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� <br /> rh<•(irCrl'rCPn ' CO �V�����I�� <br /> ;. t : <br /> everett PERMIT PERMIT NO. 13234 <br /> GTY HALL 2i9�d7d5 <br /> EVERETT.WA 98201 � COMBINATION �j(j( BUILDING ❑ MECHANICAL L_� PLUMBING <br /> OV:NER MAII AJ�RE55 CIIV Z�P VHONE <br /> GLADYS JOHNSON 2110 Baker Everett WA 98201 <br /> ARCMRELi 0110FS�GNEN MRIL�ODRE55 CILY ZIP PhONE <br /> GENERAI GONiNSLiOR M�R�DOHE55 LiLY ZiP PHONE LICENSE• <br /> C WALTER SMITH ROOFING CONTR. POBOX 929 EVERETT WA 98206 259-7257 <br /> MECMRNIC�L GONLRRLLOR M411 ADORE55 CIiV ZIP PNONE LIGEHSE� <br /> PLUMBING GONiN�GTOP M�IL/.��Nh55 CILY ZiP PNONE LiGENSE� <br /> CLASS OF WONK <br /> O NEW ❑ ADOITION ❑ ALIERATION J�REPAIR D DEMOLITION ❑ FENCE U SIGN O WOOD SiOVEIFIREPLACE INSERT <br /> � <br /> VRLU�TION OF W09N <br /> s 3372.00 <br /> DESCRIBE WORN <br /> Reroof with composition shingle <br /> PROPOSED USE OF BUILDiNG <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND HNOW THE SAME TO BE TRUE AND <br /> LEGAL�ESCRIPiION OF VROPERTY�SMOW BELOW OR AitRCM FOUR GOPIESI CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> io�__e�ocn_or GOVEP.NING 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 STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE ' <br /> PERFORMANCE OF CONSTRUCTION. �, <br /> JON�O�HESS $IGNAWRE F CONLRNCT OR AU NOR12EIy�GE.q�" � D�TE <br /> 2110 Baker X '� �, �� - ��� cc�-.—� 4/13/84 <br /> PLUMBINO M CHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM_ FEE NO. TVPE OF EOUIPMENT FEE II <br /> WATERCLOSET11nILEn AIR COND. CNITS – HP. EA. � <br /> BATNTUB REFRIGEflATION UNITS – H.P. EA <br /> LAVAiORY�WASH BASINI BOILERS – H.P. EA. <br /> SHOWER GAS FIRED AL. UNITS– TONNAGE EP. <br /> NITCHEN SINK 8 DISP. FOPCED AIR SYS7EM5– B.i.U. M EA. <br /> DISMWASHER WALL HEATERS– BT.U. M <br /> LAUNORV TRAV �UNI7 HEATERS– B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER MEATER CLOTMES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINNING FOUNTAIN RANGE HOOD <br /> PLOOR DRAIN AIfl HANDLINO UNIT – C.F.M. <br /> VACUUM 9REANERS STOVE – WO00 <br /> ROOF DRAINS– RAINLEADERS dEiAL FIREPLACE 8 CIIIbINEY <br /> SINK�SERVICE– BAR. ETC.) fIREPLACE INSERi <br /> HEAT PUMP <br /> SUBIOTA� f SUB TOTAL S <br /> PERMIT f PERMIT f <br /> TOTAL FEE f TOTALFEE f <br /> S�DE YARD SETBACK STREET SETBACN REAR YAFlD SETBACK PLAN CMECK NUMBER PLAN GHECN FEE - <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE — --- -- – <br /> YES NO FEES_ _ VAWA710N FEE <br /> iYPE OF COi15T. OCCUPANCV GRG'IP NO. OF DWELLING UNITS __ __ __ __� <br /> BUILDING 5�37�,z���00– -- �– <br /> SIZE OF BIAG. N0.OF STORIES MAX.OCC LOAD — <br /> PLUMOING <br /> FIREZONE BPSEMENT � FIRE SPRINKLERS MECMANICAL � <br /> RF.OUIRED _ <br /> YES NO <br /> APPROVALS BY DRTE aTMER _ <br /> 1. ENVIRONMENTAL CHEGK LISi PENALTY U fi C <br /> SEC.�03�al <br /> 2.BUILDING PLANS 70TAL 44 SO <br /> 3.PIRE HYORANT <br /> 4.FIRE PROTECTION SYSTEM PERMIT VRLIDIITION <br /> 5.GRAOING WNEN PROPERLY VALIOATED�M THIS$PAG4 THIS IS YpYIR�E�Ai __� <br /> � I � � � <br /> fi ORAINAGE _ N <br /> 7.ENVIRQNMENTAL!MPACTSTATEMENT ! M <br /> B.HEALTM OISTRICT ' '� ��j'--� <br /> APPLICATION ACC. B'( PLANS CHECKED BV APPR.FOR ISSUANCE BY <br /> . l <br /> -- ; �, ', .� .. � <br /> ADDRES� fILE <br />�` � <br />