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„��.� ,�..`.��`�� 1O�I STR U CTI O iV <br /> everett p`RMIT PERMIT NO. 145H1 <br /> CITY MAL'_259�B7d5 <br /> eveAErT, wn 9ezo� [] COMBINATION � BUILDING C MECHAN�CAL ❑ PLUMBING <br /> OWNEh MAIL ADORE55 CIIY Ilv YHONE <br /> Wayne Diedrich 5317 South 2nd Everett 98203 252-5212 <br /> •RCHITELT OR DESiGNER MAIL�OONE55 Crtv LP VHOnF <br /> GENEAA�i3ONiR�GTON M111�DONE55 (:�iv IiF PnONE UGENSE� <br /> Waynes Construction WAYNESC319J8 <br /> MECH�NIC�L CONiR�GTOR M�iL�DORE55 GTY 21V PHONE IIGENSE• <br /> PLUMBING GONTRACIOR M�iL��ORE55 CIiV IiP PHONE LiCENSE� <br /> CL�SS OF WORK <br /> ❑NEW O ADDITION ❑ ALTERATION XB REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVE/FIREPIACE INSERi <br /> VALU�110N OF WORR <br /> { 8���0� _ <br /> DESGRIBE WORR <br /> reroof-Compoeition _ <br /> PROVOSEO USE OF tlUIL01Nf. <br /> Single FamiJ.y Residecce I HEREBY CERTIFY THAT 1 HAVE READ AND EXAM'�JeD THIS z <br /> APPLICATION AND KNOW THE SAME TO BE � RUE AND � <br /> LEG�LDESCRTiIONOFPNOPERTY�SHON^CLOWOR�Ti�CHFOURCOPIE51 CORRECT. ALL PROVISIONS OF I_AWS AND OFDINANCES ”" <br /> 25-�6 604 Everett Div, 1 GOVERNING THIS TYPE OF WORK WILL BE CO�"LIED WITH m <br /> �oT__ iocK_or WMFTHER SPE.IFIED HEREIN OR NOT.THE iar1ANTING OF,A " <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE ,,,„ ,.., <br /> — OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR -+ 'T� <br /> LOCAL LAW REGULATING CONSTFUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. �^m <br /> JOB ADORESS � AE OF f,ONiR�G OR�UI�� RIIEU�GENL D�iE p <br /> 2608 Baker /15/85 m� <br /> PLUMBINO ME ANICAL o� <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE �� <br /> WATERCLOSET�TOILEA AIH COND. UNITS - H F EA m <br /> BATNTUB REFRIGERATION UNITS _MP. EA_ C Z <br /> UVATCniY�WASMBASIN� BOILERS - HP. EA. r = <br /> SNOWEH GAS FIRE�A.C. UNITS - TUNNAGE E�. „�N <br /> NITCMEN SINN d DISP. FORCED AIR SYSTEMS - B TL M EA. '� <br /> � <br /> DISHWASMER WALL MEATERS - B.i.U. M �'� <br /> LAUNORY TRAV UNIT HEATERS- O.T.U. M �� <br /> CLOTMES WASHER EVRPORATIVE COOLERS m� <br /> WATER HEAiER ClO7ME5 DR'�ERS � � <br /> URINAL VENTILATION FAN n m <br /> �RINNIN6 FOUNTAIN RANGE MOOD _ �N <br /> F�OOR ORAIN AIR MANDLING UNIT - C.F.M. =n <br /> VACUUM BREAKERS STOVE - WOOD �m <br /> ROOF ORAINS- RAINLEAOERS METAL FIREPLAGE 6 CNIMNFY � <br /> SINK�SERVICE - BAR.ETC.� FIREPLACE INSERT ,,,� <br /> MEAT PUMP = <br /> A <br /> 2 <br /> — — ' ,1 <br /> S <br /> N <br /> SUB TOTAL f BUBTOTAL f _ _ <br /> PERMIT S VERMIT 1 � <br /> TOTAL FEE f 707AL FEE f �� <br /> SIDE VARD SETBACN STRECTSETBACN REAR VnFD SETBACK PLAN CMECN NUMBFR PLAN CHECK FEE m <br /> FEE NECEIPT NO. <br /> USE 20NE LOT AHEA VACANT SITE - --- -'-- <br /> VES NO FEES_ VALU�TION FEE <br /> TYPE OF CONST. OCGUPANCY GROUP NO OF DWELLING UNIiS <br /> '__ __-__. _ _ -- _. <br /> RUILOINO f 800. 14 50 <br /> SIZE OF BLDG NO. OF S�ORIES MA% OCC LOAU -- ----— <br /> PLUMBING <br /> __ --'_ — __- .___— — — <br /> FIREZONE BASEMENT TFlRE SPRINKLERS MECMANICAL <br /> REOUIRED <br /> YES NO -- <br /> 11PPFOVALS BY D�TE OTHER <br /> 1 ENVIRONME4iALCHECNLIST � PENALTY � Ue�: <br /> _ SEG JOJ lel <br /> 7 BUILDINCaPUNS — -� -�� - � <br /> 3 I'IRE MVDpANT � 107�� 14 S� <br /> l FIRE PROTECTION SVSTEM PERMIT VRLID�TION <br /> 5 ORA�ING WHEN PPIOPERI.Y VALIOAtE�pN iH15 SPAGB TMIS iS YOU{I P�RMIT � <br /> � <br /> fi.ORRINAGE <br /> ll) <br /> 7.EN`!IRONMENiAL IMPACT STAtEMENT v� <br /> B HEAL7H OISTRICT �- � <br /> APPLICATION ACC BY PLANS CHECKED BV APPP. FOR ISSUANCE 6 i � <br /> r1nl%T;`. I Itl <br />