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ihrEirr,�recn ,-- CONST�UCTIO � <br /> Grvc: �^ � . .. <br /> e�erett PERMIT PERMIT NO. 15295 <br /> GITY MAIL 259�B7A5 <br /> �VERETT,WA 98201 ❑ COMBINATION � BUILOING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEF MAILADDRE55 GTY 21P PMONE � <br /> GUY MC ELROY 3631 BROADWAY EVERETT WAY 98201 79 74 <br /> �RCHREGT OR OESIGNER MAIL ADORESS �ITY ZIP pHONE <br /> GENERALGONTfl�GTOR MAILAODRE55 LITY 21P PMONE UCENSE• <br /> Same <br /> MBGMANILA�CONTH4CTOR MAIL ADDRESS pTY pIP PHONE UCENSE� <br /> PWMBING CONTqAGTOR MAIL ADDRE55 CITY ZIP GHONE LICENSE� <br /> CLA55 OF WORR <br /> ❑ NEW ❑ ADDITION C� ALTERF7ION ❑FEPA�R ❑ DEMULITION ❑ FENCE O SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VALUATION OF WOFK <br /> _ �0��.�0 <br /> DESCHIBE WORR <br /> Replace 3' door only <br /> PROPOSED USE OF BUILDING <br /> Retai 1 - wood StOV2 SB7 e5 I HEREBY CERTIFY THAT I HAVE REI,D PND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRL DESCRIPTION OF PROPERTY(SHOW BELOW ORATTAGM FOUNCOPIES) COARECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCN_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NO'i PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE Oi CONSTRUCTION. <br /> JOBA�DRE55 SIGNAT OFf,ONTRAGiA)�{jp.ulT ZED.4GEN7 U4TE <br /> 3631 Broadway X /!i�i'�� 8/12/g5 <br /> PLUMSIN6 MECHANICAL �-� <br /> N0. TYPE OF FIXTURE',OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOIL[T) FIR COND.UNITS — H.P. EA. <br /> BATHTUB R�FRIGERATION UNITS — H.P. EA. <br /> LAVATORV�WASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS— TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYS7EM5 — B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRY TRAV UNI7 HEATEfiS— B.T.U. M <br /> CLO7ME5 WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTMES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DNAIN AIR HANDLING UNIT — C.F.M. <br /> VACUUM BREAKERS STOVE — WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHI�ANEY <br /> SINK(SERVICE— BAR, ET0.1 FIREPLACE INSEFT <br /> HEAT PUMP <br /> SUB TOTqL f SUB TOTAL 5 <br /> PERMIT S PERMIT S <br /> TOTAL FEE f TOTAL FEE f <br /> SIDE VARD SETBACK STREETSETBACK REAR YARD SETBPCK PLAN GHECY.NUMBER PLAN CHEGK FEE <br /> FEE FECEIPT NO. <br /> USE ZONS: LOT AREA VACANT$ITE <br /> �.VES : .NO FEES VALUATION FEE <br /> TYPE OP CONST. OCCUPANCY GROUP NO.OF DWELLING UNI75 <br /> ._ BUILDING s 1000.00 17 50 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOA� <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRi1JKLERS MECHANICAL <br /> REOUIRED <br /> 1'ES NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CMECK LIST PENALTY U.8 C. <br /> 2.BUILDING PLANS SEC.30J(a) <br /> 3FIREHVDRANT T�TA� �� 50 <br /> 4.FIRE PRO7EC710N SVSTEM PERMIT VALIDRTION <br /> 5.GHADING �M1'HEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YO�1R PEHMIT {{} <br /> s.-oan�r,nce — Permit being issued at owner's risk; 'Use Q�' <br /> 7.ENVIRONMENTALIMF.ICTSTATC:MENT permit pending. Permit to d� �OW installatior�� <br /> B.HEALTHDISTRICT of 3' door only. Additional permit required r; <br /> APPLICATIONACC. BV PLANSCHECKEDFY .APPR. FORISSUANCEBY ��01' additional restoration and remodeling. � •'- ' <br /> stg jef <br /> ADDRESS FILE <br />