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. <br /> rhe Crcr��reen - C O N ST R U CT I C ��� ! � � <br /> c r c� i <br /> everett p�RMIIT PERM�ir No. 12480 <br /> CITY HhLL 25°�87d5 <br /> EVEPETT,VJA 98201 ❑ COMBINATION �c BUILDING ❑ MECHANICAL ❑ PWMBIlJG �. <br /> � Q�ER MAILAODRE55 C:iY 21P PMONE <br /> Leonara Brinkl • 3214 Broadwav Everett 98201 252-0577 <br /> �NCHITEGT OR OE9GNEF MAIL ADORE55 C:T\ ZIP OMONE <br /> GEHENAL CONTRAGTOR MAIL AD�RE55 CITY ZiP PHONE LGENSE� <br /> _ __ Roy K Meyers G��S 95th Place N.E. Marysville 653-3785 <br /> MECNANIGAL CANTRAGTOR MAR ADORE55 GTV 21P PMONh LICENSE I <br /> MxcoN1�3� <br /> PLUMBING fANTRRCTOR <br /> MAILAUDRE55 GITY ZIP PMONE LILENSE� <br /> GLF55OF WORN <br /> ❑NEW O ADDITION O ALTEPATION �REPAIR ❑ DEMOLITION O FENCE ❑ SIGN WOOD STOVFJFIREPLACE IN <br /> VALU�TION OF WOAK <br /> S 1400.00 <br /> DESCRIBE WORK <br /> re-roof-composition <br /> PROPOSEDUSEOF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESGHIPTIOhOFGROPEFTYISHOWBELOWORpiTACHFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> l0T__BLOCN_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 GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCEOFCONS UCTION. <br /> JOB AD�RESS SIGN�tlII�OF CONiRRCTOR OR AU � HI' D>GENT 9�Zy�83 <br /> 3219 Hroadway <br /> X l� �'% <br /> PLUMBING MECHANICAL � _ <br /> N0. TYPE OF FIXTURE OR ITEM PEE N0. TYPE OF OUIPMENT FEE <br /> WATER CLOSET(TOILEn AIR COND.UNITS— H.P.EA. <br /> BATHTUB REFRIGERATION UNITS— H.P.EA. <br /> LAVATORY(WASH BASIN) BOILERS— H P. EA. <br /> SMOWER GAS PIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK&DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISMWASMER WALL NEATERS— B.T.U. M <br /> LAUNDRV 7RAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASMER EVAPORATNE COOLERS <br /> WATEF HEATER CIOTHES DRYERS _ <br /> URINAL VENTILATION FAN — <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AiF NANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS MF.iAL FIREFLILE 8 CMIMNEY <br /> SINK(SERVICE— BAH,E7C.) FIREPLACE INSERT <br /> HEA7 PUMP <br /> SUB iO7AL f SUB iOTAL s <br /> PERMIT f PERMIT s <br /> TOTALFEE S TOTAL FEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHEGK NUMBEfl PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> YES LNO <br /> TVPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> BUILDING E 1400. 23 SO <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCG LOAD <br /> PLUMBING <br /> FlRE ZONE BASEMENT qE0U5RE� KLLRS MECHANICAL <br /> YES NO <br /> BY DA7E OiHEF <br /> APPROVALS U.B.C. <br /> L ENVIRONMENTAL CHECK UST PENALTV SEC.303(8) <br /> 2.BUILOING PLANS TOTAI Z3 SO <br /> J.PIflE HYDRANT <br /> 4.FIRE PROTECTION SYSTEM PENMIT VAlIOATION <br /> WHEN PROPEHLV VALIOATEO(IN THJ$,$PAQE)THI�I�Y�U�P�f�AIT I' <br /> S.GRAOING L S 1 S U <br /> G.Of7AINf+G@ ' <br /> 7.ENVIFONMENTAIIMPACTSTATEMENT -p c r (� ��� <br /> 8.HEALTH DISTRICT �'i ',' J 1` RGC[=I I T �� � <br /> APPLICATION ACC.BY PLANS CNECKED BY APPR.FOR ISSUANCE BY ' ''{ 1`,N K YC U <br /> - � 9 �.� sj <br /> � ADURESS FILE <br /> I <br />