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_ :3i:�>R'� <br /> 1hr Ll�er,�reeir <br /> ��-��F '� �ONSTRUCTIOP' <br /> everett PERMIT PERMIT NO. 123HO � <br /> CITY HALL 259�8745 <br /> EVERET7,�7A98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING . <br /> OWNER MAILADDRE55 LITY ZIP PHONE <br /> ROBERT BUSE 240 IIRIDGEIVAY EVEREI'T lVA 98201 259-1953 <br /> AflCNITEGT OR OESIGNER MAIL AOOPE55 CITY ZIP pNpNE <br /> GENEPALCONTRAGTOR MAILFDDRE55 GITY 21P PMONE LIGENSEI <br /> - " Owner <br /> ' MEGMANILA�LONTHACTOH MAILADDRE55 GITV ZIP PMONE LIGENSEw <br /> PLbMBING CONTflACTOR MAIL A�ORESS GITY ZIP PHONE IICENSE• <br /> CLASS OP WORK <br /> ❑NEW O ADOITION ❑ ALTERATION �REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFIFIREPLACE INSERT <br /> VA W Al'ION OF\40RK <br /> f S��. QO <br /> OESCRIBE WORK <br /> Reroof <br /> PfiOPOSED IlSE OF BUILDING <br /> Res idence I HERcBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESGRIPTIONOFPROPERTV�SHOWBELOWOflATTACMFOUitCOP1E5� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> L0T_BLOCK_OF GOVERNING 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 PROVISIO�S OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB AO�HESS SIGNATURE OF LONTRRCTOR OR AUTHORI2EU AGENT OATE <br /> 240 Aridgeway X ,�-,�o-Tw���/ 8/31/83 <br /> PLUMBING MECH<NICAL <br /> N0. TYPE OF FIXTURE OH ITEM FEE N0. TYPE OF EQUIPMENi FEE <br /> WATERCLOSET�TOILLn AIFi COND.UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P.EA. <br /> LFVA70RY�WASH BASINI BOILERS—M.P.EA. <br /> SH�WER GAS FIRED A.C.UNI1S—TONNFGE EA. <br /> KI7CHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISNWASHER WALL HEA7ER5— B.T.U. M <br /> LAUNDRYTflAY UNIT HEATERS— B.T.U. M <br />� CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATC-R HEATER CLOTHES DRVERS I <br /> URINAL VENTILATION fAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DHAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOO� <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK�SEFiVICE—BAR, E7C.) FIREPLACE INSERT <br /> HEAT Pl1MP <br /> SUB TOTAL f SUB TOTAL S <br /> PEHMIT S PERMII' S <br /> TOTAL FEE f TOTAL FEE S <br /> SI�E YARD SEIBACK STREE7'SETBACK RE4R YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SIT_' <br /> ;-.YES ;!N> FEES VALUATION FEE <br /> I TYPE OF WNST. OCCUPANCY GROUP NO.OF DWELIINIi UNITS <br /> -- BUILDING SSOO. 00 lO OO <br /> SIZE OF DLDG. NO.OF STORIES MAX.OCC. LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT FIRESPRINKLERS MECHANICAL <br /> PEOUIRED <br /> YES NO <br /> APPpOVALS BY DATE �THER <br /> 1.ENVIRONMENTAL CHECK UST PENALTV U.B.C. <br /> 2.BUiLDIfIG PLANS SEC.303(a) <br /> 3.FIRE MYDRANT TOTAL I <br /> a.FIRE PRO7ECTION SYSTEN PEHMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VAL:DATED(IN TMIS SPACE)THIS IS YOUR PERMIT <br /> 6.DRAINAGE I Z T I � O I a. O O �� �� <br /> 7.ENVIRONMENiALIMPACTSTATEMENT � � <br /> B.HEALTH DISTRICT � <br /> APPUCATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY 1':�U R R E C E I PT ' ' <br /> T!-iF��;K YOU <br /> � ADDRESS FILE 3 I AUC g� <br />