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�hr Ll�rrcrrrn <br /> everett ,ONSTRUCTION� �� <br /> PERMIT PERMIT NO. 15170 <br /> GTY HALL 259N7d5 <br /> eveaerr.wn eeso� [� COMBINATION �X BUIIDING �_.I MECHANICAL I ] PLUMBING <br /> OWNER MAIL �DDRE55 CItY IiV VnONF <br /> Robert Jungaro P,O. Box 363 Mukilteo j8275 355-4156 <br /> ARCMILECI OR OESIGNER MA!l�U0�IF55 Glv liP PMONE <br /> GENEP�L CONiR�CTOR M�il�ODRF55 CiiY LP PMON[ LILENSE� <br /> N.H.G. P.O. Box 363 Mukilteo 98275 <br /> MECH�NIGL CONTR�LTOR M�il�O�RE55 CiiY ZiP PMONE UCENSE I <br /> NORCR82330K <br /> PLUMBIN6 GONTR�GtOR M�iL�DONESS Ciiv 21P PNONE LICENSE I <br /> GL�55Oi WORK <br /> ❑ NEW ❑ A��ITION ❑ ALTERAtION ❑RI:f'AIR �DEMOLITION ❑ FENCE ❑ 510N ❑ WOOD STOVE/FIREPLACE I4SEHT <br /> V�W�TION OF WOflR <br /> t <br /> DESCHIBE WORN <br /> Demolieh two rental unite _ <br /> vnorose,�use or eunoiNa <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> _ APPLICATION AND KNOW THE SAME TO BE TRUE ANO <br /> LEO�L�ESCRIPiION OF PROPERIY�SNOW BFLOW OR Aii�CH FOUR COPIES� CORRECT. ALL PROVISIONS OF I.AWS AND ORDINANCES <br /> io�_e�ocK_ov. GOVERNINCa THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> N 180' of Tract 33 Beverly Berry Tracte PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> - OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> Div. M2 Exce t Weet 20 feet ��CAL LAW REGULATING CONSTRUCTION OR THE <br /> p PERFOR CE OF CONSTRUCTION. <br /> JOB�ODNE55 SIGNAIUR Oi ONi LTOP OR�UTHUR12E0 AGEN1 O�TE <br /> 1904 West Caeino Road X 7/1B/85 <br /> PlUM81N0 MECHANICAL <br /> N0. TYPE .�'i� i�XTURE QR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLGSET�TOILEn A�R COND.UNI�S - M.P EA. <br /> BATHTUa NEFRIGERATION UNITS - MP. EA. <br /> UVATORY ryYASH BASIN� BOILEHS - H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS - TONNAGE EA. <br /> KITCHEN SINI(6 DISP. FORCED AIR SYSTEMS - B1.U. M En. <br /> DISNWASMFR WALL HEATERS- B.T.U. M <br /> UUNDRV TRAY UNIT MEATERS- B.T.0 M <br /> CIOTHES WASHER EVAPORATIVE COOLERS <br /> WATEF n�A'�R C�OTNES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINNIN6 FOUNTAIN RANOE HOOD <br /> FLOOR DFAIN AIR HANDLING UNIT - G.F.M. <br /> VACUUM BREAKERS STOVE - WU00 <br /> HqOF�RAINS- RAINLEADERS METAL FIREPLACE d CMIMNEV <br /> S�NN(SERVICE - BAR. ETCJ FIREPLACE INSFRT <br /> MEI1T PUMP <br /> SUE TO�AL f SUB T0�11L f <br /> PERMIT t PERMIT f <br /> TOTAI FEE f iOTAL FEE f <br /> SIDE YARD SETBACK SiREET SETBACN REAR YARD SETBACK PIAN CHECR NUMBER PUN CHEGK FEE <br /> FEE RECCIPT NO. <br /> USE ZONE LOT AREA VPCANT SIiE --- <br /> �ES NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO OF DWELLING UNITS � <br /> BUILOING f 00 00 <br /> S12E OF BLDG. NO.OF STORIES MAk.OCC LOAD <br /> PLUMBING <br /> FIRE20NE BASEMENi FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> YES NO — <br /> 11PPROV�LS BY DATE OTMER <br /> 1. ENVIRONMENTAL CHECN LIST PENALT� U B C. <br /> - �— SEC. 707�e� <br /> 2.BUILDING PLANS OO OO <br /> J.FIHE NVDRANi TOT�L <br /> 1.FIRE PROTECTION SYSTEM PERMIT VALID�TION <br /> 5.GRADING WHEN PROPERLV VALIDAT[0 pN TMIS SPACEI TNIS IS YOUR PERMIi Q <br /> 8.DF�INAGE ~ <br /> e"1 <br /> 7.ENVIPONMENTALIMPACTSTATEMENT <br /> � <br /> B.HEALTM DISTRICT � <br /> pPPLICATION ACC. BV PLANS CMECNED BY APPR. FOR ISSUANCE BY <br /> AUDFE�S I ILf. <br />