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,'„�`"„"`° . �pNSTRUCTIOP' <br /> ,��� <br /> everett PERMIT PERMIT NO. 12GH2 <br /> QTY HFLL 259-P7a5 <br /> EveaeTT.v+a eazo+ ❑ COMBINATION ❑ 8!11LDING ❑ MECHANICAL � PLUMBING <br /> owNeA �eni�nooeess u1r ziv vnorve <br /> Ray Seiber 3119 Shore Avenue <br /> qpCMREGT O�OESIGNER MPIL AD�RE55 LITY ZIP 1'MON[ <br /> GENER4LONiPPGiOR MnqqDDPE55 QTY ZIP PMONE ULENSEi <br /> MEGMANICAI GONTR�GTOR MAILAOORE55 GITY ZIP PNONE UCENSE� <br /> PLUMBING LONTp/.LTOR MPIL ApOPE55 GIiY ZIP PMONE UCEbSE� <br /> CU55 OF WORM1 <br /> ❑NEW ❑ AODITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIPEPLACE INSERT <br /> VRW�TION OF WORK <br /> { <br /> OESGRiBE WORK <br /> install plumbing _ <br /> vnoroseo u•c oF nmiou+c I HEREBY CeRTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> ,wn�u�-,�.u.—rr;rioFvnoventrisHoweeiowoanrucnFouncowes� CGRRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL DE COMPLIED WITH <br /> �oi_e�ocrc_oF 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 OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> J00 h��RE55 SIGNATUPE OF CONTPALtOR OR AUiMORIZEO AGENT �A�� <br /> 3119 Shore Avenue X 11 10 83 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> 3 WATER CLOSET�TOILET) ( OO AIR COND.UNITS— H.P.EA. <br /> S BATNTUB Z 00 REPRIGERATION UNITS—N.P,EA. <br /> 3 LAVATORY�WASHBASIN� C� OO BOII.ERS— H.P.EA. <br /> 1 SMOWER Z OO GAS PIRED A.C.UNIT$—TONNAGG EA. <br /> ]. NIiCHEN SINK R DISP. 2 OO F�RCED AIR SYSTEMS— BT.U, M EA. <br /> DISMWASHER WALLHEATERS— BT.U. M <br /> 1 LAUNDRY TRAY Z OO UNIT MEATERS— B.T.U. M <br /> 1 GLOTMES WASHER Z OO EVAPORATIVE COOLERS <br /> 1 WATER HEA7ER 2 OO CLOTHES DRYEflS <br /> URINAL VENTILATION FAN <br /> ORINNING FOl1NTAIN RANGE HOOD _ <br /> FLOOR DRAIN AIF HANDLING UNIT— C.F.M. <br /> VACUUM BREAKEPS STOVE—WOOD <br /> ROOF�RAINS— RAINLEADERS MF.TAL FIREPLACE E CNIMNEY <br /> S!NN�SERVICE— BAR,ETC.) FIREPLACE INSEflT <br /> MEAT PUMP <br /> SUB TOTAL S ZQ Qp SUB TOTAL S __ <br /> PENMIT S PENMIT = <br /> TOTPI FEE f 2�} OO TOTAL FEE f <br /> SI�E VFRD SEiBAGH STFEET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN GHECK FEE <br /> FEE RECEIPi NO. <br /> USE ZONE LOT AREA VACANT SRE FEES VALUATION FEE <br /> YES NO <br /> TYPE OF CONST. OCCUPANCY GPOUP NO.OF DWELLING UIJITS <br /> BUILDING S <br /> SIZE OF BLOG. NO.OF STORIES MA%.OCQ 1.OAD <br /> PLUMBING ZQ OO <br /> FIREZONE BASEMENT q OUSREDJNLERS MECMANICAL <br /> YES NO <br /> APVROVAlS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALIY U B.C. <br /> _ SEC.907 le� <br /> 2.BI11L�INGPLANS T�Tp� ZQ OO <br /> 9.FIRE MVDRANi <br /> l FlRE PROTECTION SYSTEM VEPMIT VAUDATION <br /> 5.GRCDING WNEN PFOPERLY VALIDATED QN THyS�P,(�GE�TH1�1�YfjU(1 Pf�f�A�T c� <br /> 4 Lb ;, L4 UU <br /> 6DRAINAGE Atjf� t0 permit #62% .. <br /> LENVIRONMENTAIIMPACTSTATEMENT �•.- <br /> B.NEALTMDISTRICT � � � � �� :(,�Ij�� . ' <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> . \� r` U <br /> y <br /> I I�� I,';y J J <br /> ar,oF�ss r�i E <br />