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Ihr£rerqreen — �OhSTRUCTiOI� <br /> everett PERMIT PERM�r ��. 125G� <br /> CITV MALL 25P�BTaS <br /> eveaerr.wn eszai � COMBINATION � BUILDING C 'AECHANICAL ❑ PLUMBING <br /> OWNER MAa ApORE55 CItY 21P PMONE <br /> AfIKF CRFHAN 2�2 Skvlin Fv�rntt 954-173'i <br /> ARGNItEGi OH�E9GNER �L AOORE55 CItY ZIP VHDNE <br /> Northern Sun Ly�anod 777 -'i3'td <br /> G[NENAI,LONiqeCiOR MAIL ApDPESS CITY ZIP PNONE IIGENSE� <br /> BURKL PHi11IPS CONST tfiR97 - S7nd 11a NIP SY�m�nnd 6[9_ROlfl <br /> M[CHFNI"ALCONiRAGiOR MAILPOOIIE55 GLY ZIP PMONE LICENSE/ <br /> 223-BURKBPC 207 CF <br /> PLUM0ING GONTRALTOP MAIL RpOFE55 G�iY ZIP PH)NE UCENSE� <br /> CL455OF WOPR <br /> ❑NEW �i (ADDITIOY O PLTERATION ❑REPAIR �OEMOLITION ❑ FENCE ❑SIGN ❑ WOOD 5T(;VEIFIREPLACE INSERT <br /> VALUATION OF WORN <br /> 5 8�5��. <br /> DESGRiBE WOPK <br /> 6'x9' passive solar addition <br /> FROPOSED USE OF BUILDING <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �ecn�oEscnivtior+ovvaovearr�srroweeiowonnnnc«vouacoviesr CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 10 BLOLN_Of T�t. Baker Vleta Add 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 OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> P OR CE STRUCTION. <br /> JOBADDRE55 5 NA UREO C NiP T 4DR12EOACENT DATE <br /> Z22 Sk line Dr X ' � <br /> PLUMBINO M NICAL <br /> NO. TYPE OF FI%TURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEi) AIR COND.UNITS— N.P.EA. <br /> BATHTUB flEFRIGERATION UNIiS—H.P.EA. <br /> LAVATORV(WASM BASIN) BOIIERS—H.P.EA. <br /> SMOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> NITCMEN SINK 8 DISP. FORCED AIR SYSTEMS— B T.U. M EA. <br /> DISMWASHEF WALL MEATERS—B.T.II. M <br /> LAUNDRYTRAV UNIT HEATERE—B.T.U. M <br /> CLCTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATEP CLOTHES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING�OUNTAII! RANGE HOO� <br /> FLOOfl DRAIN AIR MANULING UNIi— C.F.M. <br /> VACUUM BREANERS STOVE—WOOD <br /> ROOF�FAINS— RAINLEAOERS METAL FIREPLACE A LHIMNBV <br /> SINK�SERVICE— BAR.ETC.� FIREPLACE INSERT <br /> HEAT°UA1P <br /> SUBTOTAL f SUBTO�AL f <br /> PEHMIT S PERMIT f <br /> TOTAIFEE S TOTALFEE S <br /> SIDE YAFD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CMECK NUM9ER PLAN CMECN FEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOi AREA VACANT SIiE <br /> .YES . .NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> OUIL�ING � �SQQ. 7Q SQ <br /> SV.E OF BLDG. NO.OF STOPIES MA%.OGC.IOAD <br /> PI.UMBING <br /> PIRE 20NE BASEMENT FIRE SPRINKLERS MECMANICAI <br /> FEOUIRED <br /> YES NO <br /> APVROVALS BY DATE OTHER <br /> L ENVIPONMENTAL CHEC:.LIST PENALTY U B.C. <br /> SEC.9W la� <br /> 2.0UILDING PLOAS <br /> 7.FIqEHVORONT t�TA� 74 � <br /> d.FIRE PROTE CTION SYSTEM PENMIT VALIDATIOH <br /> S.GRAOING WHEN PROPERLY VALIDATED�IN THIS�S�PqCF�THIS�x�R{P��T.� 1 <br /> L 4 � U � J <br /> 6.7PAINAGE <br /> ).ENVIRONMENTALIMPACTSTATEMENT <br /> B.HEALTHDISTRICT ���(�I� �� �EC L I I T' ' <br /> APPLICATION ACC.PY PLANS CHECKED BY APPR.FOR ISSUANCE B; <br /> Lc ��i,�,r�1K YOu <br /> - ? C�GT o 3 <br /> ;..�i�aess =ur <br />