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1 <br /> I <br /> r � <br /> ,h` `-1�ri�C�f' �ONSTRUCTION <br /> everett PERMIT <br /> aTv „nu zs�h,�, PERMIT NO. 115 7 4 <br /> Ev�nerr wn �e:o� ❑ COMBINATION � BUILDING ❑ MECHANlCAL �J PLUMBING <br /> Pete HEqqe u�nnnuucss <br /> 706 Balsom La `���' ^" <br /> ne Everett ����u"� <br /> nno�neeronnis�:miri 98201 252-8730 <br /> M�il nDDl�t E.:, <br /> CIIV ��o <br /> ✓NONf <br /> G!N[IU�CONfNACiOR <br /> Same M�IlAU0NE55 —�--- � <br /> CIt1 IIP <br /> �NE lIC[NSf I <br /> �� MlOIANIq��pNfR,�lON I <br /> � MMIADOR[5� . <br /> [.�ir lir — <br /> vi UMDINO LpNiNApiOR <br /> ���E IICENS[ � <br /> MNLeLOPE55 <br /> qiY IIP <br /> CLn55Of WORN <br /> ��E l.CENSE� <br /> ❑NEW ❑AGOIiION ❑A�TERAiION ❑REPAIfI L]DEMOI.ITIf�N ❑FENCC (]SIGN OGARqGE <br /> VAIUALIJN OF WONN <br /> S�.� QQQ. Q� <br /> �ESCNIflE WOHM <br /> Inetall Firplace chimney <br /> rnoaoseo use or nu�,n�Nc <br /> Slnqle Family Residence ----�----- _ <br /> I HEREBY CER7IFY THAT I HAVE HEAD AND EXAMINED THIS AP� <br /> ican�oescaianor�o�aanatarvrs�iowuuowoanrucr�vouAcowcsi PLICATION ANU KNOW THE SAME 70 BF TRUE AND COflRECT. <br /> 1Oi A��K__.or ALL PROVISIONS OF LqW$ qN[' ONDINANCES GOV�RNING THIS <br /> TYPE OF WORK WILL BE COMP.IED WITH WHETHER SPECIFIED <br /> r1EREIN OR NOi. T!1E GRAN7I�IG OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO�qOLATE OR CANCEL?HE PRO� <br /> V:SIONS OF ANY OTHER STATE O�t LOCAL LAW REGULATING <br /> �on.n �ess CONSTRUCTION OR THE PERFOFMANCE OF CONSTRUCiION <br /> 70� Bd18�11 La�10 siorm�un� o� cn�inaao�� nutn nvcnn,u� <br /> / U41f <br /> PLUMBINO X ` % 3/9/83 <br /> NQ MECHA ICAL <br /> 7YpE OF FI%T^�pE pp�TEM FEE Np, <br /> watER C�OSEi(Toi�Eil TYPE OF EOUIPMENT FEE <br /> _ enn�rue nincoero uHirs- Hr en , <br /> LAVA70Rv IWASH BASIN) �t�Hli:fRAiION l/Nl1S - H P !A �— <br /> SNOWEH �OILfRS- M P (q _ <br /> NIiCHEN SINN 8 DISP. �A'�������A C UN1TS-ipNNAGi kA <br /> __ DISNIYASHEP FOHCf�D qlq SYSIEM£--B T U M EA <br /> \ ,_ LAUNUFV Iqqy K'ALL HEAi[RS-8 T U �,� <br /> _ Cl07HES WASNER UNI7 NEq7!'RS-8 i U M <br /> WATERHEATER . ��APoRATWECOO�ERS --- <br /> URINAI CLOiHCS DPVERS --- <br /> OPINNING FpUNTAIN �'E:NTILA110N FAN - <br /> FLOOR DRAIN �ANGE i00D <br /> VACUUM BREANERS A����A�.DLING UNII - C F M <br /> R�OF OPAINS-qqINIEADEHS STOVE <br /> _ SINK�SERVICE-BAR.ETC� �E1A�F�REPLACE 6 CMIMNEV — <br /> ' <br /> � 8U8 TOTAL <br /> - PERMIT = SUB iOTAL j <br /> TOTAL F@E � PERMIT S � - <br /> SIOE VAqD SFIBACK STNCEi SCTHACK qEAR VqRD SETBACK P�AN CHECK NUM�ER TOTAL FEE t <br /> PLAN CH[Ch ff! <br /> U$61UNE LOi AI�[A — 1!! IiECf.lf'i �O <br /> VACANT SITE <br /> i �VES I INO FEES <br /> TYPE OF CONSt. _ �ALUATION FEE — <br /> �CCUPANCY GRCUP NO pF DWELLING UNI1S — <br /> SIZE OF BLDG NO OF STORIES MA% Of.0 LOAD BUI�OING ( -- <br /> 1 �00, 1� $0 I <br /> FIRE IONE P�UM[iING <br /> �. BASEMENi FlqE SPRINkU R5 <br /> REOUIREU MECHANI�,�� <br /> � yE5 i INO <br /> �PPRa���s oY D11TE O7HEN <br /> 1 ENVIPON61EN7qL CMECK LIST <br /> 2 BUIl01NGPUNS PFNALTY UBC <br /> SEC J03�e� <br /> 3 FIRE MYDPANT TOTAI � <br /> < FIRE PRO!ECTION SYSTEAI S� S O <br /> PERMIT VALIDATpN <br /> 5 GRADING 'NNEN PROPpq�y yA�17A1F <br /> - D�IN THIS SPACC�IHIS IS 1���UR i'EpM1T <br /> 6 OMINAf3E ���� �O ' _' <br /> 7 ENVIRONMENTA�IMPACTSTAiEMENT . � I• S O �• <br /> B HEALTM DISTqICi � � �f� <br /> APPUGTIONAx 9Y PUNSCHECKEDBV qPPq FUR��UANCEAY ,YOI�'R RECEIPt � <br /> : TNANI( YOv <br /> ADUrtE55 FILE — 9 u"R n Z � <br />