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theE�rrgncn � �NSTRU�CTIO� • <br /> Gir OF <br /> everett PERMIT PERMIT NO. 16679 <br /> CI7V MALL 25&87�5 <br /> EVERETT.WA9B201 [XJ COMBINATION ❑ BUIIDIN(i ❑ MECHANICAL ❑ PLUMBINO <br /> �NER MAIL ADDRE55 CITY 21P PMONE <br /> SIDNEY SCHNAB 3825 Shore Avenue Everett MA 98203 355-6952 <br /> IIRCHITECT OR OESIGNER MAIL ADDRESS CITY ZIP f`�ONE <br /> GENER�LCONTR�GTOR MAIIAD�RE55 CITY 2�P pMpN; LICENSE� <br /> Same <br /> MECH�NIGAL GUNTNACTOR MML ApDRESS CITY zIP PMONE 4CENSE I <br /> PLUMBING CONTRACTpR M�IL ADDAE55 CITV ZIP PNONE LICENSE/ <br /> CUSS OF WORN <br /> ❑NEW OI ADDITION ❑ ALTEPATION ❑REPAIR ❑ DEMCLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WONN <br /> = 69,047.56 <br /> DESGRIBE WORN <br /> Add livin room, bedroom, rec room remodel kitchen <br /> PROPoSEO US'. OF BUILDING <br /> $ifl lefamily residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEG�l0E5CRIPT10NOiPROPERTY�SMOWBELOWORRTTFGNFOURCOPIES) APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or e�ocK 20 oF Ed ewater GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> ttached— WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE ?ROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB RDDRESS SIGNAT OG NiRACTOR 0 IU NIZEO AGEN DATE <br /> 3825 Shore Avenue X �'rsv <br /> PLUMBIN(3 HANICAL <br /> N0. TYPE OF FII(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILET) AIR COND.UNITS— H.P. EA. <br /> � BATMTUB 5 �1O REFRIGERATION UNITS— M.P.EA. <br /> � LAVATORY(WASH BASIN� 5 0i� BOILERS— H.P. EA. <br /> � SHOWER 5 OO GAS FIRED A.C.UNITS—TONNAGf.EA. <br /> � NITCHEN SINK d DISP. 5 Qp FORCED AIR SVSTEMS— B.T.U. M EA. <br /> � DISHWASMER 5 OO VVALL MEATERS— B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATEfl HEATER CLOTHES DRYERS <br /> URINAL � VENTILATION FAN Q 5O <br /> DRINKING FOUNTAIN � RANGE HO00 ( 5O <br /> FLOOR DRAIN pIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF ORAINS— RAINLEADERS METAL FIREPLACE d CMIMNEV <br /> SINK(SEPVICE— BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP �_ <br /> sue ror�� s 30 00 sue ror�� s 11 0 <br /> PENMIT f PERMIT S <br /> TOTAL FEE S 3O OO TOTAL FEE f �� O <br /> SIOE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER �� 1a�qNCl1F� � <br /> $SX 7?' 25' 25' 86/16679 EE ��f,93"��M� RECEIPT NO. <br /> USEZQNE LOT AREA VACANT SITE — SOM1�3 <br /> H � - �.VES .kIJO FEES FEE <br /> TYPEOFCONST. OCCUPANCYGROUP NO.OFDWELLINGUNI7'S State Dld SUI'CIl � BO <br /> V-N R-3 � BUILDING ME 047. •� 504 50 <br /> S12E OF BLDG NO.OF STORIES MA%.OCQ LOAD <br /> Addn 1017 sf Z PLUMBING �n� 30 00 <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED �� OO <br /> YES NO <br /> APPPOVALS BY OATE QTNER <br /> 1. ENVIRONMHNTAL CMECK LIST PENALTY U.BC <br /> 2.BUILDING PLANS SEC.303(a� <br /> 3.FIflE11VDRANT TOTRL 547 �� <br /> <.FIRE PROTECTION SVSTEM PERMIT VALIDATION <br /> 5.GRADING N�HEN PROPERLY VALIDATEU(IN THIS SPACE)TMIS IS YOUR PERMI' � <br /> 6.DRAINAGF r' <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> 8.MEAI.TH DISTRICT � <br /> APPLICATION ACC. BY PLANS CFIECKED BV APPR.FOR ISSUANCE BY � <br /> 11�I1 S9 �C <br /> \\ ADDRESS FILE <br />