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�Me E�CI�YeOF C�''IST RU CTIO N <br /> �erett PEP.MIT pERMIT NO. OH355 <br /> ,�TY HALL 259�87A5 � <br /> _VERETf,WP. eezo� ❑ COMBINATION C�BUILDING ❑ MECHANICAL ❑ PLUMBING � <br /> ER MAIL ADDRE55 CIiY ZIP VHONE <br /> lo K. Williams 4517 Crescent Ave. 98203 252-�92z <br /> ;NITECt OP�ESIGNEF MAILAD�RE55 QTV ZIP VMONE <br /> ENERRLCANTRPCTpR MAILADDPE55 GLY ZIF PNO��E UCEKSE♦ <br /> ame <br /> 6�ECHANICAL CANiNACTOR MAIL N��FE55 CITY ZIF PHON[ IICENSE I <br /> PWIA�INGfANTRAQOR MqLLAD�RESS CITY 2iF PHONE IICENSE� <br /> CL�55 OF N'ORK <br /> ❑NEW ❑ADDITION ❑ALTERATION }L�EPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUAiION OF WORM <br /> y 29 �5��.�� <br /> DESCRi6E WOhK <br /> Repair damage from water flooding <br /> PnoroSED USE oF BUIIDING <br /> Apartment Building 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> i�cR�oescaivnoNovaaoveatrisNowoeiowonnnncN�ouncaciesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS <br /> ��7,_2-3 BiocK 33�: Everett Div. L 7YPE 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 /> CON�S + UCTION OR THE PERFORMANCE OF CONSTFUCTION. <br /> SIGN T E f t i CT �0��AU�i O�RIZ�EO AG[Ni �A�� <br /> �oenooaess ���—�""`"'__r"��,,,,,.� 9/29/80 <br /> 1601 Wetmore X <br /> PLUMBINO MECHANICAL _ <br /> N0. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET QOILET) AIR CONO.UNITS—HP.EA <br /> �ATNTU� PEPRIGERA110N UNITS—HP.[A <br /> LAVATORV(VlASH�ASIN) �OILERS—H P.EA. <br /> SHOWER GASfIRED�C UNITS—TONNAGEEA. <br /> KITCHEN SINK 8 DISP. FORC@U AIR SVSTEMS—B i.U. M EA. <br /> DISHWASH[R VlALL HEAT[RS—8?L. M <br /> LAUNORY TRAV UNIT H[ATERS—B T.U. M <br /> CLOTHES WASHER [VAVORAIIVECOOLERS <br /> WATER HEAIER fLOiHES DRVERS <br /> V[NTILAiION FAN <br /> URINAL <br /> DRINKIh`�FOUNTAIN PANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— CF.N� <br /> VACUUM BREAKERS STOVC <br /> POOP DRAINS—PAINLEADERS METAL FIREPLACE&CHIMNEY <br /> SWK�SERVICE—9AR EfC.� <br /> SUBTOTAL SUB TOTAL : <br /> PERMIT £ PEHMIT S <br /> iOTAL FEE S TOTAL FEE S <br /> SIDE VARD SETBACN STpEET SEi�ACK R[AR YAPD 5[TQACK FLAN CHECK NUMOER PLAN CHECK FE ECEIPT NO. <br /> FE[ <br /> USE ZONE LOi AREA VACANT SITE <br /> 11YE5 IlNO FEES VALUATION FEE _ <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OP DWELLING UNITS <br /> BUILOING 5 29 ,500. 193 �0 <br /> SiZL OF BLDG. N0.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> RRE ZONE BASEMENT FlRE SPRINKI[RS MECHANICAL <br /> REOUIRED <br /> fIYES I7N0 <br /> APPROVALS BY OA7E OTHER _ <br /> t. ENVIRONMGNTAL CMECK LIST PENALTY U B.0 <br /> SEC.303(a) <br /> 2 BUILDINGPLANS TOTAL 193 OO <br /> 3 FlRE HYDRANT <br /> a FIRE PPOT[CTION SYSTEM PERMIT VALIOATION <br /> WHEN PROPERLY VALIDATED(IN TNIS SPACE)THI515 YOUfl PERMIT <br /> 5. GRADING U �� l' J � I 9 3. 0 0 � � <br /> 6 DRAINAGE M <br /> i ENVIRONMENiALIMPACT STAIEMENT � <br /> y. HEFLTH DISiRIGi .� .. �L"Lr F�P I O <br /> nPPLiCATION nCC �� PWNS CHECHED UY APPR FOR ISSUANCE UY , <br /> ,i,!:; YC�� U <br /> L.C . <br /> — _ , .:.�� c'J <br /> !�C'�DRFSS FILr <br />