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:� <br /> �hr Ll�rrerce•n CC�I ST R U C�I O N <br /> aiv or <br /> everett PERMIT pERM1T N0. 08117 <br /> CITY HAIL 259�P745 <br /> evenEtT wn eeani ❑ COMBINATION {� BUILDINO ❑ MECHANICAL ❑ PLUMBING <br /> UWNUI IAAII II)UNt55 P1Y IIP PNONI <br /> Elmer Pedigo SB12 Cady Road Evezett 98203 <br /> PRCHIiEQ OR DFSIGNEO �AR�D�IiE55 C�1Y ZIP PHONE <br /> GCNfRAlCON1N�C10R IARILADDRESS CRY ZIP PMONE UCENSII <br /> Smokey Roofing Co. 14601 84th N.E . Lake Stevens , 98258 <br /> AIfC��RNiGLCJNIMC�OP MR�LADI)n[55 ❑Lv iin pHONE i�CENSE� ' <br /> SM OK EB 267NW <br /> PLUMBINGCANIPACLOR MMl ADDfiC55 GiY 71P PNONE UC[NSE� i <br /> C'.`.SSOf WONR 1 <br /> ❑NEW OADDIiION ❑AITENATION 61(AEPAIR ❑DEMOLITION L�F[NCE ❑SIGN ❑GARAGE <br /> V�W�LION O�WONN I <br /> s 110�. 00 _ <br /> DfSCPiPE WORN <br /> re-roof compoaition _. <br /> vnOaO5Ef1 u5E oI ouROiNG <br /> I HER[BY C[RTIFY THAT I HAVE READ AND EXAMINED 1FiIS AP� <br /> iee�iocscnirnor+orr��venm�s�wwanowoa�tT�c��rouAcwirs PLICATION AND KNOW THE SAME TO B[ TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or_42 o�xK_ov Fairview Heiahta TYPE OF WORK WILL BE COMPLIED WITH WHE7HER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />' PRESUME TO GIVE AUTHORITY TO ViOLATE OR CANCEI_THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW RF.GULATING <br /> CO��STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB/OOPF55 5��1����UNL,�� CU1 CIOnOFRUIII I�fOA�9FNt DnIE <br /> 312 Cady Road 58' 2 Cady Road X � (� 8/14/80 <br /> PLUMBINO MECHA 1 AL <br /> I� NO. TYPE OF FIXTURE OR ITEM FEE NO. VPE OF EOUIPMENi FEE <br /> WATEP CLOSE7�iOILET� AIR COND UNI75— M P EA <br /> BA7HTU8 fiCFRIGERATION UNITS—H P E� _ <br /> I LAVATORV Iti ASM BASIN) BOII EFS—H P EA <br /> SNOWER G�5 FIR[D A C UNITS—TONN�GE EA <br /> 1 M �CHEN SINK 8 DISP. fORCEU Mfi SYSiEMS—B T U M EA <br />� f ISMYlASHCR _ W/•l l �1FA1E�75—EJ T U M <br /> LAUNORY TRAY _ UNI'HFAT6R5—fl�. U M <br />� CLO�MES WASHER _ CVN'ORAi�VE CWLERS <br /> WAiERHEAtER CIOfHCSURVERS <br />� URINAI V[N�ILAiION fAN _ <br />� ORINNING FOUNTAIN IIANGF MWD <br />'` — ���A�qq�N _ Alii 4ANDLING UNIT — C F M <br /> VACUUM BNEANERS _ STOVE <br />. R(�F DRAINS--RAINLEADEPS METAL fIREPLACE 8 CHIMNFY <br />� SINh�SERVICE—BAP,ETCJ , <br /> 1 <br /> 6UB TOTAL SUB TOTAL i <br /> PERMIT 3 PEHMIT f <br /> TOTALFEE f TOTAL FEE f <br /> SIDE YARD SETBACK STPEET SFiBACK REAR YARD SETBACK PIAN CHECh NUMElER PLAN CVI[CN FEE <br />� FEE PECEIPT NO <br /> USE ZONE LOT AREA VAG!1T SITE <br /> I IYES IINO FEEB V�LUIITION FEE <br /> TYPE Of CANS� OCCUPANCY GROUP NO OF DWELLING UNITS <br /> SIZE OF BLDG NO OF STORIES MA% OCC LOA� BUILDING — S 11 OO.OO ].1 OO <br /> PLUMBINO <br /> FIRE ZONE 6ASEMENT FIPE SPRINKLERS <br /> REOUIRED MECNANICA, <br /> I7YE5 I1N0 <br /> 11PPROVALB BV DATE OTHEA <br /> L ENVIPONMENTAL CHECK LIST pEN��T� U B C <br /> SEC 707�a� <br /> 1. BUILDING PUNS <br /> � FIRE HVDMNT TOTAI 11 0 <br /> .1 FIRE FRO7ECTION SVS7EM PERMIT VI11.ID�TION <br /> — WHEN PROFERLY VALIDAif 0 pN TNIS SPACE)TMIS IS YOUR PERMI7 <br /> 5 GRADINO � � � I � a I I. 0 O ..,.�� <br /> E DRAINAGE <br /> 7. ENVIRONMENTAL IMPACT SiATEMEM � <br /> B HEALTM DISTRICT 5�'�, �,� R R t C�I PT Q <br /> APPLICATION ACC. BY PUNS CMECNED BV APPR FOR ISSUANCE BV ', i � ��,��,�j� Y U U <br />