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`�� �'` C�VSTRUCTION � �'' .- <br /> everett PERMIT PERMIT NQ�: 20439 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL rJ PLUMBING ❑ SIGN <br /> OWNFR MRILnDORESS CITV 21P �`MONE <br /> ii'ashington Oakes Partnersl:ip 171�J Rockefeller Everett 98201 <br /> APCNITECi OR DESIGNEP MAIL ADOR[SS CITY ZIP VHONE <br /> GENENAL CONTRACTOR MRIL ADDRESS LITY ZiP PHONE LIGENSE� <br /> MECHANIC�L CONTR�GTOR M�IL ADDRF55 GITY 21� FMONE IICENSE� <br /> B&8 Heatina -- "- "-- 18�02 NF 68 h R A nnd RH7-7Q9l1 _ nnucnnr�d�m <br /> PLUMBING COPoTR�CTOR MAIL ADDRESS CITY 211' PMONE ItCENSE <br /> • <br /> CLA55 OF WORK <br /> � NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUIIDING RELOCATION <br /> VALI��TION OF WORK <br /> S — <br /> DESCNiBE WORK <br /> H�/AC <br /> HEATSOURCE <br /> ❑ EIECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTMER <br /> PROVOSEDUSEOFBUROING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Fetirement Facility ApPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRlDESCRIPTIDNO`�OPERTY�SMOWBELOWORAiTACMFOUACOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �OT�.BLUCR _ OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> � VIOLATE OR CANCEL THE PROVISIONS OF ANY UTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> E ERFOR NCE OF CONSTRUCTInN. <br /> JOB ApD1iES5 t,�, 51 NAT RE OF CO RRCT .AU1nORILED RGENT,OF OWMER DATE <br /> Z2ii Rockefeller —� <br /> PLUMBINO ME HANICAL <br /> NO. TYPE OF fll(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C-AMNDLG UNITS-H.P. <br /> BATHTJB REFRIGERATION UNITS-HP.EA. <br /> LAVATORV(WASM BASIN) � BOILERS-B T.0/H P. <br /> � SHOWER GASFIREDAC.UNITS-B.T_U. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS-B.T.U. M EA. _ <br /> � DISHWASHEri WALLHEATERS-BT.U. M <br /> LAUNDRVTRAY UNITMEATERS-BT.U. M <br /> CLOTHES WASHER EVAPOFiATIVE COOLERS <br /> � URINAL CLOTHES DRVERS <br /> DRINNING FOUNTAIN S VENTILATION FAN Z S <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER � <br /> ROOF DRAINS-RAINLEADERS WOOD STOVE <br /> SINK(SERVICE -BAR.ETC.) META�FIREPLACE 8 CHIMNEY <br /> — FIREPLACEINSERT $$ <br /> — HEATPUMP <br /> — 1 GAS PIPING <br /> E%HAUSTFAN <br /> 8UBTOTAL f SUB 4 <br /> VENMIT f �p 15 <br /> TOT11L FEE f TOT <br /> FRONT SETBACN RlRH SE1BNCh S�OC SCTBACI( PLAN CM[�:K NUM9ER F�`� f S'7 A�IPT NO. <br /> USE ZONE LOT�REA y��oNT SITE FEES VALUATION FEE <br /> ❑VES ❑NO <br /> TYPE OF GONST. OCLUPANGV GROl1P NO OF OWELLMG UNITS <br /> BUILDING $ <br /> PLUMBING <br /> SIZE OF BLDG. kOAF STORIES MA% OCC LOAD <br /> MECHANICAL <br /> I�IVESTIGATION FEE Sec.304(e) <br /> i-1RE SPRINKLERS REQUIRED ❑VES NO STATE BUILDING SURCHARGE <br /> STATEENERGVSURCNARGE � <br /> qop�iCAT10NACCBY PLANSCNECNEDOY APPRFORISSUANCE�Y DRIVEWAVPERMIT <br /> TOTAI 55 5� <br /> S,H. B•�• <br /> PEflMIT VALIO�TION <br /> — WHEN PROPERLY VALIDATED QN TNIS SPACE)THIS IS��UR PERMIT �' <br /> M <br /> ct <br /> O <br /> CV <br /> AUDHESS FiLE <br />