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_ � <br /> the Ll'erpreen <br /> everett ��ONSTRUCTIOP " � - <br /> CITVHALL259-87c5 PERMIT PERMIT N0. 14055 <br /> EVERETT,WA98201 � COMBINATION $� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OK'NER NAIL AODRE55 pTY Z�P PMONE <br /> P.U.D, Credit Union 1328 Broadway Everett <br /> rARGNIiEGT OH DESIGNEF 982�1 — <br /> MRIL ADORESS QTY 21P PH�NE <br /> GENERAL CONTRACiOR MAIL ADDRE55 CITY ZIP PMONE LILENSE I <br /> Same <br /> MELNANICAL CONTqqCTOR MAIL AODRESS GTY ZIP PNONE UCENSE� <br /> PWMpINGCONTP�CTOR MAILADDRE55 CITY ZiP PHONE LILENSE� <br /> GUSS Or WORK �� <br /> ❑NEW ❑qDDITION ❑ ALTERATION ❑REPAIR X�I OEMOLIT:ON ❑ FENGE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> V�LLIATION OF WORK — <br /> S <br /> 06u;GiBE WORK <br /> Demolish Single Family Residence <br /> PNOPOSED USE OF BWIDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LcGNLDESCRIPiIONOFPqOPERTY�SHOWBELOWORATTACHfOIINCOPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> 22-23 250 Power's 2nd CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �oT_aiocK_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 G��'E AUTHORIIY TO VIOLATE <br /> . OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. � <br /> JOB RDp��[55 SIGNATURE OF CONTFACTOR pR AUiMORIZED AGENT OATE <br /> —:d�8 Broadway 1324 Brondwny 10/17/84 <br /> PLUM�ING MECHANICAL � <br /> N0. TYPE OF FIXTURE OR ITEN FEE N0. TYPE OF EOUIPMENT FEE <br /> _ WATERCLOSET�TOILEn AIR COND. UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— 1"+.EA. � <br /> LAVATORY(WASH BASIN) BOILERS— N.P.E0., <br /> SHOWER GAS FIRED A.G UNITS—TONNAGE EA. <br /> KITCHEN SINK R DISP. FORCED AIR SYSTEMS— 6.T.U. M LA. <br /> _ DISHVJASHER WALL HEATERS— B.T.U. M <br /> _ LAIi1JDRY TRAV U�IfT HEATERS— d.T.U. Id � <br /> CLOTHE:;WASMEfl EVAPORATIVE COOLERS <br /> WAfER FIEATER CLOTHES DRYERS <br /> , URINAL VENTILAiION F4N <br /> � uR16KING FOUNTAIN � RANGE HOOD <br /> FLOOFl DRAIN AIR MANDLING UNIT— C.F.M. <br /> _ VACUUM FREAK[RS STOVE —WOOD <br /> _ ROOF DHAINS— P.PINLL4D[RS METAL FIREPLACE 8 CHIMNEV <br />' SIIlK�SERVICE -- BAR, ETC.) FIREPLACE INSERT <br /> -- _____ HEAT PUMP <br /> SUB TOTAL S SUBTOTAL 5 <br /> PERMIT S PENMiT <br /> S <br /> TOTAL FEE f 70TAL FEE S <br /> SIDE YARD SETBACd STREET SETBACK REAR YARD SETBACK PIAN CHECK IVUMBER PLAN CHECH FEE <br /> FEE REGGIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> :.!YES . Nq FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROl1P NO.OF DWELLING UNITS <br /> BUILOING E QO 00 <br /> SIZE OF DLD�±. NO.OF STORIES MAX.OCG LOAD <br /> PLUM0ING <br /> FIREZO�JE BASEMENT fIRESPRINKLERS <br />� REOUIflcD MECHANICAL <br />� � YES NO <br /> APPNOVpIS 9Y DATE OiHEH �� <br /> 1.ENVIHONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2.BUILDING PLANS SEC.303(a) <br /> 3.FIREHY�F�ANT TOTAL DO 00 <br /> 4.�=1RE PROTECTION SYSTEM PEflMIT VALIOATION <br /> S.GRAD'NG WHEN PROPERLY VALIDATED(IN TMIS SPACE)TMIS,IS 1pU P�Fj�dlT — U'] <br /> ( � � i� '� I� � ii , _ � <br /> � G.DRAINAGE . . , ��� <br /> 7.ENVIROYMEN7ALIMPACTSTATEMENT O <br /> 8.HEALiH DISTqIGT � <br /> APPUCA710N ACC. BY PLANS CHF.CKED BY APPR.FORISSUANCE BY . �, � � ��'�� T-� <br />. ACDR[SS rILE � �� ( � ' <br />