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. <br /> (heE��ergreen C�NSTRUCTION � <br /> CITV OF <br /> everett PERMIT pERMIT N0. OH395 <br /> CITY HALL 259�8i45 <br /> EVER[TT.WA 98?Ot ❑ COMBINATION �BUILDING ❑ MECHANICAL PLUM81Na <br /> UWNEH MMIPODPF55 CIiY JIP �ONE , <br /> Robert E. Meaman Io17 Chestnut Everett 98201 258-1038 <br /> ♦RCNRECiOPOE5IGNER M�IIApDNE55 CITY ZIP PNONE I <br /> GENEFA�CONiR�CiOR 1.Iql R�Df1E55 CrtY lR PHONE IICENSE I <br /> Same <br /> MPLN�NIULCONTRACiOR MAp.AppRE55 CiTY ZIP PHONE IICEN5E1 <br /> VWIIBINGfANiR�CtOR �A�II.�f ORE55 CiiY ZIP PMONF. IIGENSE 1 <br /> CI�55Oi WORK <br /> ❑NEW ❑A�DITIpN ❑ALTERATION ❑REPAIR ❑DEMOL'�TION ❑FENCE ❑SIGN ❑GARAGE <br /> V�W�LIJN Of WONN <br /> S <br /> DESCRIBE WOPN <br /> 150 Cu. Yde. Fill <br /> PROIOSED USE OF BUIL�INO <br /> I FiEREBY CERiIF'r TIiAT I HAVE READ AND EXAMINED THIS AP� <br /> «cnioesramnorvorrrrorenrrrs��owee�owonntuc��vounwPicsi PLICATION AND KNOW THE S4ME TO BE TRUE AND CORRECT. <br /> � 11 A��� 32�� Younger U.P. ALLPROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS <br /> �Q___ 7�YPE OF WORK WILL BE COMPLIED 1NITH Wl1ETHER SPECIFIED <br /> HEREIN OR NCT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AU?HORITY TO VIOIATE OR CANCEL THE PRO- <br /> VISIONS OF AMY OTHER SiATE OR I.00AL LAW REGULATING <br /> CONSTR TION OR THE PERFORMANCE OF CONSTRUCTION. <br /> ,arr��� cs�Hnucion on/n,u�n�on�z o nct rn o�rE <br /> � �unnunaFss � �1'/O�-sty/'!� /8/80 <br /> 1617 Cheatnut <br /> PLUMBIN6� MC'ENANICAL _ <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATCR CLOSET�TOILE�� AIR CONf) UNRS—11 P F.A <br /> BATIII'UB REFRIGERATION UNITS—H P [A <br /> LAVATJRY(WASH�ASIN) BOIL[RS—H P EA _ <br /> SHOWf R GAS fIR[D AC UNITS—TONNAGE EA _ <br /> KITCNEV SINK 8�ISP. FORCEf/AIR SVSTEMS—B TL. M EA <br /> OISHWASHER __ WAII 1�[ATERS--B T U M <br /> LAl1NDRY TRAY U�IT PEATERS�—B�U M <br /> CIOTHES WASHER EVAVCRAiWE COOlEfl5 <br /> WAIER HI ATER C�UTI�ES DRVEfiS <br /> U�7INAL VENPLATION FAN <br /> DRINKINC 'OUNTAIN RANOFIIOOD _, <br /> FLOOR 0(7A'N AIR IIANDLING UNIT-- C.F.M <br /> VACUUM OR�ANFNS SiOVE <br /> ROOF OR�ING—RMNIEAUEHS MGTAL RPCPLACE 8 CHIMNEY <br /> SINK�SERV1Cf --�DAR[TC 1 — <br /> 6UBTO�R� SUBTOTAL t <br /> PERMIT f PERMIT f _ <br /> TOTIIL FEE f TO1AL FEE f <br /> SIUE YARD iETPACN :'dREET SETBAC1c REAR VARD SET[7ACN PLAN CF+FCK NUMOFR PLAN CHECK iEE <br /> f I f. RECEIPi NO <br /> USE ZONE LM AREA �A ES T SINO FEEfi 1ULUATION FEE <br /> TYPE OF CON51. OCCJPANCY GROUP NO OF DWELLING UNITS <br /> ouuoiNc s150 Cu. de . 15 00 <br /> SIZE OF BLD(3 NO OV�STOFIES IAAX OC(: �OAD — — <br /> PLUMBING <br /> FIRE ZONE BASEMEIIi j�OUIRED KIERS MECHANICAL <br /> I �VES IlNO — <br /> APPROVALB BY 6ATE OTMER <br /> 1. ENVIRONMENTALCHECRLIST pENAITV UBC <br /> -_- SEC.�031e) <br /> 2. BUIL�ING PUNS <br /> —�— TOTAL 15 �� <br /> 3. FIRE HYDRANT <br /> I. FIRE PROtECTION SYSTEM PERMIT VIILIDArION <br /> ___ — WMEN PROPERLY VAUOATED pN THIS SPACE�THI515 VOUR PERMIT <br /> 5 GRR�INQ � g [ J � O I l. O O �� � <br /> 6. DflAINAGE <br /> 7. ENVIRONMENTALIMPACTSTATEMENi M <br /> � <br /> 8. HEALTN DISTRICT �— , l �� i2 R L C [I PT o <br /> APPIICATION ACC.BV PLANS CHEGKCD flY APPR FOR ISSUANf.t OY <br /> CG <br /> � '�.�`!f: Y�U <br /> - g oCi 8 0 <br /> �DDRE55 FII_[ <br />