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. <br /> d�e £rerxrrrn -� CONSTRUCTIOy! ^ <br /> crvoi i � <br /> everett PERMIT PERM�T No. �55�s <br /> CITY MALL 259�97�5 <br /> EVERETT,WA 98201 ❑ COMBINATION C� BUILDING ❑ MECHANICAL ❑ PLUMBING i <br /> OWNER M�IL�pDRE55 :.tiv 2iP PNONE <br /> FRONTIER BANK 2612 WETMORE EVERETT WA 98201 339-2311 <br /> �RCMITEGt OR OESIGNER M�IL�DDRE55 CIiY ZIP PHONE <br /> OENEF�I GONTR�CLOR MAIL ADDRE55 CITV ZIP PHOHE UCENSE� <br /> $� <br /> MECN�NIC�L CONiR�CTOR MRIL RDORE55 CITY 21P PNONE LIGENSE� <br /> PLUMBIN6 CONTH�GTOP M�iL�DDRESS GITY 2iP PNONE LICENSE� <br /> CLA55 OF WORK <br /> ❑NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR �I OEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVEIFIREPIRCE INSERT <br /> V�LU�TION OF WORN <br /> f <br /> OESCRIBE WORR <br /> Demolieh eingle family residence C/U'(�.�102\' <br /> PROPOSED USE OF BUILDINO <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEG�L DESCRIF710N OF PROPER*Y�5MOW BE�OW OR�rtACH FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �aT 59 BiaK 693 oF Everett Land Co lst A GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OH <br /> LOCAL LAW REGULATIN� CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB���REcg SIG URE OF GONTR�CTOR OH�UTMORIZEO NT O�TE <br /> 2940 CEDAR ST X '� � „ 10/18/85 <br /> PLUMSINO MECHANICAL <br /> NO. TYPE OF FI%TURE ON ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEn AIR CONO. UNITS — H.P.EA. <br /> BATHTUB REFRIGERATION UNITS— M.P.EA. <br /> LAVATORV(WASH BASIN� BOILERS— H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS— TONNA�E EA. <br /> KITCMEN SINN 6 OISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> OISHWASMER WALL MEATERS— B.T.U. M <br /> LRUNDRY TRAY UNIT IIFnTERS— B.T.U. M <br /> CLOTNES WASHER EVAPORATIVE COOLERS <br /> WATER HEATEN CIOTHES�RYERS <br /> URINAI VEN7ILATION FAN <br /> DHINNINO FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR MANDLINO UNIT — QF.M. <br /> VACUUM BREAKERS STOVE—WO00 <br /> ROOF ONAINS— RAINLEA�EFS ME7AL FIREPLACE 6 CMIMNEY <br /> 51NK 1SERVICE— BAR,ETC.1 FIHEPLACE INSERT <br /> MEAi PUMP <br /> SUB TOTAL 3 6U8 70t11L f <br /> PERMIi t PERMIT ! <br /> TOTAL FEE f T01111 FEE f <br /> SIDE VRRD SETBACK STREET SETBACK REAR VARD SETBACN PLAN CHECN NUMBER PLAN CHECK iEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> �VES NU FEE6 VALUIITION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> BUILDING S 00 00 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOA� ' <br /> PLUMBING <br /> FIREZONE BASEMENT FIHE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> VES NO <br /> RPPROVALS BY OATE OTHER <br /> 1.ENVIRONMEN7AL CHECI(LIST PENALTY U.B G. <br /> SEC.303(e1 <br /> P.BUILOING PL�NS <br /> 9.FIRENVDRANT TOTAL 00 00 <br /> �.FIRE PROTECTION SVSTEM PERMIT VALI011TION <br /> S.GRAOING WMEN PROPERLY VALIOATE�IIN THI� � 4 O THISy^�O�1�P�11�1T—_(.f� <br /> 8.DRAINA6E v U U U <br /> 7.ENVIRONMENTALIMPACTSTATEMEN7 �� � <br /> B.HEAITH UIS7RICT �1 .-. , � � n`--I� ' : <br /> �PPLICATION ACC. BY PLANS CMECNED BY APPR. FOR ISSUANCE BV '` �'I��` <br /> � � �. .����. � l_�� �� <br /> � „ Li,f L'J <br /> A�DRESS FILE <br />