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�,��tl.�.•�•��,� C �-NSTF�UCTION � <br />GTY OF <br />everett PEP.MIT PERMIT NO.OS ; s� <br />CITY HALL 2S9-N745 <br />eveaeTr. wn �n:�ui ❑ COMBINATION ❑ BUILDING 1.�NYIECHANICAL ❑ PLUMBING <br />e�vN6R <br />MAIL PODRESS CIIY Zlo CIIONL <br />Victor Dlea 2522 Virginia ^-rerett <br />ARCNIiCGT CP Dl51GUER <br />MA�LADORE55 ' GiTY 21P PHOVE <br />G'_NEHRLCANIRACTOA <br />MRqA0DRE55 CITY ZIP �HONE LICENS[I <br />MAILAD�FE55 LITY ZiP PHONE LiCENSE/ <br />MEc�aNicni coHrnnaon g g 2 p 1 2 5 8- 2 4 41 <br />Natural Gas Equipment 1611 East Granri Everet': Zc PH�NE ucer,se� <br />wMoina comnnaoa <br />Mni, moacss ci�v <br />css or wo�K <br />❑NEIY <br />\ IAiIONOFWORK <br />DE i�OE WORK <br />PRO 1[� USE OF BUIIUiNG <br />LEGAL 'SCN�PTION OF PRDFEAr <br />lOT_ _BLOCR_OF <br />❑AODITION ❑FLTERATION ❑REPAIR C�DE�dOlIT10N ❑PENCE ❑SIGN ❑GARAGE <br />Jo�aLoats <br />252� Virginia <br />PLUM81N6 <br />I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AF- <br />PLICATION AND KNO`N THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND OP.DINANCES GOVEHNING THIS <br />TYPE OF WORK WILL DE COMPLIED WITH WHETHER SPECIFIED <br />IiEREIN CR NOT. THE GRF�NTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL TH[ PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PL-RFORMANCE OF CONSTRUCTION. <br />SGNAiUPI COqiRPCi9� ORPU Rq� ?iGENi� OAifl <br />Y ��Cii�C��1 ��CZw"� i�is�ai <br />FEE � N0. <br />TYPE OF EOUIPI <br />�. UNITS — H P C.1 <br />M'ION UNITS — N P_ <br />— HP EA. <br />'DAC UNITS—IOH� <br />�IR SV57[A15 — B i U <br />IA1ER5 — B1L. <br />nicoc — R T I I <br />M <br />- RANGE ��OOU <br />AIR NAIJDLING UNIT — C.F M. <br />STOVE <br />M6TAL FIPEPLACE & CHIMNLY __� <br />1 Convers on Burner _ <br />SUBTOTAL S f <br />: PERMIT S : <br />= iOTAL FEE S : <br />R[AR YARD SETOACK PLAN CNECK NUMB[R PLAN CNEGK FEE <br />FEE RECEIPT NO. <br />VACANT SITE FEES VALUATION FEE <br />L7YES I iN0 <br />MAr <br />FIRE <br />REO <br />fIYE <br />APPROVALS BY <br />1. ENVIRONMENTALCHECKLIST <br />B'� ��DING PLANS <br />3 FIRE HYDRANT _ <br />4. FIRe PROT[CTION SYST[M <br />5. GRAGMO <br />6. DNAINAGE <br />L ENVi.�PhMENTA�. IMPACT STAiEMENT <br />�. HEALTH DISTfiILT <br />qPPLICAiION ACG BY <br />PLANS CHECKED BY APPR. FOF ISSUANC� '1Y <br />�UILDING <br />PLUMBING <br />PENALTY <br />TOTAL <br />b <br />U.B.C. <br />SEC, 303 (a) <br />7 �1 <br />� �� <br />PROP[PLV VALIOATED pN iHIS�PCCIE)ITHIS IS� f� OPLp OTO —_ -�{ <br />J � <br />CU <br />� <br />' : R:C.� IPTo <br />, .. ., t:� � �� U <br />ADDRESS FI�`. <br />I �, :,.i 0 � <br />