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_ ' �y - <br /> rheE�CTYCOF "� CQ' ISTRUCTION �- '-� <br /> everett P�RM�� PERMIT N0. O8O3H � <br /> CITY HALL 259�8T45 I, <br /> EVERETT.WA 98207 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING � <br /> OWNEF MAILApURRS GTY Z�P PMONE � <br /> BOB BEKKER 1511 BROADWAY EVEP.ETT 98201 259-1509 ' <br /> RRQutCCi OR DESiGNER MAIL ADDRE55 CIiY ZIP PHONE I <br /> GENEBAI CANTRAGIOF MAiL AUDPE55 Gltt ZIP MONE UGENSE� I <br /> ! <br /> S�i�'a � <br /> EIECNANtCAL CANTRRG70F MAIL ADDR[55 CITV ZiP PMONE LICENSE Y <br /> PIUMBiNGCONTRACiOR M/•ILAOORE55 CITV ZIP MONE IICENSEI I <br /> CU55OF WORN <br /> C�NEW ❑ADDI710N ❑ALTERATION CREPAIR ODEMOUTION ❑FE�:CE ❑SIGN ❑GARAGE <br /> \'nWAT10N OF WORK � <br /> S 80�.00 � <br /> DESCRiBE WOFK � <br /> CARPORT <br /> PPOPOSED USE O(BUILDING � <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- , <br /> iecn�oeseaivnor+oFanoreatvi,HoweeiowoannncHrouncoaies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> �or L 6 31$ D-00 HILTONS 2rid ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> g• oioc� F TYPE OF WORK WIL� BC- COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT , <br /> ADDI TION PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL lAW REGULATING � <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AD��ESi SIGNATURE Of CONLRAGtOR CR FUiIlOR1ZE�AGENT DP1C ' <br /> 1511 BROAD4IAY X � �`'i'✓ 7-31-80 <br /> PLUMBINO MECHA111CAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE � <br /> WATER CLOSET(TOILET) AIR CAND.UNITS—H R EA. �i <br /> BATHTUB REFRIGERATIOIJ UNITS—H P.EA <br /> WVATORY�VlASH 6ASIN) �OILERS—H.P.EA. <br /> SHOWER GAS FlREU AC UNITS—TONNAGE EA ' <br /> KITCHEN SINK 8 DISP. FORC[D AIR SVSTEMS—A TL. M EA. � <br /> DISHWASHER WAIL H[ATERS—0 i.U. M �I <br /> IAUNDRV iRAV UNIT NEA?ERS—0 T.U. M <br /> CLOTHES WASHER EVAPOfiP71VE COOLEFS I <br /> WATER HEATER CLOTHES OPYERS I <br /> URINAI VEYTILATION FAN <br /> DRINKING fOUNTAIN RANGE HOOD <br /> FLOOR OFAIN AIR HANDLING UNIT— C F Id. I <br /> VACUUM BIIEAKER$ STWE � <br /> ROOF ORAIIJS—RAINLEADERS METAL FIREPIACE 8 CNIMNEY <br /> SINK(SERVICE—BAR,ETC.) <br /> 1 <br /> SUB70TAL SUB70TAL S � <br /> PEflM1T Y PERMIT f <br /> TOTALFEE f TOTALFEE f � <br /> SIDE VARD SEiBACK STREET SETBACK REAR VARD SETBACK PLAN CHECK NUM�ER PLAN CHECH FEE � <br /> FEE RECEIPT NO. <br /> USE ZONE LOT APEA VACANT SITE <br /> ❑YES i]NO FEES VALIIATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> SIZE OF BLDG. NO.Of STORIES MA%.00G.�OAD BUILDING E SOO.OO H OO <br /> ZZX29 1 PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINhLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPROVALS BY DqTE OTHER <br /> 1. ENVIRONMENTALCHECKUST pENALTY UBC. <br /> 2. BUILDING PLANu SEC.303(a) <br /> "�I <br /> 3. FIR[HVDRANT TOTAL 8 OO ' <br /> n. fIRE PROTECTION SYS7EM PERMIT VALIDATION <br /> WHEN PROPEf7LY VALIDATED!IN THIS SftA�E}JW515 v�OF�F�tITO O � � <br /> 5, GPADING 7 7 7 1 U 0 <br /> G. DRAINAGE M <br /> 7. ENVIRONMENTALIMPACTSTATEMENT D <br /> B. HEALTHDISTRICT 1'C�U R P.ECElP� <br /> APPLICATION ACC.BV PLANS CHECKED OY APPR.FOR ISSUANCE�Y j �-�I A I��A Y O U O <br /> 1 <br /> 3i .�. ao <br /> ACDRESS FILE I <br />