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(hCE�'C�YCOF ^ONSTRUCTION - � <br />everett PERMIT PERMIT N0. O75Z6 <br />CIIY HALL:SRH14b <br />Eveaen,wn e��oi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />01VN[R FIAIL AODRL55 CIiY 21P PIIpNL <br />Rnrvhild M. Pinkrz P(1 Rnx SOSd P�r�r�tt 1Va 9R206 252-fi090 <br />ARCHIiECI R OFS�GNER M411 AD�PE55 CITY ZIP PIIONE <br />(�lJiIPT' _ <br />GEN[RAL CONLPPLiCR MAIL ADDRE55 GITY 21P PHONE LICENSE Y <br />MECNANICALCANTMCLOR MAILADDR[55 CITY ZIP PHONE UCENSEI <br />PLUMBINGCONiRACTOR MAILAppRE55 CIiY ZiP PHONE UCENSEI <br />CLA55OF WORK <br />GdEW <br />VAWAiION OF WOPA <br />S �nn nn <br />LJSGRIpE 1VORK <br />ior�3�qFn��n�r <br />JOB RODRE55 <br />PLUMBING <br />NO. TYPE <br />WATE�i CLOSFT (T( <br />BA7NTU� <br />LAVATORY�WASH <br />SHOWEP <br />KITCH[N SINK 8 D <br />DISHWASHEH <br />LAUNDRYTRAY <br />CLOiHES N/ASH[R <br />WATER H[ATEii <br />URINAL <br />DRINKING FOUNT/ <br />FLOOR DRAIN <br />VACUUM BRLAKEP <br />ROOF �RAINS — F <br />SINK ISFRVIGF — I <br />p'IADDITION ❑AITERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />FIXTURE OH ITEM <br />PERMIT S <br />TO7AL FEE S <br />SIDE YARD SETBACK STR6Fi SCTL'ACK R[AR V0.RG <br />s' an� <br />LZ�OOOS .fL, (]YES G1J0 <br />TYPE OF CONST. pCCUPANCY GROUP NO.OF DWELLIN <br />V-N M-1 1 <br />SIZiBx��� deck NO.OF STORIES MA%.00C. LOAD <br />1 <br />3 � <br />APPHOVALS <br />L ENVIHONMENTAL CHECK LIST <br />2. BUILDINGPLANS <br />3. FIRE HY�RANT <br />4. PIRE PROTECTION SVSTEM <br />5. GRADING <br />G. ORAINAGE <br />Z ENVIRON6IENTAL IMPACT 5'FTCMCHT <br />B HEALTH DISiPICT <br />APPUCATION FCC. BY PLANS CH[CiCEC BV <br />vc <br />APPR.FORISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORR[CT. <br />AlL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <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 LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SGNAtW:LG:CUNiRnCiONORAUi1�DnIZE�AGENi , nDAiP <br />N0. � TYPE OF EOUIPMENT � FEE <br />AIR CONU UNITS — H P[A <br />RFPRIf.FRAiION IINRS — N P GA <br />GAS �IRED AC UNITS — TONNAGE EA. <br />FORCCDAIRSiSEMS—BIL. MEA <br />MALL HEATEf75 — � T U. M <br />IINIT HFATP(iS — fl T ll 61 <br />CIOTHES DRYERS <br />VENTILATION FAN <br />S70VE <br />METAL FlREPIACE <br />SUB TOTAL <br />PERMIT <br />FEE I RECEIPT NO. <br />BUILDING $%OO.O <br />PLUMBING <br />MECHANICAL <br />OTHcP <br />PENALN UBC. <br />SEC. 303 (a) <br />TOTAL <br />ri'IIUJ FnVP6NLV VALIDATED �IN THIS SPACE) THIS IS VOUR PCRMIT <br />�us� �007.D0 --�°1 � <br />i.n <br />� <br />`fC�UR RECEIFTo <br />�ti;11�!K YOU <br />