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; - <br /> � <br /> �i��• e�,�.e.,���, <br /> everett � -�ONSTRUCTIO�� <br /> PERM IT PERMIT N0. 135'� 1 <br /> CITY HALL 259-P7d5 <br /> eveaerr, wneszoi �) COMBINATION ❑ BUILDINQ ❑ MECHANICAL ❑ PWMBING <br /> UWNEF M�IL�OORF55 Crtv IIP PnONE <br /> BkUCE A WARD 6309 EVERGREEN WAY EVERETT WA 98204 347-5021 <br /> �RCHITEf.T OR OESIGNER M�I�AOORESS CitV ]IV 'HONE <br /> GENERAI CONTR�GIOR MAIL�[)ORESB CiTY _ PMONE UCENSC� <br /> Same <br /> MECH�NIC1l CUNTp�GTOR M�R��DRE55 G�lv ZiP PMONE UCENSF• <br /> PWMBINO CONTR�GTOP MAiL��ORESS CiiY 21P PMONE LICEN51� • <br /> CUSS OF WORN <br /> ❑NEW ❑ ADDITION XE ALTERATION ❑REPAIR ❑ OEMOLITION ❑ FENCE ❑ SION ❑ WOO�SiOVE/FIREPLRCE INSERi <br /> VALUATION OF WOPK <br /> s 600.00 <br /> DESCR E W N <br /> - ' dividing wall and 1 - 3' dividing wall <br /> PROPO E�USE 9F Blip ING <br /> aucy S Y ZZa 1 HEFEBY CERTIFY THAT 1 HAVE READ AND Eh.4MINED THIS <br /> AF�LICATI01' AND KNOVJ THE SAME TO BE TRUE AND <br /> IEGAL OES%,RIPTIOL OF PqOPEFTY�SNOW BELOW OP ATTACN FOUR COPIES� CO ?RECT. A_L PROVISIUNS OF LAVYS AND OFDINANCES <br /> LOt_BLOCN_OF GO/ERNING THIS��YP6 01= WpRK WII.L BE COMPLIED WITH <br /> WHETHER SPECIr IEG HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL ThIE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CO TRUCTION OR THE <br /> PERFORMANCE OF CONc RUCTIO . <br /> ,OB��`��lJ Casine Road SIGNRTUREO ONTR�d0A0 AU OR E RG L D�1E <br /> X 6/21/64 <br /> PLUMBINO MECHANICAL <br /> NO. TVPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOIlET) AIR CONO.UNITS — HP.En. <br /> BFiHTUB REFRIGERATION UNITS— H.V.EA. <br /> LAVATORY(WASM BASIN) BOILERS— H.P.E4. <br /> SHOWFR GAS FIRED AL.UNITS —70NNAGE EA. <br /> KITCMEN SINK 8 DISP. FORCE�AIR SVSTEMS — B.T.b. M EA. <br /> OISHWRSNER K'ALL MF.ATERS— B?A. M <br /> IAUNDR'!THAY UNI!HEATERS— B.T.U. M <br /> CIOTMES WASMER EVAPORATIVE COOLEPS <br /> WA�ER HEATER CLOIHE5UHVERS <br /> URINAL VEN7ILATION FAN <br /> DHINNINa iOUNiAIN RANGE H000 <br /> FLOOR ORRIN AiR MAHDLING UNIi — GF.M. <br /> VACUUM BREANEFS STOVE —WOOD <br /> ROOF DRAINS— HAINLEAOERS METAL FIIEPLACE 8 CHIMNEV <br /> 81NK(SERVICE— BRN,ETC.) ( OO FIREPLACE INSEfl� <br /> MEAT PUMP <br /> aue rot�� � 00 aueror�� s <br /> PERMIT 1 OERMIT f <br /> TOTAL FEE f � OO TOTAL FEE f <br /> SIDE YRR�SETBACK SiREET SETBACN flE>P VAF�SETBACN PLAN CHECN NU!d.ER PLAN CMECK FEE <br /> FEE RECEIPT NO. <br /> USE ZJNE lOT AREA VACANT S17E — --- <br /> YES NO FEES __ VALU�TION FEE <br /> TYPE JF CONST. OCCUPANCV GFOUP NO OF DWELLING UNIfS <br /> SIZE OF BLDG. NO.OF STORIES MA% OCC. LOAD BUILOIN6 S6OO.O0 �� SO <br /> PLUMBINO 6 QQ <br /> FIRE ZONE BASEME�T iIRF SPRINKLERS MECHANICRL <br /> REO'JIFED <br /> YES NO <br /> APPROVALB BY DATE �TMER <br /> 1.ENVIRONMENTqI CHECK LIST PENALTY U.B.f.. <br /> — -- SEC.70J pU <br /> 2.BUIL�INGPLAN5 • <br /> 3.FIREHYDRAHT ' � TOTAL <br /> � FIRE PROiECTION SYSTF.m PERMIT VIILIOIITION <br /> 5.GRADING WHEN PROPEflLY VALIDATED�IN THIS SPACIi)THIS IS V(�OUR PER[MIT �-.{ <br /> � BiDRAINAOE t � � � � 'J I I. J O —��� <br /> l(7 <br /> � .hENVIRONMENTALIMPAGT�TATEMENT <br /> (') <br /> �-iMEALTNUISTRICT �..� 7� � <br /> �RPPUCATqN AC .BY ��TLANS CMECNED BY APPR.FOR ISSUANCt BV .� P �.�.I P I � <br /> « . , : -� . , • 'J <br /> 1= ' ; � � �.-� � , , . . <br /> . � i <br /> i J n.o�Ress Fi�� <br /> � il J'.��'I � �� <br />