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rheErcRyPe�F � �NSfRl��T10N + � <br /> �verett PERMIT PERMIT NQ.• O7OI3 <br /> G7r HtiLL 259�87a5 <br /> eveaeTr. wn sezo+ ❑ COMBINATION 7� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> ownee Mai rwoness arr zi�� c�.�nt <br /> Henry Greve 2120 Broadway y8201 252-7966 <br /> AAGMiTCQ OR DESiu4LR MI:I ADDAESS �itt ZIP P�UrvE <br /> GENEAAI CANTRnGIpq pAIL ADDp[SS — <br /> Salll� G�TY ��° PHONE UCENSi:I <br /> MECH4NiG41 CONiRnCTOR MAiI qDORE55 �RY ZiP PHONE LICENSE� <br /> PWM9INGCOHTFAQOF knlLnpDRL55 C�iY ZIP PHONE UCCNS!� <br /> GLA55 O�WURr. _ <br /> ❑NEw ❑4DDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION �FENCE ❑SIGN ❑GARnGE <br /> V4�JRTION OF WOPM ._ <br /> f 50��� <br /> ESGaiBE W�RK <br /> G' high fence in rear of ro ert � <br /> N�+c�osco use oF euar�r�c - <br /> single family residence 1 HEREBY CERTIFY THAT I HAVE READ A�JD EXAMINED THIS AP� <br /> �rc•��..ccsc��.,�ur+oFvaonearv�sr,oweeiowoan�neHrouaeoPiEsi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ZZ 439 Everett ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior e�ocr�oc TYPE OF WORK WILL BE COMPLIED WITH WH�7riER SPECIRED <br /> Lot 21 .:nd S�i 22 HEREIN OR NOT. THC GPANTING OF A PERMIT DOES NOT <br /> PRESUME i0 GIVE AUTHORII'Y TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRJCTION OF THE PEFFORA4ANCE OF CONSTF!JCTION. <br /> .�oo nooaess sicr�aruae oF cor:rnac.oa o a :��or,izto aceHr on-e <br /> 2120 Broadway X L,f ��t. 12/6/79 <br /> PLUM8ING MECHANICAL �� <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> wnrea aosF1 �loaer� ni�v comu urairs—u e en <br /> BA'I'HTUO REF R'GEi7AT10N UMiS—H P EA <br /> LAVAIOFV(WASH 6ASIN) BOILERS—HP EA <br /> SNOWER GAS Flpf.O A C UNITS—TONNAGE EA <br /> KITCNEK SINK 6 DISP. PORCED AIR SVSiEMS—B T.U. M EA. <br /> DISH.VASHER 1NAL�HEATERS—�T.U. M � <br /> LAUNOFV TRAV UNIT HEATERS—8 T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOlERS <br /> __ WATER HEATER CI.OTHES DRVERS <br /> UPINAL VENTILA'ION FAN <br /> DPINKING FCUNTAIN HANGE HOOD <br /> _ FLOOR fiR4IN AIR NANDLING UNIT— CF M. <br /> VACUUM BHEAKER$ $TOVE <br /> l�OOF DRAMS—RAIK'cADEAS � AIETAL.IfiEPLACE 8 CHIMNEV <br /> SINK ISERVIC� —BAR.ETC I -- <br /> SUBTOIAL SUBTOTAL S <br /> CERMIT f PERMIT f <br /> tOTALFEE S iOTALFEE f <br /> Sii:c 1"AND SETBALN STREET SET[3ACK REAR vARD SET[3ACK PLAN CNECK NU�dBER P�AN CHECK FEE <br /> PEE REC[IP71J0. <br /> USE ZONE 1,0T AREA VACAryT SITE <br /> . .vES �,�;NO FEES VAIUATION FEE <br /> T�PE OF CUNST. OCGUPANCV GROUP NO OF DWELIING UNITS <br /> BUILDING 5 SO.00 S OO <br /> UZE OF BLDG. N0.OF f,iOR1E5 MtJ(.OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> FEOUIRED MECHANICAL <br /> IlVES ❑NO <br /> APPROVALS BV DATE OTHER <br /> :_[IJVIRONMEN7AL CHECK LIST pENALtY U.B.C. <br /> 2. BUILDINGPLANS SEC.303(a1 <br /> 3. FIqE HYDRANT fOTAL S 00 <br /> 4. FIRE PROLECTION SYSTEM PENMIT Vi.UDATION � <br /> 5. GRADING <br /> WHEW PROFSRLV VALIDATED(IN TNIS SPACE)THIS IS YOUR PERMIT <br /> 6. DRAINAGE S 6 O 4 =.0 O 5. U O --�" �I ' <br /> L ENVIRONMENTAL IMPACT SIATEMENT �;'�� j ' � <br /> B. HEALTH�ISTRICT (�J'�� � ' Y O <br /> APPLICATION ACC.BY PLANS CH[CKED 01' APPR FOR ISSUANCE Ol' :[ lf�� R R E C E I P f � <br /> � !,'. !'�:. �I�V <br /> ADDRESS FILE — � �`� � � <br />