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n <br />C ]hP£PITYOOFF C�ONSTRUCTION -- <br />CITY I <br />everett PERMIT PERMIT NO.07139 <br />CITY HALL A 991201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING <br />CITYEVERHA L 2 9R201 <br />OWNER MAR ADDRESS CITY 21f v�nnll <br />Ronald Hodge 9COA 7Arh of at S r &varatt 353-4161 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />self <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSEIT <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br />CLASS OF WORN IAL:l <br />NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑CARAGE <br />T <br />DESCRIBE WORK <br />Tnahmll .Er r-i nhh ehnvm <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CON TOR OR AUTHORIZED AGENT DATE <br />X9111111111111111-3-80 <br />LEGAL DESCRIPTION OF PRMRTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT. BLOD OF <br />JOB ADDRESS <br />2506 74th otreet S.e. <br />PLUMBINO <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA <br />BATHTUB <br />REFRIGERATION UNITS — H.P EA <br />LAVATORY ASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA <br />KITCHEN SINK A DISP. <br />FORCED AIR SYSTEMS — 0 T U M EA _ <br />DISHWASHER <br />WALL HEATERS — B T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS —B.T.0 M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />_ <br />_ <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C F M <br />VACUUM BREAKERS <br />1 <br />STOVE <br />i <br />Fin <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE — BAR. ETC. <br />SUBTOTAL <br />SUBTOTAL f <br />PERMIT <br />6 <br />PERMIT f <br />3 <br />00 <br />TOTAL FEE <br />6 <br />TOTAL <br />FEE i <br />6 <br />00 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT S1TE <br />[)YES ONO <br />FEES <br />VALUATION <br />TFEE <br />I <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />E <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />IIYES []NO <br />MECYANICAL <br />6 <br />00 <br />APPROVALS <br />BY <br />GATE <br />OTHER <br />_ <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC <br />SEC. 303(a) <br />2. BUILDING PLANS <br />TOTAL <br />6 <br />00 <br />3, FIRE HYDRANT <br />4, FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDA.ED (IN THIS SPACE) THIS 16 YOUR PERMIT <br />r <br />r <br />YOUR RECEIPT c: <br />THANK YOU <br />6, GRADING <br />8. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PUNS CHECKED BY <br />APPR, FOR ISSUANCE BY <br />ADDRESS FILE - ; JAN 80 <br />