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r,��. r,�����r�.�.,� ��O NST R U CTI O� � <br />everett PERMIT PERM�r �o. I�oog <br />CIl'V HALL 2$9.07a5 <br />eveaeTr.�v�eezo� [�' COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />ow��D B. STOCICfON PO B� �'ig��s L-I�RGIT lVA 9�201 339z 2293 P�or+E <br />AACHIiECT OR DESIGNER MAIL FDORE55 GiY ZIP PNONE <br />GEfy�RnLe ONTRACiOR MALL ADD9E53 CITY 2�P PMONE LILENSE • <br />�arii <br />MEGMANICAL GONTNACiOq MFIL ApDRES$ GTV IIP PMONE LIGENSE � <br />PLUMBING CONiFAGTOR MAIL PppPE55 CITv ZiP PMONE IICENS'c • <br />❑ NEW ❑ ADDITION ❑ ALTERATION �REPAIR ❑ DEMOLITION ❑ FENCE � SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VFLUATION OF WORK <br />53250r�� <br />117 j <br />USE OF <br />io.25F�z�etccn ZS oF <br />3716 19etmore <br />PLUMBING <br />Pi:st Addn <br />TYPE OF FIXTURE OR ITEM <br />1NATEq CLOSET �701LEn <br />BATHiUB <br />LAVATORY �WASN BASIN) <br />$HOWER <br />KITCMEN SINK 8 DISP. <br />LAUNDRYTRAV <br />CLOTMES WASMER <br />WATER MEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEADERS <br />SINK �SEFVICE - BAR, ETG) <br />SU9 TOTAL <br />PERMIT <br />TOTAL FEE <br />SIDE YARD SETBACK STREET SETBACK <br />USE ZONE LOT AREA <br />TYPE OF CONST. OCCUPANCV GRO <br />SIZE OF BLDG. NO. OF STORIES <br />FIRE ZONE BAS[MENT <br />APPflOVALS <br />1. ENVIROtJMENTAL CHECK LIST <br />2. DUILDING PLAN$ <br />3. FIRE HVDRANT <br />4. FIHE PROTECTION SYSTEM <br />5. GRADING <br />6. ORAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B.HEALTH �ISTRICT <br />FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHEH STPTE OR <br />LOCAL LAW REGULATI"lG CONSTRUCTION Cii THE <br />PERFORMANCE OF CONSI RUCTION. <br />SiGNATURE�( CONTRAGtOq 9 AU RIZED AGB�T pAtE <br />�a�..\�d_ � _ 6/20/85 <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT <br />AIR COND. UNI7S - H.P. EA. <br />REFriIGERA710N UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - 70NNAGE EA. <br />FORCED AIR SVSTEMS - B.7.U. M EA. <br />WALL MEATERS - B.T.U. M <br />UNI7 HEATER$ — B.T.U. M <br />EVAPOfiATIVE COOLERS <br />CLOTMES DRYERS <br />VENTILATION FAN <br />RANGEHO00 <br />AIR HANDLINi UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE & CHIMNEV <br />PIREPLACEINSEPT <br />MEAT PUMP <br />� Z4 0 <br />S <br />f ZQ Q <br />REAR YARD $ETBACK PLAN <br />VACANT SITE <br />VES NO <br />NO. OF DWELLING UNITS <br />lUAO <br />VES NO <br />BY DATE <br />PLANS CHECKED BY IAPPR.FORISSUANCE BV <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />FLE <br />FEES VALUATION <br />f <br />f <br />f <br />RECEIPT NO. <br />FEE <br />BUILDING $3ZSO.00 4� <br />PLUMBING 2� <br />MECHANICAL <br />OTHEfl <br />PENALTY U.B.0 <br />SEC. 303 la� <br />TOTAL G� <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIOATED (IN THIS SPACE� THIS IS VOUR PERMIT <br />ADDRE�S f II f_ <br />