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� <br />dic Frergrrrn �O NST RU CTI O �' <br />QTY OF <br />everett PERMIT pERMIT NO. 11694 <br />CIIY MALL 259�07n5 <br />eveaerr, v+n eezoi ❑ COMBINATION ❑ BUILDING hXi MECHANICAL ❑ PLUMBING <br />OWNCN MAllA0�PL55 CI1V ZIP ���011C <br />ELTON ri'FIEELGR 3"s02 Rucker Lvererett 98L01 <br />nRC1�liECi O� D[$�GNIR MAiI A�UHE55 OiY ZIP Vi�CN[ <br />GEN[RFLCANiRACtOR �ALLAO�PC55 C�1V ZIP PNONE IiCEN5E1 <br />MLCHPNIC/lCON1RACTOR MIILFDOF[55 CIiV ZIP PMONC L�CENSE� <br />i Natl Gas Cq�ripment 1G11 E Grand Bverett <br />PtUMdING GON1RACiOR NAiL ADDPE55 CiiV IiP PHONE LiCENG[ / <br />LlA55OF W01iK <br />�'�'JNEW ❑ADDITIOH ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ��GARAGE <br />4 <br />iCRIBE wOPrc <br />Hot water tank <br />IEGFL �ESCHIPiION OF PPOP[RTY ISH01V <br />�or BIOCN_oF _ <br />JOS nUDRE55 <br />—�5302 Rucker <br />_�_ <br />PLUMBIN6 <br />SINK 8 <br />ROOF <br />SINK i <br />SIDE VARD SETBACK <br />USE ZONE <br />TYPE OF CANST. <br />SIZE OF BLDG. <br />FIRE ZONE <br />G <br />� <br />stairs) <br />OF FI7(TURE <br />STFiEET SETBACK � REAR VARD SET9AGK <br />LOT AHEA VACANT SITE <br />l;'YES 1;N0 <br />OCLl1PANCY GROUP NO.OF DWELLING UNIP.i <br />STORIES <br />t ENVIRONMENTALCHFCKLIST <br />2. BUILDWCPIANS <br />3. FIRE MYDRANT <br />q. FIRE PROTECTION SYSTEM <br />5. �RADING <br />6. DRAINA(iE <br />7.ENVIRONMENTALIMPACTSTATEMENi <br />8. MEALTH DISTRICT <br />APPLICATION ACG, �V PLANS CHECKED BV <br />I�ID:� <br />BY <br />APPR.FORISSUANCE �Y <br />I HEREBY CERTIF'f THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF IAWS AND ORDINANCES GOVERNING TIiIS <br />Tl'PE QF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HcFEIN OR NCT. THE GRANTING OF A PERMIT DOES NGT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OP AN1' OTHER STA7E OR LOCAL LAW (iEGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAiUii�b9 F CONiPACiOR OP RUiHORIZED AGFNi �AIE <br />� IG,.J1.. � _ %��N....,. 4/12/83 <br />N0. <br />601LERSI „'H PY EA.11 <br />GFS FIREU AC. UNITS — TONN <br />FORCED AIR SVSTEIdS — B T.U. <br />1NFlL HEAT[HS — BSL. <br />IINIT HFHTF-RS — Ii T ll. <br />VEN71LA710N (AN <br />RANGEHOOD <br />FEE <br />FEES \ <br />BUILDING $ <br />PLUMBING <br />MECHANICAL <br />PENALTV <br />TOtAL <br />M <br />UOC <br />SEC. 303 (o) <br />RECEIPT NO. <br />14 <br />14 I50 <br />n <br />WHEN PROPERLY VALIDATEO pN THIS SPACL) THIS IS VOUR PERMII ( <br />5555 SO I q.50 -m4 <br />� <br />�--� <br />your, FECEinr <br />TNANK YOU <br />ADDRESS FILE I �� 83 <br />