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IhrE�'er¢recn � �ONSTRUCTI01� � <br />� �iv Ot I <br />everett PERMIT PERMI7 N0. 1527H <br />GTY HALL 259�8745 <br />EVERETL VJA 90207 ❑ COMBINATION iXX BUILDING ❑ MECHANICAL ❑ PLUM6ING <br />OIYNER MnIL ADDRE55 CiTv Z�P FNONE <br />TTMOTHY KNOPF 932 l�E7tif1BP AVC FVERFTT WA 9R207 <br />ARGMITECT OP DESIGNEfl MAIL AODRE55 GTY ZIP PHONE <br />GENElIALGONiRAGTOR MAILADDRE55 CITY ZiF PNONE LIGENSE• <br />S,me <br />MECHANIGlL GONTRACTOR MAIL AD�RE55 CITY ZIP PMONL LILENSE � <br />PLUMBING GONTPACiOP MAR AD�RESS CITY 21P PNONE LiCENSE � <br />1JJ V� YVV11n <br />O�JEW ❑ A�DITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ W00� STOVEIFIREPLACE INSERT <br />.pATION OF WORK <br />S ����Q.�� <br />sq ft deck <br />PROPWEO USE OF BUR�ina <br />Single family residence <br />LEGAL OESGRIPTION OF PROPERtY �SHOW DELOLS <br />ior �a���cK�!6 oF Ba110Y'S <br />PLUMBING <br />TYPE OF FIXTI <br />CLOSET�TOILEn <br />BASIN� <br />SHO\NER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHEF <br />WATER HEA7ER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM 6REAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC� <br />SUBTO7AL <br />PERMIT <br />TOTAL FEE <br />SIOE VARD SETBACK STREET SETBA� <br />USE ZONE LOT AREA <br />TVPE OF CONST. OCCUPANCY G <br />SIZE OF BLDG. N0. OF STORIE <br />FIRE ZONE BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. Bl11LDING PLANS <br />7.fIREHVORANT <br />4. fIRE PROT[CTION SYSTEM <br />5. GRADING <br />6. DRAINAG[ <br />7.ENVIRONMENTALIMPACT: <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BV <br />eb <br />COPIESI <br />S <br />S <br />IEAR YARD SETB <br />�ACANT SITE <br />YES NO <br />10. OF DWELLIN <br />AA%.00C.LOAO <br />9RE SPRINNLER'. <br />7EOUIRED <br />VES NO <br />BY OA' <br />FOR <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 GRANT�NG OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE ON <br />LOCAL LAW AEGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />YGNATUR60`GONTRACiORpRAUiMOFIZEOAGENT DAiE <br />� A A/lF/RS <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />AIR CON�. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FCRCED AIR SYSTEMS — B.T.U. M EA. <br />WFLL HEATERS — O.T.U. M <br />UNIT MEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYEPS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR MANDLING UNIT — C.F.M. <br />STOVE — WO00 <br />METAL PIREPLACE 6 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP _ <br />SUBTOTAL S <br />PERMIT s <br />TOTAL FEE S <br />INUMBER PLAN C <br />FEE <br />FEES VALUATION <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTMEP <br />PENALiV <br />5���0.�� <br />U.B.C. <br />SEC.903 <br />ree <br />RECEIPT tJO. <br />FEE <br />� 11 <br />rorn� I I 19 � 00 <br />PERMI7 VALIDAiION <br />WI1EN PROPERLY VALIDATED �IN TMIS SPACE) TNIS IS YOUR PEPMIT � <br />� <br />N <br />i-ri <br />t�'� <br />ADDRESS PILE <br />