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U�cEuer�+reen �_ 1�q��T1 T������� � . <br />Cf�Y GF V r a <br />e��Y'9:;�$ P��1VI��' PERMIT IJCt. ���� �I �� I <br />259-8810 � <br />U DEMOL':''nN G} COMB!NATION ❑ BUILDING ❑ MECHANICAL ❑^LUM6ING ❑ SIGIJ � <br />OWNER �_ MAiLAUDRE55 CITY Zi� �� PIIpryE __— i <br />Select i':.r�es ±�.0. Box 708 tdukilteo, �9A 98275 82'?-8196 __ I <br />TENANT MAiLADDRE55 ❑iY Z'.n FHONE <br />L6[�IfNAIL�ID <br />GEN[RALCONiRACTUR <br />�WI7"_Y <br />MECHANICfLCONTR�C'C❑ <br />MAII AODRESS <br />M1IAIL AODR[55 <br />MNL AODRESS <br />CITY <br />CITY <br />SELECHI110KN <br />CITY <br />ZIP FlHMJE <br />ZIP PNONE LICENSE n <br />ZiP {'HGNE UC6NSIia <br />PLUAIBINGCONtRqCTOR MAILAO�RE55 CITY 2iP PHGNE UCENPE� <br />03/iJ90 11:43AH OOOi;b�39Q :KI:K.t: <br />CLA`G OF YlOPK � <br />� NEW ❑?�'JDI7TON G ALTERATION ❑ REPAIR ❑ DEMOLITION}}QQ��.j$�jl BUILOING PELO^.ATION <br />COhTAQ fER50N AND PHONE NO. IF C[��H�N Ap�is81 .00 <br />CONTRACT PRICE OF F/ORK: S PL[�EG �LS.00 <br />OESCRIBEWORKANJSOUAREFOOTAGEI9VOU'EO MGCF! £90.OU <br />s New Construction B Sf'iCH �4.50 <br />DRVWY 520.00 <br />;!0n00�7554 <br />FROPOSEDUSEOf�UILDING W11TER 430.00 <br />Single t�:m: ;; residence WATEkt� V-30.00 <br />LEGAI�ESCRIPT10NOFPROaERTV�iHOW��EL0490P,ATTACHFOURCOPIES; SEWEP� ��O.00 <br />18 G1en}�aven Heights BhID I 3110.00 <br />�or — s�ocK — oF 1171-5 $650.00 <br />HOO�Obf.�46 <br />WATER �60.00 <br />CHECI: �1610.50 <br />JOBrIODRESS <br />PLUMBING <br />NO. TYPE OF Fi%TURE 0 <br />3 WATER CLOSET (TOILET) <br />Z BATHTUB <br />3 L".VATORV�WASH BASIN) <br />]. SHO'NER <br />j KITCHEN SINK 8 DISP. <br />], DISHWASHER <br />LAUNDRVTRAV <br />1 CLO7HES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />6ACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADEFS <br />j SINK�SERVICE—BAfl,ETC.) <br />SUB TOTAL <br />_ PERMIT <br />TOTALFEE <br />FRONLSETBACK RE�RSETBACK <br />l0 20 <br />USEZONE LOTAREA <br />R-1 9225 <br />rrr� oF co��ustaucrior+nu awnoie nv� or cm�sreucrior� ncia <br />V—N V—N <br />5¢�'OFBLDG NOOFSTONES <br />1947 +434 GAR 2 <br />OCCUPANGVLJAD FIRESPRINHlERSRWD <br />NI� ❑ VES [�NO <br />n[ASON FON SPPINKI ERS <br />APPLICATION ACC <br />M.I4. I S.P1. <br />MECHANICAL <br />FEE N0. TYPE OF EOUIPMENT <br />�. OO A�C—A'HNDLGUNITS—HP. <br />�. OO 1 FORCED AIR S�STEMS — B.T.U. h1 EA. <br />1 OO UIJIT HEATERS — B.TL. M <br />QQ ]_ CLOTHC-S �RYERS <br />QO j VENTILATIONFAN <br />QO ], �7ANuE HOOD <br />j WATERHEATER <br />OO W�ODSTOVE <br />1 pdETAL FIREPLA�E 8 CHIAINEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />� GAS PIPING <br />E%HAUSTFAN <br />S 55 pp SUBTOTAL S i <br />S PEHMIT 5 <br />S Ej p TOTAL FEE S � <br />Sio�sETnnCK PLA�ICHECKNUMf3ER FEE RECEIPTN� <br />6 _ 89/23507 Basic <br />VACAIai 9TF <br />FEGS Q�ILDING COLE FEE <br />�YE$ G NO °q� — <br />"`�,5;`;�" uo a; u;;�;uucur�ns BUi�DwG S 86 3 7.0 _ 531 <br />R-3 1 <br />PLUMBING 65 <br />f±ASEIAENT <br />❑ �es �No MECFtnuir,n� _ __2Q <br />HEIGH' LIMIIFTION GTHC�i <br />i$ _ <br />S7ATE BUILDING SURCHARGE <br />STAiE E�IEFGV SURCHARGE <br />CITY UF EVERE?T -- <br />LOCAL SALES �'U�LIC W�RKS _� <br />TAX CODE IS TOTAL <br />3105 —?�- <br />---- 1VHEN PROi�ERLI' VALIDATED THIS IS \'OUR PE�'�MIT <br />PERMITS EXPIRc Ir 1'�ORK IS N07 GO�v�PdEPdCED WITHIFJ <br />18n Dl1YS r_.R C�i1SES FOft t�10f;F_ TNAi�I 1n0 DAYS <br />;�I'D��,I_'..: i I'. _ <br />