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, • , <br /> dieEvrrgrcrn " �jONSTRUCTION <br /> °'TY°` pERMIT <br /> everett PERMIT N0. O6H� 3 <br /> CITY NALL 259�8745 � COMBINATI� N �BUILDINQ � MECHANICAL Ix1 PLUMBIN(3 _ <br /> EVERETT.'NA 9Ba�� X Zio rnowc <br /> cnr <br /> M�neuoncss Everett 98203 355-6000 <br /> OWNEH <br /> David A. Brandvold P.O. Box 306 =�P pMON[ <br /> C11Y <br /> M��l�DURE:S <br /> I,RCHIiEGi OA�ES�GNER <br /> ZIP PHONE IIGENSE 1 <br /> M�iL�D�AE55 ��tr <br /> OENFP�eNiRPCiOR � <br /> y Z�P PNONE �ILENSE� <br /> M�R��DPC55 <br /> G1Y <br /> MECHANIG�I CONiRAC10R <br /> I�P RIONE IILENSE I <br /> MMl�DD�E55 CiiY <br /> 1`LUM91N6 CONtR�CTOP <br /> CUSSOi WORN <br /> �Eyy ❑A�DIiION ❑A�TERATION ❑AEPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VALu�ilsOl000 00 <br /> f <br /> DESCFiBE WO�K , <br /> Conetruct Single Family Residence <br /> PROPOSED USE Oi BUIlDINO I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> PLICATION AND KNUW THE SAME TO BE TRUE AND CORRECT. <br /> LEML DESCRif'fION 0��PER1Y�SHOW BEIOW OR�Ti�LN fOUPCAPIE51 q�L PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> q_5 � Friday'e 2nd TYPE OF WORK LL BE COMPLIED WITH WNETHER SPECIFIED <br /> iot Pi�'�--oF HEREIN OR NO . THE GRANTING OF A PERMIT DOES NOT <br /> Except E. 30' thereof pRESUMETOGI AU?HORITYTOVIOLA?EORC NREGULATING <br /> VISIONS OF A OTHER STATE OR � F NSTRUCTION. <br /> CONST UC I OR THE PERF p�rE <br /> Q�T 30-29-5 SIGNPtU EOf ' iOR F�UiHORI AG 1 <br /> ,qPADORE55 x '^" <br /> 1003 Charlee Street <br /> MECHpNICAL FEE <br /> PLUMBINO FEE N0. TYPE OF EOUIPMENT <br /> NO. TYPE OF FI%TURE OR ITEM � Ain cor+D urnTs-N P.E^. <br /> 2 WATER CIOSET O�LET� qEFPIGERAI�ON UNITS—N P EA <br /> � <br /> BATHTUB 4 BUILERS—N F EA i <br /> � �qyq7pqy(WASH BAS�N) � �AS FlRED A C UNITS—TONNAGE EA <br /> SHOWER 2 FORC([7 AIR SvffiEMS—BT U M EA � <br /> KITCHEN SINK 6 DISP. y�q��HF.AI[RS—�T U M I <br /> 2 OO M _ <br /> DISHWASNER UNIi HEA1E(75—0 T U � <br /> UUN�R�TRA� EVAPORAT�YE COOLERS - � <br /> 1 CLOTHES WNSNER CIOTHE50PVER5 <br /> ], WATER NEATER 1 VENTILATION�AN � <br /> URINAL 1 RANGE HOOD <br /> DRINKING FOUNTAIN pIR HANDLING UNIT — C F M <br /> 1 FLOOR DRAIN STOVE <br /> VACUUM BREAKERS METAL FlREPLACE 8 CHIMNE� <br /> ROOF DRAINS—AAINLEADERS <br /> SINK�SERVICE—BAR.ETC� <br /> SUBTOT�L f 8 00 <br /> SUB TOTAI Z PERMIT � <br /> VERMIT S TOTAL FEE t B O <br /> T0TI1L FEE � ZZ � PInN CNECR FE[ <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACN PLAN CHGE8Z3UMOER FEE 93.50 R[CFIPT NO <br /> 6� 20' 20� 43954 <br /> VACANT SITE FEEB VALUA710N FEE i <br /> USE ZGNC l0T AREA ES ❑NO <br /> g_1 8750 Sq. Ft. k�' ' ,� <br /> TYPEOFCANST. OCCUPANRCY3 R��P NO.OFD iL�INGUNITS BWlDIN6 s SO�OOO. 18� OO ' <br /> V-N <br /> SIZE OF BLDO NO.OF STORIES MA%.OCC_LOAD ZZ p� I <br /> , 1 Z PLUMBING <br /> 34 X26 BA$EMENT FIRE SPRINNLERS MECNANICAL B OO I <br /> FIRC ZONE RF.OUIRFA.. <br /> , g ,. . . none IlrEs �RIPO <br /> APPROVALS oY 011TE <br /> OTNER <br /> I 1. ENVIRONMF.NTAL CHECK LIST PENALTY ECC9071a) <br /> `• '� Y B IU LDiNG PlANS �p T�Tp� 217 00 <br /> 3. FIRE H�UMNT � PERMIT VRLIDATON <br /> < FIRE�N CTInN SYSTEM WHEN PROPEHLY VAIIDATED(IN THIS SPACE)TNIS IS YOUii PEFM�1 <br /> I � 5. aRAA1NQ_ S O Z Z. O U — � 4 9 I 9 S I 8 �.O O �'� � <br /> i 6 D �bA� � � � <br /> � 7. ENVRO�NTAL1 CTSTA7EMENT p�.UR RE��EIPY,� YO�UR �RECr � <br /> ' � 0 H TPICT � • <br /> ppp�. IQ�ACC.B\m PV NS CHECKED BV APPF FOR ISSUPNCF.BY �'�{F,1�!K YO L' � : T H�N 1' <br /> . � <br /> c -�, I v.c. • <br /> -.i <br />