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�hrEcrr'�`een i �ONSTRUCTIOP • <br /> everett ♦ <br /> PERMIT PERMIT NO. 15529 <br /> CITY HALL 259�87�5 <br /> EVERETT,WA98Y01 ❑ COMBINATION ❑ BUILDINC3 ❑ MECHANICAI ❑ PLUMBINO <br /> UWNtF M�iL�D�RE55 CItY ZiP <br /> PMJNE <br /> Gramore Inc. P.O. Box 6220 Lmnwood WA 98036 774 0098 <br /> �RCHIIECt OR OESIONlP MAII�ODRE55 CI1Y IIP PNONE <br /> �ENEF�L GONifl1GTOR M�II�DDBESS GTY 21P VNONE LIGENSE� <br /> Engel, Inc. 15821 208th NE Woodinville WA 98072 774-00 8 COO�EhGEi,116ot�� <br /> MEGH�NIC�L COViR�CTOR MAIL�D�RE55 �ITY 21P PHONC LICENSE 1 <br /> PLUMBINO GONTF�CTOR M�IL�DORESS GItY 21P PHONE 4CENSE 1 <br /> CL�SS OF WORN <br /> O NEW ❑ AODITION ❑ ALTERATION ❑REPAIR � DEMOLITION ❑ FENCE ❑ 516N O WOUD S70VEIFIREPLACE INSERT <br /> VAIU�iION OF WOAN <br /> f <br /> DESCRIBE WORM <br /> Demolition <br /> PROPoSED USE OF Bl1IlDINO � <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> LEO�L OESCAIPTION OF PROPER(Y�SNOW BEIOW OP�T1�CM FOUR COPIESI APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 2 BLOCk__OF Tosland y 1 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> Tracte - fi PERMITDOESNOTPRESUMETOGIVEAUTHORITYTOVIOLATE <br /> - OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGUTATING CONSTRUCTION OR THE <br /> JOB�DORESS PERF ANCE " ONSTRUCTION. <br /> SIGN� RE F f.0 R�IITHOR U�GENT DA7E <br /> 8320 Beverly Lane X 1 - <br /> PLUMBINO MEC ANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND.UNITS— H.P.EA. <br /> BATHTUB REFFIOEflATION UNITS— M.P. EA. <br /> LAVATOFV(WASH BASIN) BOILERS— H.P.EA. <br /> SMOWER GAS FIRED A.C. UNITS— TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— P.T.U. M EA. <br /> DISHWRSHER WALL MEATERS— B.T.LL M <br /> LAUNORYTRAY UNIT HEATERS— B.T.U. M <br /> _ CLOTMES WASMER EVAPORAiIVE COOLERS <br /> WATER HEATER CLOTMES DRYEflS <br /> URINAL VENTILATION FAN <br /> OHI`IKINO FOUNTIIN RANGE HOOD <br /> FLOOR DR�IN qIR NANDl.INO UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE —WOOD <br /> ROOF DRAINS— RqINLEAOERS METAI.FIREPLACE 6 CMIMNEV <br /> SINK ISERVICE — BAR, ETC.1 FIREPUCE INSERT <br /> HEAT PUMP <br /> 6UB TOTAI { SUB TOTRI { <br /> PEflMIT f PERMIT f <br /> TOT�L FEE f TOTAL FEE f <br /> SIDE VARO SETBACN STREET SETBACK qEAR VARD SETBACK PLAN CMECN NUMBER PLAN CMECI(FEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> YES NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING UNIiS <br /> BUILDING { ��� <br /> SIZE OF BLDG. NO. OF STORIE � MAX. OCC. LOA� <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLEflS �,�ECNANICAI <br /> REOUIRED <br /> YES NO <br /> APPROVALS BY OATE OTMER <br /> 1.ENVIRONMENTAL CHECN LIST PENALTY U.d C <br /> 2.BUILDINC PLANS _ SEC.J07�a� <br /> J.FIRE MYDRANT TOTAL <br /> —�— <br /> �.FIRE VROTECTION SYSTEM PFRMIT VALIOATION <br /> 5.GRADING WHEN NROPERi.V VALIDATEU�IN THI$�SP�}�TMIS�B�IIOP�iI�T—�. 1 <br /> B.DRAINAGE � <br /> 7.ENVIRONMENTALIIdPACTSTAIEMENT �� . <br /> B.HEALTH DISTqICT �I.� �, I � '\ �,. ����,T�• .: <br /> APPLICATION ACC. BY PLANS CHECKED BV APPR. FOR ISSUANCE BV ' <br /> ��. <br /> ������. 1��: � U <br /> - q �cr �� <br /> ADDRESS fILE <br />