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`,". `",. `r`.`�„ � �O N ST R U CT I O I� � <br />� „<� � <br />everett PERMIT PERMITNO. 15253 <br />CITY HALL 259-B7G5 <br />EVERETi.�:H]9a01 [] COMBINATION 2GX BUILDING G MECHANICAL ❑ PLUMBING <br />OWNER MAILAD�RE55 GIiY ZIP PMON[ <br />Warren N. Heinz 2314 Summit Everett 98201 252-7648 <br />ARGNIiECT OF OF.SIGNER M1�AIL AODRE55 CITY 21P PNONE <br />GENERAL GONTOAGTOR MAIL AO�PE55 CITY 21P PNONE LIGENSE • <br />Same <br />MECMlNICRL CONLRFGtOR MAIL ADDRESS LITY 21P PNONE 4CENSE • <br />PLUMOING CONiRRGTOR MAIL AODPE55 CITY 2iP PNONE UGENSE � <br />❑ NEW O ADOITION ❑ ALTERATION �REPAIR ❑ DEMOLITION ❑ FENGE ❑ SIGN ❑ WOOD STOVEJFIREPLACE INSERT <br />S lili$.�� <br />Re-roof <br />25-26 507 <br />LOf_�LOCK_OI <br />B ADDRE55 <br />2319 £tvnmit <br />Union Trust Co's lst <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />WATEF CLOSET(TOIL[T) <br />6nTNTU3 <br />LAVATORY�WASHBASINI <br />SHOWER <br />KITCHEN SINK S DISP. <br />UISMWASHER <br />LAUNDRVTRAY <br />CLOTHES WASMER <br />\NAiER HEATEF <br />URINAL <br />DRINKING I�OUNTAIN <br />FLOOR DRAIN <br />VACUUM 9REAKERS <br />ROOF ORAINS — RAINLEA�ERS <br />SINH (SERVICE — BAR. ETC.) <br />SUBTOTAL <br />PEflMIT <br />TOTAL FEE <br />SIDE YARD SETBAGK STREET SETBA <br />USE ZONE LOT AREA <br />TYPE OF CONST. OJCUPANCY G <br />SIZE OF BLDG. NO. OF STORIE <br />FIRE ZONE BASEMENT <br />APPROVALS <br />i. ENVIRONMENTAL CHECK U5T <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTN DISTRICT <br />APPLICATION ACC. BY P.ANS CNEI <br />FEE <br />5 <br />S <br />S <br />YES NO <br />I J <br />� onre <br />FORISSUANCE <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 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 />PERFORMANCE OF CONSTRUCTION. <br />SIGN(TURE OF CONT A TOR OR AUtNORl2E PGENL DATE <br />„��_ �'% _ ss����' _ e/s/as <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />PORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — O.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />MEATPUMP <br />BUILDING <br />PLUMDING <br />MECHANICAL <br />OiMER <br />SUBTOTAL S <br />PENMIT S <br />TOTAL FEE S <br />PLAN C <br />FEE <br />VALUATION <br />S 1125. <br />FEE <br />RECEIPT NO. <br />FEE <br />�FY� <br />PENALTV SEC 70� (a� <br />TOTAL 20 50 <br />PERMIi VALIDATION M <br />WHEN PROPERLY VAUDATED (IN THIS SPACE� THIS IS VOUR PERMIT _� <br />l <br />N <br />� <br />� <br />ADDR[SS PLL[ <br />