Everett ?S� ��9� <br /> MECNANIGAL W�lBACTOR MAIL AD�RE55 Cltt 21G FMONE LICENSE I <br /> PWA'BINGfANiPACTOR MAILADDRESS GITY Z�P PNONE UGENSEI <br /> C1A55 OF WOPK <br /> ❑NE1N ❑ADDITION ❑ALTERATION ❑RLPAIR �DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> \'ALUFTION OP\YORK <br /> E <br /> CESCRIBE WORK <br /> Demolish single family residence <br /> CROPOSED USE OF BUILDING <br /> I HEREBY CE,�TIFY THAT I HAVE i�EAD AND EXAMINED THIS AP- <br /> iecr.�oEscmm�oNOFanoveaTr�sMoweeiowoannncnFouaeoriesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIO'�IS OF LAWS AND ORDINANCES GOVERNING THIS <br /> i.oT eur.� oc TYPE OF WORY. WILL BE COMPLIED WITH VJHETHER SPEGFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOF.S NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISION OF ANY O ER STATE OR LOCAL LAW REGULATING <br /> NS TION O E PERF NCE OF CONSTRUCTION. <br /> JO�AI:ORL55 ����� �'� CONiRACi RC�AViNO ZEDA.GENt DA1E <br /> 3521 Paine Avenue x �:.±L�� 5/15/81 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FE'c <br /> WATER CLOSET QOILET) Alfi COND.UNITS—H.R[A <br /> BATHTU� REFRIf.ERATION UIJITS—H P.EA _ <br /> LAVATORV�VlASH BASIN) BOIIEFS—HB LA <br /> SHOWER GAS FIRED AC,UNITS—TONNAGE[A. <br /> HITCNEN SINK 8 bISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALL HEATERS—B T.U. M <br /> IAUNDRY TPAY UNIT HLATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HqNDLING UNIT— C.F M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR.ETC.j <br /> SUBTOTAL SUBTOTAL f ' <br /> PERMIT S PERMIT S <br /> TOTALFEE f TOTALFEE S <br /> SIDE YARD SETBACK S7RiET SET�ACK RLAR YARD SETBACK PLAN CHECK NUM�ER PLAN CHECK FEE <br /> , FEE FIECEIPT NO, <br /> USE ZONE LOT AREA VACANT SITE <br /> I]vE5 L'NO FEES VALUATION FEE <br /> TYPE OF CANST. OCCUPANCY GROUA NO.OF DWELUNCa UNITS <br /> OUILDING E <br /> SIZE OF BLDG. N0.OF STORIES MAX.OCC.LOAD 00 00 <br /> PLUMBING <br /> RPE ZONE BASEMEN7' FIR[SPRINKLLRS <br /> REOUIRED MECHANICAL <br /> fIVES 11N0 <br /> APPROVALS BY OATE OTIiER <br /> 1. ENVIRONMENIAL CHECK LIST PENAITV U BC. <br /> SEC.3031a) <br /> 2 BUILDING PLANS <br /> 3. FIRE HYDRANT TOTAL 00 00 <br /> a. FlRE PPOTECTION SVSTEM PERMIT VALIDATION q <br /> WHEN PROPERLY VALIDATED(M THIS SPAI Ei T91515 YOUj7 O UM'U O � � <br /> 5. GRADING P J <br /> G. DRAINAG[ � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT N <br /> 8. HEAITH DISTRICT �. '��� I I` I � <br /> O <br /> APPLICATION ACC.�Y PU+NS CHECKED�V APPR.FOR ISSUANCE BV ' :_,�; �J <br /> I i . r <br /> � ,:�t � I <br /> l�CDRESS FILE <br />