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1hr6'rCevee�n I �. �O�V��I���l` - r <br />l� <br />i <br />everett pERMIT I�ERMIT NO. 1596Z <br />CITY HALL 259�B7a5 <br />EVEREiT. WA98207 [x] COMBINATION Q BUILDIN(i C�j�', MECHANICAL � PLUMBING <br />�OWHER MRILADORESS QiY Z� PM <br />G. R. FOSHEIM P.O..Box 5234 Everett �8206 ���l-1317 <br />ARCMREGT OR OESIGNEfl MPIL ADDRESS CITY ZIP PMONE <br />GENEF.RLG01iTIlAGTOH MAIL�DDFE55 CITY 21V PMONE ULENSE� <br />Same <br />MEGHANIGRI CONTRRC70P MAIL ApDRE55 CITY 21P PMONE LIGENSE � <br />PLUMBING LONTqqGTOR MAIL �ODRE55 pTV ZIP PMONE LICENSE Y <br />❑ NEW ❑ ADDITION C��LTERA7ION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STO'JFIFIREPLACE INSERT <br />+ 2,000.00 <br />iCRIBe WORK <br />Remo�el existing second floor <br />Duplex <br />�oT 20 e�ocn 56 oF Everett <br />2526'Broadway #2 <br />PLUMBING <br />NO. TYPE OP FIXTURE <br />i WATERCLOSET(TOILET) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASNER <br />�AUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEA7ER <br />URINAL <br />DRINKING FOUNTAIH <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DflAINS — RAINLF.ADERS <br />SINK �SERVICE — BAR, ETC.1 <br />SUB TOTAL <br />PF.f.M1T <br />TOTAL FEE <br />SIDE YARD .ETBACK STREET SETBAC <br />USE ZONE LOT AREA <br />TYPE OP CONST. OCCUPANCY GR <br />SIZE OF BLDG. NO. OF STORIES <br />FIRE ZONE BAS[MENT <br />APPHOVALS <br />1. ENVIRONMENTAL CH'eCK LIST <br />2. BUILDING PLANS ..,� <br />J.FIREHYDRANT -�—+ <br />4.FIREPRO'iECTIONSI�ST—hM _ <br />5. GRADI4G <br />6.ORAINAGF :-`> <br />7.ENVIRONMENTALIMPACiS?ATEMENT <br />}_HEALTH UISTRICT <br />APPLICATION ACC. bY '. PLANS CHECK <br />L� __. <br />J-� <br />I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS <br />APPLICATION AND KNOV� THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATUPE OF GObTRACTpR GR Fl1iMORIZEO AGENT DAJEl�86 <br />X �_ -y�'� � - i� � <br />MECHANICAL <br />FEE NO. <br />i <br />z <br />�� <br />+ 8 00 <br />S <br />f p <br />REAP Y4RD SETBACK PLAN <br />VACANT SITE <br />�.,YES I-NO <br />NA%. <br />NO <br />ISSUANCE BV <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILEHS — M.P. EA. <br />GAS FI9ED A.C. UNITS — 70NNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WFLL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTI�ATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — QF.M. <br />S70VE — WOOD <br />METAL FIREPLACE 6 CHIMNEV <br />FIREPLACE MSER7 <br />SUB TOTAL <br />PEpM1T <br />TOTAI FEE <br />FEE <br />f <br />s <br />S <br />rtr <br />RECEIPT NO. <br />FEES VALUATION � FEE <br />BUILDING �000.00 32 50 <br />PLUMBING B 00 <br />MECHANICAL t} SO <br />OTHER <br />PENALTY U B C. <br />� SEC. 303 �a) <br />TOTRL 45 0� <br />PERMIT VALIDATION <br />V�'HF�I�1PflOPE�.Y_VALID��D �IN TH� �Pt4g:) THI�131Y0UP1 RERAA�L_ � <br />l 10 U t'JL JU <br />� <br />n Ln <br />'.. ,... . .�i'� ..,..I. �: IiL�.i:ii'� a--� <br />. . ... . .I .I , �.�,,i�v'� � ! . �� <br />�, � ..�. . � G U <br />nDGRE55 FILE <br />_ I y i � <br />��� � U <br />