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i <br /> �hc Errrgrren �1 <br /> ��T��F �ONSTRUCTIOI� <br /> e��,rett PE�MIT PERMITP�0. 1O283 <br /> CITY HA�L �5���7C5 � <br /> e�eaerT. r;. � .:z, ❑ COMBINATION �BUILDING ❑ MECHA��IICAL L7 pLl3M�JING <br /> OWNEP MF�L AODRE55 '— � <br /> Gi�Y ��V CHpNE � <br /> Five Star Huilders 3509 Hroadway Everett �22QJ. 259-9175 � <br /> hRCHRfGt 09 D[S�G4[R IdRIL ADDRC55 CRv Ztr PHONE <br /> (.ENCRP�CONTq4pTOR IAAILhDDNE55 pTY zIP PNOMc UG'NSEr <br /> Same <br /> �dECNANiGALCONiPACTpR MAIUDDPE55 QTv Z�P PHONE IICLNSE r . <br /> I <br /> PLUMBINGCANTRACiOR MPILAD�PE55 LIiY ZIP PHONE UC(lNSCr <br /> CLASS OF wORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR xM]OEMOLITION ❑FENCE ❑SIGN ❑GqpAGE <br /> vAWATIOtIOf WORK <br /> b . <br /> �CGf,RIpE WORN <br /> demolish single family residence <br /> �'AOPOSED USE OF 9UIlDitlG <br /> I HEREBY CER7lFY THAT I HAVE READ AND EXAMINED THIS�P- <br /> iecn�oesceiPnoNOFrROPearv�s��owueiewonarrncHruuacov¢s� PLICATION AND KNOW THE SAME TO BE TRUE AND CORR�CT. <br /> ,�t 3 B�ocK BS�,F Everett Div. E ALL PROVISIONS OF LAWS AND ORDINAIVCL=S GOVERNING�HIS <br /> TYPE OF WORK WILL BE COMPLIED WIT-IIVHETHER SPECIFIED <br /> HEFEIN OR NOT. TNE GRANTING GF A PERMIT DOES NOT <br /> ' PRESUME TO GIVE AUTHORITY TO VIOLAT�E OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHEH STATE OR LOCAL LAW REGULATIPJG <br /> CONSTRUCTION OF THE PERFOR ANCE OF CONSTRUCTIOtd. <br /> JOFIAUDPF55 5�'vridlii:��c� �O'�lPer;(.� te4uiNOni� t .NT G�.iC <br /> 3505 Broadway X � '� 3/2/82 <br /> PLUMBING MEC NICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO 7YPE OF EOUIPMF_NT FEE <br /> WATER CLOSEi I101LET1 AIR COIJO.UtJITS—H P.EP <br /> BATHTUB REFPIGCRATION UNITS— H.� [A <br /> LAVATORY�NA$H BASM) BOILEflS—HP.EA. <br /> SHOWER GAS PIRED AL.UNITS—TONNAGE EA <br /> KITCHEN SINK B DISP. PORGED PIR SYST[MS—B.T U. M EA. <br /> _ DISHWASH[R WALL HEATEFS—B TL. M <br /> IAUN�RY TRAV UNIT HEATEflS—B T U. M <br /> CLOTHES WASHEH EVAPORATIVE COOLERS <br /> WATER HEATER CLOT�iES DFVEFS <br /> UiiIHAL VENTIL4TIDN FAN <br /> ORINKItJG FOUNTAIN RANGE NOOD <br /> FLOOR OHAIN AIR HANDLING UNIT— QF.M. <br /> VACUUM BREAKERS STOVE <br /> flOOF DRFIIJS—RAMIEADERS METAL FREPLACE 6 CFIIMNEV <br /> SINK(SERVICE—BAF.ETCJ <br />� SUB TOTAL SUBTOTAL f <br /> _ PERMIT t . PENMIT f - <br /> TO7AL FEE f TOTAL FEE f <br />, SI�E VARD SETBACK I SiRLGI SGi[34CK REAR VARD S[TBACK PLAN f.HLCK NUMBER PLAI��HECK FEE <br /> FE:L I RECEIPT NO <br /> USE ZONE LOT AREA VACAN7 SITE <br /> IiYES GtJO FEES VAW� FEE <br /> TVPE OF CONST. UCCUPANCY GFOUP NO.OF DWELIING 11NITS <br /> SIZE OF BLDG. NO OF STORIES MAX.pCC LOAU BUILDING S OO OO <br /> PLUMBING <br /> FlRE ZpNE BASEMENT FIRE SPpINKLEHS <br /> flWUIFlCD MECHANICAL <br /> I iYES i��NO � ' <br /> APPROVALS BY OATE O�HER <br /> 1. ENVIPONMENTALCHECKl15T P[IJALTY U.O.C. <br /> 2. BUILOW�PLANS SEC.303(e) <br /> 3. FIREHYDRANT TOTAL 00 OO <br /> � a. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> � 1"I Ilt: I'i10PCNL1'YALIJl,7LC IIN 111IG af��I,f]�iIS IS��jfl��M� O �� � <br /> � 5. GRADING / / if U <br /> 6. �RAINPGE M <br /> � <br /> L EIJVIRONMENTAL IMPACT STATEMEN7' <br /> 8. HGLTH DISTRICT `,"` '! P. R=C F I PT Q <br /> AFP�ICATION ACC.BY P�ANS CHECKED BY APPH.fGP!SSUANCfi f3V ' ' i .�'�,� ���� I� � <br /> — _ � n <br /> ��.i,R U� <br /> AC�RFSj FILL <br />