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r <br /> � <br /> d:e Lrrrxrern <br /> ���Y�F � CONSTRU�TIO ' j <br /> everett PERMI� PERMIT N0. 125 � 1 <br /> CITY MALL 259�8745 <br /> EVERER,WA9B201 '�] COMBINATION � BUILDING ❑ MECHANICAL ❑ PIUMBING <br /> OWNER MAILADDRE55 CITY ZIP PHONE � <br /> Paul & Ruth �9right 1505 Broadway Everett 98201 <br /> ARGHITEGi OR pE51GNER MAIL AppRESS CIiY ZiP PMONE <br /> GENERALCONTRAGTOR MPILADDRESS GITY ZIP PMONE IICENSE� <br /> 'Phree Lnkes Construction 6523 171st elvenue S.E. Snolvnish 98290 568-9616 <br /> MEGMANILAL CONTFRLiOR 1dA1L ADORESS CITY ZIP PMOhE L�GENSE� <br /> N � <br /> 1 <br /> PWMBINGGONTRACTOR MFILAOORE55 GITY ZIP PNONE LIGENSEI <br /> CU55 OF WORK <br /> ❑ NEW �ADDITION ❑ Al7ERATION X�pEPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WOiK <br /> f LZ�OQD.QQ <br /> DESCRIBE WORK <br /> Finish Hasement, re-roof--Composition <br /> PROPOSED USE OF BUILOING <br /> Sin le Famil Residence-Chi gehab I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> 4 Y APPLICATION AND KNOW THC• SAME TO BE TRUE AND <br /> LEGRLDESCRIPTIONOFPFOPEflTY�3HOWBELOlYOHATTACMFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> °�4 Hilton's Second GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �or z BLOCN=___OF WHETHER SPECIFIED HEHEIN OR NOT.THE GRFWTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V�OLATE <br /> OH CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB AD�RESS SIGNRTURE OF C�NTPAGTOR OR AUiMOPIZEO PGENT UFTE <br /> 1505 Broadway X � � '�"-' 11/3/83 <br /> PLUM9ING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OP EOUIPMENT FEE <br /> 1 WATERCLOSET(TOILEn Z OO AIR COND.UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UNIT::— H.P.EA. <br />�f LAVATORY(WASH BASIN) BOILERS— M.P. EA. <br /> ISMOWEP GAS FIRED A.C. UNITS—TONNAGE EA. <br /> I KITCHEN SINK 8 DISP. PORCED AIR SYSTEMS— B.T.U. M EA. _ <br />' DISHWASHER WALL HEATERS— B.7 U. M <br /> LAUNDRVTRAY UNITMEATEHS— B.T.U. M <br /> CLOTHES WASHEF EVAPORATIVE COOLERS <br /> WA7ER HEATER CLOTHES DRVERS <br /> I URINAL VEN�ILATION FAN <br /> � DRINKING FOUNTAIN RANGE MOCD <br /> FLOOR DRAIN AIR HAhDLING 11N1T— C.F.M. <br /> VACUUM BRFAKERS STOVE--WOOD <br />� ROOF DRAINS— RAINLEADERS ME7AL FIRF.PLACE 8 GHIMNEV <br /> SINK ISERVICE— BAR,ETC.) FIREPLACE INSEfiT <br /> HEA7 PUMP <br />` <br /> * 5U8 TOTAL f B 00 SUB TO7AL i <br /> PEflM17 S PERNIT f <br /> TOTRL FEE S 8 OO TOTAL FEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YAHD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIP7 NO. <br /> USE ZONE LO7 AREA VACANT SITE FEES VALUATI�N FEE <br /> :-;YES �_:NO <br /> TYPE OF COI.S7. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> SIZE OF BLDG. NO.OF STOHIES MA%.OCC. LOAD BUILDING $ 11�000.00 86 SO <br /> L PLUMBING 8 00 .� <br /> FIREZONE BASEMENT fIP.E SPRINKLEPS MECHANICAL <br /> REOUIRED <br /> YES 'NO <br /> APPROVALS BY UATE �iHER <br /> 1.ENVIRONMENTAL CHf,CK IIST PENALTY U.B.C. <br /> SEC.J031a� <br /> 2.BUILDING PLANS c�s 9Q SO <br /> 3.FIREHVORANT =� TaTA� <br />� ' 4.FIREPRQTE� TIONSYSTEM yrHEN1PROPERLY�ALI�ATEDpNTlIF�a�1�9E�TH1�161YOlFi•IEHN�L � � <br /> 1 S.GRADtNG U 0 0 J U <br /> W 6.DFAINAL'iE� � � ' � � (j� <br /> � 7.ENVIF�'fJ ENTALIMP TSTATEMENT _ � ' �1 <br /> � B.HEAL no ��T o, Y.'`11 R F[CEIP7 ,--: <br /> - � � APPLI O GG.BY PLANS CHECKED BY APPR. FOR ISSUANCE BY <br /> w � m �; i;1I�1K YOU <br /> c -D <br /> w - ; r�av 8 3 <br /> ADDRESS FILE <br /> � ' � <br />