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dirErCr�men ^,pNSTRUC�T�ON � <br /> C�iV OF <br /> everett PERMIT pERMIT NO. �0072 <br /> ��r��,A�� �5��,��, <br /> evE�trt.v✓�: eao. ❑ COMBINATION � BUILDING L� MECHANICAL ❑ PLUMBING <br /> cr:r.t�� ��n�i,wu���c, crv nv r�ior.t '1 <br /> Roy J. Thorsen 1310 Pacific Everett 259-5101 <br /> >„o�nicroAoesiar�Ea Mm�nnnn�.,s a..� zir ��+osi <br /> �.INFRALCOt11RAC10N M.IInDDRE55 GLY 21P FHON[ UCCtlS[� <br /> Same <br /> ,i U��npIGAL LONIRACTOR MAII AppPE55 GLV ZIP PHONE IIGENSL� <br /> i'.U'.�FINGLONiRACi0f1 A�AILPGURG55 CIIY 21P t'HONE LICENSE� � <br /> f1A550F WORK <br /> UNE\N ❑ADDITION ❑ALTERATION SC�).BEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAPAGE <br /> y'4�UAi10110F WO�k <br /> � 2500.�� <br /> DF.SCRIBL WOPK <br /> Repair roof from fire damage <br /> ���oroseo use oF ow�owc <br /> I HEREBY CERTIFY THAT I HAVE RFAD AND EXAMINED THIS AP- . <br /> "i�.catocsce��nor+orv�+orc�TvisHowee�uwonntr<a+Fouacowes� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> AL� PRO'JISIONS OP LAWS AND ORDINANCE3 GOVERNING THIS <br /> �,;r yiocn_oo- TYPE OF WORK WILL BE COMPLIED WITH WH[THER SPEGRFG <br /> � HEREIN OR NOT. THE GR;,NTING OF A PERMIT DOES NOT <br /> PRESUME TO GNE AUTHORITY i0 VIOLATE OR CANCEL THE PRO� <br /> — VISIONS-OF NY OTHER STATE OR LOCAL LAW REGULATING <br /> C TRUCT OR THE P FORMANCE OF CONSTRUCTION. <br /> sun,���,:.ov .,nu��::,�,c,:�.��� - [�oa;,e�„ �,:,E <br /> .�oii nooar ss 12/10/81 <br /> 3120 Rucker <br /> PLUMBING MECHANIC _ <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE _ <br /> � \V�i LR l,LOSET�iOIL[TI _ %�P�O;::G UIJITS—H.R EA __ <br /> p�THTUf3 Rf.FRIGERFTION UIJITS—HP.EA _ _ ___. <br /> LAVATORY(WASrI(3ASIN� BOILERS—H P.EA. <br /> SHOWER GAS FIRED FD.UNITS—TONNAGE EA. __ _ <br /> KI7CHEN SINK A DISP. FORCED AIP SVSTEiMS—BSL. M EA. _ <br /> �ISH\VASNER WALIH[AlERS—O.TL. M __ <br /> LnU�J�RYTP.AV UNITHFJUTERS--67L. M __ <br /> CLOTHES WASHER EVAPORATIVG COOLERS __ <br /> WATEf�HEl.TEP CLOTHES DRYEHS -. <br /> UF11NA�. VENTILATION FAN — <br /> �RINKING FOUNTAIN FANGE HOOD —. <br /> FLOOR�PAiN AIR HANDIING UNIT— C F.M. _ <br /> VACUUM�FEAKEPS STOVE <br /> ROOF DPAIUS—RAINIFADERE Mf.TAL FlPEPLACE B CHIMNEY . . <br /> SINK�SLRVICE—AAR.ETC! <br /> SUB TOl'AL SUB 707A1 __ S _. . <br /> PERMIT S PERMIT f _ <br /> TOTALFEE S TOTAL FEE f <br /> SIDE VARD SETBACK STREET SEi�nCl< qEAP VARD S[TBACK Pl<N CHECK IJlIMOER PLFN CHECK FFE <br /> PEE A[CEiPT NO. <br /> 81/10072 25 . 03 <br /> USE ZONE LOT AREA VAYESNT`�N� FEES Vl1LUATION FEE __ <br /> TYPE OF CONST. OCCUPANC�'GRGUP NO OF ONlELLWG UNI1S _. <br /> �UILDING f ZSOO. 3H SO <br /> 9ZE OF BLDG NO.OF STORIFS MN(.OCC.LOAD ---- <br /> PLUMdING <br /> f IRE ZONE BASEMENT RI.GUIR[D KLERS MEC�-IANICAL <br /> " Y[5 �� NO -- <br /> APPHOVAL^. BY UATE OTNER '__ "' <br /> "� L ENVIRONMENTALCH[G✓.LIST PENALIY' U.�C. <br /> SEC 303(al <br /> 2. OUILD�NG FLANS - 3 A S O <br /> TOiAI <br /> 3 FIRE HYDRANT <br /> c. FlRL PROTECTI'1N S1'STEM PERMIT VALIDAt10N <br /> \yH[N PfiOPLR'.Y VFLIDnTED JtJ llll;:SFAGLI THIS IS vJUR PCRlAIT <br /> 5. GRAOING N <br /> C DPMNAC.[ � ..' <br /> � <br /> 1 ENVIRONMENTAL IIdPACT STATEIA[NT � <br /> 8. HEALTH DISTRILT c—� <br /> APFUCAiION ACC.Ov PLANSCHECKED BY �PPR.FORIbSUANCE 8\' <br /> HWM <br /> ,PD('C'� F II_i: <br />