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1hcC•��e�green r�NSTRUCTION �, <br />GTY OF <br />everett PERMIT <br />CITVHALL259�87a5 PERMIT NO. 09067 <br />EVERETT,I"✓A 98201 ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ pLUMBING <br />OIYNEN MAII qD�RE55 C17Y Z�p <br />Ted Steensland 944 Woodlawn '"o"` <br />Everett 98203 252-6905 <br />nRC11tiECT OR OES�GNER MAIL NDDPE55 C11V <br />Z�P PMONE <br />GENERALCONiRqCTOR MAILADDRESS piV ZIP PHONE UCENSEI <br />Same <br />MKIIANICAL fANTRRCiOP 1,IFIL ADDRE55 CIiV <br />Z�P PHONE LICENSE � <br />PLUMdINGfANiqACTOR MAiLhODRE55 qiy ZIP PHONE LICENSE� <br />❑NEW ❑ADDITIDN ❑ALTERATION ❑REPqIp ❑JEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />1 <br />JESCRI�E \YORK <br />install fireplace insert <br />�aocoseu usE oF ounoir�r, <br />lOT BIOC�OF <br />944 Woodlawn Avenue <br />PLUMBINO <br />NO. TYPE OF FIXTIIP <br />SIDE <br />TYPE <br />KITCHEN <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />anncHvovacoPies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPL�ED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORIiY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION THE F ORMANCE OF CONSTRUCTION. <br />SIGNAiU -O�COr1yiR iOFORqUi ORIlEDAGENT ^ DATE <br />MECHANICAL <br />NO• TVPE OF EOUIPMENT <br />AIR CONO. UNITS — HP. EA. <br />REFRIGEPAiION UNITS — H.P.EA <br />�OI�ERS — H R [A. <br />GAS FlPED AC. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B T.U. 1 <br />WAIL HEAT[RS — 6 T.U. 1 <br />UNR HEAiERS — B.T U. n <br />AIR <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — �AR, E7C.) <br />SUBTOTAL <br />PERMIT S <br />TOTAL FEE f <br />iD SETBALK STflEET SETBACK REAR Vi <br />E LOTAREA VACANT <br />❑VES <br />CONST. OCCUPANCY GROUP NO.OFI <br />OF BLDG. � NO. OF STORIES <br />I. ENVIRONMENTAL CHECK U5T <br />2. OUILDING P�qNS <br />3. FIRE NVDRANT <br />4 FlRE PROTECTION SYSTEM <br />5, GRADING <br />6. DRAINAGL <br />l. ENVIpONMENTALIMPACTSTATEMENT <br />B. HGLTH DI51'RICT <br />APPUCAiION ACC. BY PLAN3 CHECKED UV <br />V.C. <br />BUILDING <br />PIUMBING <br />PENALTV <br />APPR.FORISSUANCE BY <br />UIJIT — <br />FEE <br />SUBTOTAL f <br />PEHMI7 f <br />TO7AL FEE f <br />UMOER PLAN CHELKFFE <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />S <br />li SD <br />U P.C. <br />SEC. 303 (a) <br />1% 5� <br />�TION <br />t ypLIDATED (IN THIS SPACE) THIS IS VOUR PERMIT <br />(�� <br />1��% �'��/.��1�' /y <br />C.l <br />� <br />, � <br />�, �i.�l � <br />._ :�; �j,'.. u <br />i <br />ADDRESS FILE _ i, 1�� � <br />