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�heE���T�`oF `� CONSTRUCTION � � <br />everett PER.MIT PERMIT NO. 07403 <br />CI1V HALL 259�87a5 <br />eveaetr. wn sezoi L�. COMBINATION C�7�UILDING ❑ MECHANICAL ❑ pLUMBING <br />OWNCR MAtLPU�RE55 CRY 21P 1'NONE <br />Estate of F. & J. Groeneveld <br />AFLHRECTOR�E9GNEP MAILND�R[55 LI1Y 21P VHON[ <br />GCNER4lCONiRqCTOF MAILApDRCSS CITY g8203 ZIP 337—���2 �IGtN5E1 <br />Damage Repair Service Box 2045 <br />MEGHANICAL (ANTqFCTOR MAIL ADDREfiS CITV ZIp %IONE IIGENSE � <br />PLUMBING (:ONiqFQOF UAIL ADDRESS CIiY 21P P40NE I�GENSE I <br />C1A550F WOAK <br />❑NEW ❑ADOITION ❑ALiERAT10N Q��PAIR ❑DEMOLITION ❑FENCE ❑516.1 ❑GARAGE <br />VPLUAiION OP WOPK <br />S Z�D�Q.Q� <br />�ESCl119( WORN <br />repair fire d� <br />PP01'OSED US[ Uf BUILUING <br />single family <br />��cni o�scaiarior+o�� �noveaT <br />28 25 <br />wr e�oc�oF <br />dw::DDRE55 <br />#371U Wetmore <br />PLUMBINO <br />BATHTUB <br />LAUNDRVTRAV <br />ORINNING FOUNTAIN <br />SIDE VARD SLTBACK <br />TVPE OF CANST <br />SIZE <br />to <br />esidence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />r+oweuowonnnncHfouncoriesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />Friday's lst ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE CO.v1PLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AU7HORITY TO VIOLATE OR CANCEL THE PRO� <br />� VISIONS OF ANY OTHE9 STATE OP. LOCAL IAW REGULATING <br />CQNSTRUCTION OR THE PERFORLA�NCE OF CONSTRUCTION. <br />SIGNATI�RE OF CqNiRPGTOR OR AUTHL912E� q�ENT� , DA*E <br />— BAR LETC.� <br />SU! TOTAL <br />PERMIT <br />TOT�L FEE <br />STPE[T SETBACK <br />LOT AREA <br />CKCUPANCY GROUP <br />FEE NO. TYPE OF EpUIPMENT <br />AIR WND UNITS — HP EA <br />REFRIGERATION UNITS — H P EA <br />601LER5—HP EA. <br />GAS FlPED A C UNITS — TONNAGE EA <br />fORCGD AiR SVSTEMS — B T U M EA. <br />WALI.HEAT[RS—BTU. M <br />UNITHFATERS—�TU. M <br />EVAPOFATIVE COOLERS <br />ClO1HE5 DliVERS <br />VENIII.ATION PAN <br />RANG[NOOD <br />AIR HANDIING UNIT — C F.M. <br />STOV[ <br />METAL FlR[PLACE 6 CNIMNEV <br />SUB TOTIIL <br />REAR YAR7 SETCACK <br />VACANT SITE <br />�7VE5 IlNO <br />BY I DI1TE <br />1. ENVIRONMENTAL CHECK LIST <br />2 BUIIDING PLANS <br />3. FIRE HVDRANT <br />4 FlRE PROTECTION SYSTEN <br />5. GRADING <br />6. DRPINAGE <br />7. ENVIRONMENTALIMPACT STAiEMENT <br />8. HEALTH DISiRICT <br />APPLICATION ACC. BV PLANG CHECKED BY APPR. FOR ISSUANCE BV <br />CHLCK NUMDER PLAN CHECK FEE <br />FEE I RECEIPT N0. <br />b2����.�0 <br />U.B.C. <br />SEC. 3C: la) <br />WHEN PROPERLV VALIDATF.D QN THIS SPACE) THIS IS YOUR PERMIT <br />0151 5020.00 - � <br />� <br />� <br />1'OU� kECEtPT o <br />T!-if�NK YOU <br />noor�r-�; FILE <br />3 I �.� 8 0 <br />