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r <br />� <br />L <br />r <br />`'"`"�"�""" ;ONSTRUCTIO�' <br />everett PERMIT PERMIT NO. 12530 <br />cirv Ha�� zse�e�as <br />eveatrr,wnee¢oi ❑ COMBINATION ❑ BUILDING XfCJ MECHANICAL ❑ PLUMBING <br />Q�yH�q � M11AiL ApORE55 COY ZIP PNOHE <br />"'"m^'^"l1' RO�IANT'LLI Sln T�m�rark r-�r ,•ntt QA9n1 3s17-29�A <br />ARCNIIELiOP0E51GNER MNILAD�RE55 LIiY ZIP �M N� <br />GEN6RAL CONLHACiOfi MAR A009E55 LRY ZIP PMONE LICENS[ • <br />Same <br />MEpI/HIGALCONTRACION MPILAODRE55 GIY 21P PHOHE LICENSE� <br />PLUMBING CONiP4GLOR M/IL A�OR� .5 �'1Y ZIP PMONE UC[NSE I <br />� NEW ❑ ADUITION ❑ ALTERATION ❑ flEPAIR ❑ OEMOLITION ❑ FENCE ❑ SIGN � WOOD STOVEIFIREPLACE INSERT <br />S <br />ESCRIBE WORrc <br />[nstall wood stove <br />ROPOSED USE OF BU�LOING <br />tesidence <br />WNL �ESCRIPiION Of PPOPERLY �SMO\Y <br />LOt �_BLO.:N _OF _� <br />�°�9��amarack <br />PLUMBIN6 <br />N0. TYPE OF FIXTURE <br />YlATER CLOSET (TOILETI <br />LAVATORV�WASME <br />SHOWEP <br />ftITCMEN SINN 8 DI: <br />DISMN'ASMER <br />LAUNDRYiPAV <br />CLOTMES WASMER <br />WATER HEATER <br />FLOOR �RAIN <br />VACUUM BREANERS <br />ROOF DNAINS — RAINL�ADERS <br />SINK ISEflVICE — BAR, ETCJ <br />BLDG. <br />FIRE ZONE <br />SUBTOTAL <br />TOTAL <br />APPPOVAlS <br />1. ENVIRONMENTAL CHECK 115T <br />2. BUILDING PLANS <br />L J FIREHYDRAN7 <br />4.FIFEPROTEGTIONSYSTEM _ <br />5. GRADING <br />8. DRAINAGE <br />7.E�VIRONMENTAIIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CME <br />BY <br />I HEREBY CERTIFY THAT I H:�VE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />coa�es CORRECT. ALL PiIOVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE �F 1,NORK WILL BE COMPLIED WITH <br />WH=THER SPECIFIED' -�N OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRE. TO GIVF. AUTHORITY TO VIOLATE <br />— OR CANCEL THE PRO� JNS OF ANY OTHER STATE OR <br />LOCAL LAW REGULA� ll,,NG CONSTRUCTION OR TH:: <br />_ P F NC�ONS��,ON. <br />Si OR AUiM 2 ENT D4iE <br />Y . ,.. ,.___ � 10/7/83 <br />i <br />S <br />S <br />YES NO <br />MECHIINICAL <br />FEE <br />AIR CUND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />DOILERS — M.P. EA. <br />GAS FIRED A.C. UNITS — TJNNAGE EA. <br />FORCED AIP SYSTEMS — B.T.U. M EA. <br />WALL4EATERS—BT.U. M <br />UNIT MEATERS — B.*.LL M <br />EVAPORAiIVE COOLERS <br />CLOTMES DRYERS <br />VENTILATION FAN <br />RANGE MOOD <br />AIR HANOLING UNIT — C.F.M. <br />STOVE —'NOOD <br />METAL FIREPLACE S CHIMNEY <br />FIREPLACEINSERT <br />SUBTOT�L f <br />PERMIT _ f <br />TOTALfEE f <br />FEE RECEIPT NO. <br />VALURTION FEE <br />BUILDING S � <br />PLUMBING <br />MECMANICAL 1% SO <br />OTHER <br />PENALTY U.�C <br />SEC. 30J (a) <br />TOTAL 1� SO <br />PEPMIT VAU�ATION <br />WHEN PROPERLY VALIDATEO QN TH11 ; CCa TH�S�S��U�P�7�IT— � <br />I ! � <br />i.ri <br />N <br />���,,. � �Ecr:iPT�--� <br />BV ' <br />f�!!��JK YOU <br />! � G�T c 3 <br />ADDRESS FILE <br />L <br />� <br />� <br />J <br />J <br />'� <br />