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rr---�--r <br />, <br />r <br />r <br />L� <br />L <br />L <br />�,�����,�`�oF - �ONSTRUCTION - <br />everett PERMIT pERMIT NO. 1151Z <br />��r� ��« zs� d,.,:� <br />Ever�eTT.,o> >ezo� ❑ COMBINATION ❑ BUILDING �'CX7 MECHANICAL ❑ PLUMBING <br />01411LH lAI.ILPOppE55 GIiY ZIP PPUN6 <br />,IArzTii,� t Fnrr-�nnu� innr, ni�};�yTsn niv,_„Tn�9vr.n�TT ,�� <br />a��ouiccronocsic�+Eu un��nooncss citv !m' e <br />EVGRETT PIRIPLACG SIIOP <br />GCNCRAlC04TfiRCtOR AIAIL/•DOR[55 CiIY ZIP PIIONE ULENSE� <br />otu��ra <br />A�LO��NiCALC01liRPCiOR MAILADDPE55 CITY 2iP !'�'ONE UC[NSE� <br />vWMUiNGLONiRALIOP MARADUPf55 CiiV L� FNONE LiCENSE� <br />C1�55 0� W ORK <br />�(]NE1Y ❑ACJITION ❑ALTEFATION ❑REPAIR ❑DEMOUTION ❑FENCE ❑SIGN ❑GARAGE <br />VAWATION OF WORK <br />S <br />INSTALL rIRGPLACG INStiR1' <br />[D USE OG BOIIDiNC <br />assineNcr: <br />...o����on„v nc nonacarv isurnv nciow on nnnCu vouR <br />ior uiocK_oF <br />MUKI LTEO 13I.VD <br />F'LUMBINO <br />WAT[N i <br />UPINAL <br />VACUUM <br />� <br />� <br />SIDE YARD SEiBALK STR[ET <br />I1SE ZONE LOT AF <br />TYPE OF CONST. OCCUP, <br />SRE OF dLDG. NO. OF <br />FIRE ZONE BASEM <br />I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED iHIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS Of IAWS AND O�DINANCES GOVERNING THIS <br />TYPE OF WORK WILL 9E COMPLIED WITH WHETHER SPECIPIED <br />HEREIN 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 LOC�L LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTflUCTION. <br />c+ 1+ui�c or coHiancpn ea numoaizignc�r+r onre <br />X 1?� z T/�rt ,� , C.���!-':1.•-�...R/15/83 <br />OR ITEM FEE NO. TYPE OF EOUI <br />AIR fONU IINITS — �� R Eh. <br />REFNIf[RATION UNITS — N <br />COI�ERS — NP EA. <br />GAS F IPED A C. UNITS — TOI <br />FORCCO AIR SVSiCMS — d T <br />YiALI HEAiERS — B T.U. <br />nnu. ucetnnc — w i u <br />L ENVI�ONMENTALCHECKUST <br />2. BUILOING PU YS <br />3 FlRENY�RANT <br />d. FIFE PROTECTION SYSTEM <br />5. GFADING <br />6. ORAINnGE <br />7.ENVIRONMENTAIIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACG BY PlANS CHECKED OY <br />REAR YAPD SEiU <br />VACANi SITE <br />i7VE5 IiNO <br />NO. OF OWEILIW <br />MAX.00C.LOAD <br />FlRE SPRINNLER: <br />HEOUIRLD <br />�I'VES- �I N�O <br />0V 1 DATE <br />APPR. FOR ISSUANGE BY <br />M FA <br />M <br />M <br />CLOLiES URYEP$ <br />VENIIIATION FAN _ <br />fi4NGE HOOD <br />AIR HANDLING UNIT — C F.M <br />STOV[ <br />METOL FlREPLACE ft CHI6INE� <br />SUB TOTAL f � <br />PERMIT = <br />TOTALFEE S <br />CHECKNUM�ER PLANCHECKFEE <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />�UILDING <br />PLUM�ING <br />$ <br />UBC. <br />SEC.9071s� <br />17 �0 <br />�� <br />._......_ _._.. <br />WHEN PROPEHLV VALIDAi[D IIN TMIS SP�CE) THIS 15 YOUR P I <br />N <br />i41I 5011.50 - ;4 <br />� <br />YOi1R RECEIPI'� <br />TI-iANK YOU <br />ADDRE55 FILE <br />! 5 FER S 3 <br />� <br />J <br />J <br />�1� <br />