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� <br /> dreErr.'vr(n � rONSTRUCTION <br /> everett PERMIT PERMIT NO. 14003 <br /> CITV MALL 459B7d5 <br /> EVERETT,WA9BP01 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBfNO <br /> OWVER M�ILADDRE55 CIiV SIP PNONE <br /> RIGG/CHIAROTTINO 15207 - 116th PL NE Bothell �A 98011 488-0577 <br /> � RRG�aTECi OR OESIGNER MA�L�OORE55 Lilv ZiP PMONE <br /> GENENIIL CONIHAGIOR M�IL�DDRESS GITY ZIP PHONE LIGENSE� <br /> THR Construction Co Same THRCOC1167n3 � <br /> MECNINICM CONTRACTOR MML�OOPE55 GTY 21P PHONE UCENSE• <br /> PLUMBV.J GONTR�LIOR M�II�pORE55 CITY ZiP PHONE UGENSE� M <br /> � f <br /> GlA55O�WORR <br /> ❑NEW O ADDITION ❑ ALTERATION ❑REPAIR I.� DEMOLITION ❑ FENCE ❑ SIGN [] WOO�STOVEIFIREPIACE INSERT <br /> VALU�TION OF WORN <br /> f <br /> DESCHIBE WOPI( <br /> Demolltion of sin le famil residence <br /> PROfCI5E0 USE OF BUIL�ING <br /> I HEREBY CERTIFY THAT I HAVc READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME 70 BE TP.UE AND <br /> LEG�L OESCqIPtION OF PROPENTV�SNOW BEIOW OR�TT�CH FOUR COPIESI CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WCRK WILL BE COMPLIED WITH <br /> �ol��e�qcK�lqv��_ �erett D V O WHETHER SPECIFIED HEHEIN OR NOT.THE GRANTING OF A <br /> J L K <br /> PERMIT DOES NOT PRESUME TC GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> � LOCAL W REGULATING CONSTRUCTION OR THE � <br /> PERFO CE OF C TRUCTION. <br /> JOB��ORESS SION� F 11H 2F0 AGENi DATE <br /> 1306 Chestnut X <br /> PLUMBINO MECHANICAL <br /> N0. TYPE OF fIXTURE OR ITEM PEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOIIET) AIR COND. UNITS — H.P. EA. <br /> BATMTUB REFRIGERATION UNITS — HP. EA <br /> LPVATORYp4A5MBA51N� BOILERS — MP. EA. <br /> SMOWER GAS FIRED A.0 UNITS — TONNAGE�EA. , <br /> KITCHEN SINK d DISP. FORCED AIR SYSTEMS — BSL. M EA. <br /> DISHKASHER WALL HEATERS — B.T.U. M <br /> LAUNDRYTRAY UNIT MEATERS — BT.U. N <br /> CLOTHES WASHER EVAPORATiVE COOLERS <br /> WRTER HEATFR CLOTMES ORYERS <br /> URINAL VENTILATION FAN <br /> DRINNING FOUNTAIN RANGE MOOD <br /> FLOOR ORAIN Alq HANDUNG UNIT — C.G.M. <br /> VACUUM BREANERS STOVE— WOOD ' <br /> ROOF ORAINS— RAINLEADERS METAL FIREPLACE 6 CHIMNEY <br /> SINK ISERVICE —BRR, ETC.� FIREPLACE INSERT <br /> MERT PUMP <br /> SUBTOTAL f SUBTOiAL i � <br /> PERMIT f PERMIT i �, <br /> TOT�L FEE f TOTALFEE f <br /> SIDEYAR�SETBACK STH[ETSETBAGN REAR':G?DSETBACK PLAN GHECN NUMBER PLAN GHECN FEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE — � <br /> YES NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROl1P NO.OF DWELLING UNITS <br /> BUILD'N(i S OO OO , <br /> SIZE OF BL06. NO.OF STORIES MA%.OCC.LOAD -- � <br /> PLUM�ING <br /> FIREZONE BASEMENT FIRE SPRINNLERS MECHANICAI <br /> RE�UIRED <br /> YES NO � <br /> �PPflOVALS _ BY DATE OTHER -- I <br /> 1. ENVIPONMENiAI CHECN LIST pENp�Ty U B C , <br /> -- SEC.707(e� <br /> 2.BUILDINO PLANS <br /> 9.FIREMYORANT T�Tp� OO �Q I <br /> �.FIRE PPOTECTION SVSTEM GERMIT VALIDRTION <br /> 5.GPRDING WMEN PROPERLV VALIDATEO�IN THIS SPAC�)TMIS�:S YQU{�PFANIT _ (Yj � <br /> L B DRAINAGE l � <br /> 7.ENVIRONMENTAL IMPACT SUTEMENT �� <br /> �J <br /> B.HEALTM DISTRICT n '• ���� ', _� <br /> APPUCATION ACC.BY PLANSCMECKED BY APPfl. FORI55URNCE BY � <br /> � . i <br /> ADUkf.:S fIIF <br /> L <br />