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r '1 <br /> `hr�°e�xY`o� ^.ONSTRUCTION <br /> everett PERMIT pERM1T N0. 11520 <br /> CITV HALL 259-tl7a5 <br /> eveaErr wn sazoi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAIIAOORESi QTY ZIP PMONE <br /> City of Everett <br /> ARCNiiECiORDfSIGNER MAIIADDRE55 CITT ZIP 4HONF <br /> GENERAL CONTRACTOR MPIL hDDPE55 GITV ZIP PHpNE LICENSE I <br /> MCBride Fence 13202 N.E. 177th Place Wocdlnville 98072 483-9500 <br /> MECNANICA�CONLRACTOR MAIL AOORESS CITY ZIP GHONE LICENSE Y <br /> � <br /> r <br /> � PL9MBINGCONTRACTOF MAILADDRE55 CITV ZIF PMONE LIGENSEY <br /> CLASS OF WORK <br /> ❑NEW ❑ADDITION ❑PLTERATION ❑REPAIR CUEMOLITION �FENCE ❑SIGN L�GARAGE <br /> VA�UATION OF WORK <br /> y 3 ,560.00 <br /> oescaiaE woaK <br /> Install chain link fence <br /> PROPoSED USF OP BUILDING <br /> Park–Kasch 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �ecn�oescaiPnar�oFaaoaean�rs�owee�owoAnr�ncrrFouacoPies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �o� e�oc�oF TYPE OF WORK VJILL BE COMPLIED WITH WNETHER SPEGFlED <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 /> CONSTfiUCTION OP THE PERFORMANCE Of CONSTRUCTION. <br /> SIGNATU T UiF10RIZEDHGENi DPiE <br /> JOB NDORESS <br /> 8811 AiYpoYt Road -� 2/18/83 <br /> PLUMBING � CHANIC <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET�TOILE� AIR COND.UNITS—HP.EA. <br /> BATHTUB � REFRIGERATION UNITS—H.P.EA ,_ <br /> LAVATORY(WASH BASIN� BOILERS—HP.EA. <br /> SHOWER GAS FlRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISR FORCED AIR SVSTEMS—�T.0 M EA. <br /> OISH'NASHER WALL HEATERS—B.T.U. M <br /> � LAUNCRY TRAV UNIT HEATERS—8 T.U. M <br /> CLOTHES WASHER EVAPOPATNE COOLERS <br /> WATER NEATER CLOTHES DRVERS ._ <br /> URIIJAL VENTILATION"AN .. <br /> DRINKING°OUNTAIN RANGE HOOD __ <br /> FLOOP DRAIN AIR HANDLNNG UNIT— GF.M. <br /> � VACUUM BREAKERS STOVE <br /> qOOF DRAINS—RAWLEADERS __ , ME=HL RREVLACE B CNIMNEV <br /> SINK(SERVICE—BAR,ETC.) ._ � <br /> _—�_' <br /> SUB TOTAL SU8 TOTIIL i <br /> PEHMIT f � VERMIT ! <br /> " i0T11L FEE S TOTAL FEE <br /> SIDE'�APD SETBAGK STREET SETBACK REAR YARD SETBACK NLAN CHECK NUMBER PLAN CHECK FEE <br /> FeE REGEIPT NO <br /> USE ZONE LOT AREA VACANT SITE FEES VA�UI1ilON FEE � <br /> �iYES ❑NO <br /> TYPE OF CANST. OCCUPANC�GROUP NO.OF DWELLING UNITS <br /> � BUILDING �S60.00 44 50 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FlRE SPRINKLERS MECHANICAL <br /> REQUIRED � <br /> ❑YES �NO — <br /> � AViROVAIS I!Y DATE �THER <br /> 1. ENVIflONMENTAL CMECK LIST pENA�ty U B C. <br /> SEC.303�a) <br /> 2. BUILOING PLANS <br /> TOT�� 4 4 5 0 <br /> 3. FIRE HVORAN? <br /> a. FIRE PROTECTION SVSTEM PERMIT VAIIDATION <br /> .---. WHEN PROVERLY VAi.IDATEO(�N THIS�PfC��HI�IS�j'q(Jf�P�jiy}Je — � � <br /> 5. GRADING d � i 0 y v u r <br /> s. orwiNncE N <br /> I. ENVIqONMENTALIMPACTSTATEMENT � <br /> B. HEALiH DISTRICT YO U R REG E IPT � <br /> APPUCATION ACC.BY PIANS CHECKED BV APPR.iOP ISSUANCE BY TH�NK Y�'� ! <br /> • I <br /> � 2 F�B O� � <br /> ADDRE55 FILE _ _ _ <br /> t '� <br />