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'h` �"CIfvOF �- CONSTRUCTIC�I `, <br /> everett �-� `- <br /> PERMIT . PERMIT N0. 15672 <br /> aTr H���xssa��s <br /> EVERETT,WI19EZf11 ❑ COMBINATION � BUILDINO ❑ MECHANICAL ❑ PLUMBINO <br /> OWNER MAILAD�RES$ GTY ZIP VNONE � <br /> Donald A. Saundera 2814 Aucker Everett 98201 435-5511 <br /> •RCHIfEGf OR DESION M�II�DDRESS CITY ZIP PMONE <br /> OENEP��fANTR�C(OR MMI�DDRE55 CITY ZIP PHONE 4GENSE� <br /> Same <br /> MEGHIINIGILCONiR�C10P MqILAD�RE55 GIfY 21P PHONE LIGENSE� <br /> VLW.BINOCANTRACIOfl M�ILADORE55 CIIY ZIP PHONE LICENSE� <br /> CU55 OF WONK <br /> ❑NEW �D�ITION O ALTERATION O REPAIR G DEMOLITION � FENCE ❑ SIGN � WOOD�TOVEIFIREPLACE INSERT <br /> V�IUATION OF WORR <br /> � 5950.00 <br /> DESCRIBE YIONK <br /> Conetruct Two Car Garage <br /> PPOPoSED ULE OF BUILOINO <br /> SSMg2MXHIIq22�!!C Duplex I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAM': TO BE TRUE AND <br /> 1E011L OESCPIiTION OF PROPERTY�SNOW BELOW OR ATT�CH FOUH COPIES) CORRECT. AlL PRO�(ISIONS OF LAW�; AND ORDINANCES <br /> ��9T 20 B�aK 670 oF_ Ev�rett GOVERNING Ty16'?YpE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN O NOT.THE GRANTING OF A <br /> PERMITDQ�SNOj•pRESUME VEAUTHORITYTOVIOLATE <br /> - OR CA C M OF ANY OTHER STPTE OR <br /> LOC A �REGU t CONSTRUCTION OR THE <br /> PE OF3M E OF NST UCTION. <br /> ,IOB�UORESS 5 AT E ONiRAO R AUTHl41ZE0�OENT U�TE <br /> 2814-2816 Rucker �' ��-� �� -�� <br /> PLUMBINO HANIC <br /> NO. TYPE OF FIXTUNE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATERCLOSEi�TOILEn AIR CONO.UNITS-H.P.EA. <br /> 6ATMTUB REFRIGERATION UNITS-H.P.EA. <br /> LAVATORYryVASH BASINI BOILERS- H.P.EA. <br /> SHOWER GRS FIPED A.C.UNITS-TONNAOE EA. <br /> NITCHEN SINK 8�ISP. FORCED AIR SYSTEMS- B.T.U. M EA. <br /> DISHW�SMER WALL HEATERS- B.T.U. M <br /> UUNDRVTR�Y UNIT HEATERS- B.T.U. M <br /> CLOTHFS WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOiHES DRYERS <br /> URINAL VENTIUiION FPN <br /> URINI(ING FOUNTAIN RANGE HOOD <br /> FLOOR DRRIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREANERS STOVE-WOOD <br /> ROOF DRAINS- RAINLEAOERS METAL F�REPLqCE 6 CMIMNEY <br /> SINI((SERVICE-BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL Y SUB TOT�L f <br /> PERMIT f PERMIT S <br /> TOTAL FEE f TOTAL FEE f <br /> SIDE YARO SETBACK SiNEEi SE7BACK REAP YARD SE7BACK PLAN CMECK NUMBER PLAN CHECK FEE <br /> N/A N/A N/A 65/15672 FEE 36.73 RECE182154 <br /> USE ZONE C-1 L�T p000 S Ft, �ACRNT SITE FEES VAIUATION FEE <br /> q• ❑YES f�0 <br /> TYPE OF CONST. pCGUPANCY GROUP N0.OF OWELLING UNI75 <br /> V-N M-1 0 BUILDING f 5950, g��8 50 <br /> 512E OF BLDG. NO.OF STORIES MA%.00C.LOAD <br /> 408 $Q. Ft. 1 PLUMBING <br /> FIRE 20NE BASEMENT FIRE SPRINKIERS MECHANICAL <br /> REOUIRED <br /> I IYES ❑NO <br /> APPHOVALS BY DATE OiHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U B.C. <br /> SEC.707(a� <br /> Y.BUILDINOPLANS $6 50 <br /> 8.FIRE HYDRANT iOTAL <br /> /.FIRE PROTECTION SYSTEM PEHMIT VRLIDRTION <br /> S.dPA01N0 WHEN PROPERLY VALIuATED(IN THI�S9P'ICT iHIS���9 P�I�IT__� <br /> b U <br /> E.DRRINAOE <br /> � <br /> 7.ENVIR(1NMENTAL IMPACT S7ATEMENT � <br /> B.ME�UH DISTqICT n T <br /> APPUCATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY �I '.� �� I: (`L C.I:I P 1 <br /> JEF �� � � ?.i`J�: Y l: I� <br /> I �) •�i <br /> �'_(; i, i <br /> A <br />