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. , i-- � <br /> r/'PL,CRvrOr - CC�4�ISTRUCTION ' - <br /> everett PERMIT pERMIT NO. OS133 <br /> CITV HALL 259�9745 <br /> eveaFrr,wn �ezo� ❑ COMBINATION Gc� BUILDING ❑ MECHANICAL ❑ PLUMBINO <br /> OWNLR MUlAlI11RISS GiY ZIP FIIONI <br /> L. A. Warnock 1601 Grand Ave. Everett 98201 259-3453 <br /> �RCHIiECI OR pC51GNER MML�DOPI55 CIIY jIP f'MONC <br /> GENLR�I CONIRACiOR MAq AODBE55 CItY ZII' P�IONE IICENSE� <br /> Same <br /> MECIUNiLRI CONiRqROR MML AppPE55 LIiY 21P PMONE LICENSE/ <br /> PW�ABINGCONIP�CIOR MML���PESS CIIV 21P PMUHE LiCENSEI <br /> CUSS Of WORk <br /> I7NEW ❑ADDITION ❑ALTERATION ❑F[PAIR IROF.MOLITION ❑FENCE GSIGN ❑GARAGE <br /> V�W�LION OF WORR <br /> f <br /> DESLPoOE WORK <br /> demoliah eingle family residence and garaqe <br /> rnoroseo usf ov Bunoir+r, <br /> I HEREBY CERiIFY THAT I HAVE READ AND EXAMINED TIiIS AP� <br /> iecniocscmm�or+ovcaoventrisHowee�owonnn�c���ouacori�s� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL <br /> 9-5 4.�7 Altamont Second ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ��� ���K— F TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOBAD�Rf55 SiGNn1U�F.0� ONinALtORO RUfNOfIRfDAGENi DAIE <br /> 2109 Cleveland Avenue X � �� ��.t,�` <br /> 8�20�8� <br /> PLUMBINO MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATER CIOSET QOILET� ���7 COND UNIi S—V/P F.A _ <br /> BATHTUB �7EPRIGFRAIION UNITS—!1 P EA <br /> LAVATORY WASH BASIN� BOILERS—H P EA <br /> SNOWER GASfIR[DAC UNI15—TONPAGEEA <br /> NITCHEN SINN 8 DISP �ORCED AIR SYSTEMS�—B i U M EA <br /> DI511WASHEF WAIL HEAifRS—BT U M <br /> UUNDRV TRAV UNIT HCAT[RS—�d T U M <br /> CLOTHES WP.SHER EVAPpRAiNECOOLERS <br /> WATEF HEATER CLOTHES DRYERS <br /> URINAL �ENTILATION FAN <br /> ORINNING FOUNTAIN RANGE M000 <br /> FLOOR DRAIN AIR HANDLING UNIT— C F M <br /> VACUUM BREAKERS STOVE <br /> FOOF DRAINS—RAINLEAOERS METAL FIREPLACE d CMIMNEY <br /> SINK�SERVICE—BAR.ETC 1 <br /> SU�TOTAL 6UBTOTAL i <br /> PEHMIT f PERMIT i <br /> T0Tl1l FEE f TOTAL FEE f <br /> SIDE YAPD SETBACN STREET SETBACK FlEAR VAPD SETBACK PLAN CHECK 4UMBER PLAN CNECK FEE <br /> FEE RECEIPT NO <br /> USE 20NE LOT AREA VAC4NT SIT[ <br /> IIYES IINO FEE6 VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO OF UWELLING UNITS <br /> BUILDING S OO OO <br /> 61ZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKI.ERS <br /> REOUIRED AAECMANICAL <br /> IlYES IINO <br /> APPROVALB BY DATE OTHEF <br /> t. ENVIRONMENTALCHECKLIST _ pENALTY UBC <br /> 2. BUILDINO PUNS SEC.9031a) <br /> 9. FlFE HVDRANT TOTAL OO OO <br /> a. FIRE PROTECiION&VSiEM PERMIT VALIUATION <br /> WHEN PROPERLV VAIIDATED pN iMIS SPACE�TMIS IS YOUR PERMIT <br /> 5. GRnDING � 0 O O. O O `_ � <br /> 6. DMINAGE 6 6 3 ] <br /> 7. ENViRON1.lENTAL IMPACT STA7EMENT r� <br /> 8. HEALTH DISTRICi ❑ � <br /> APPIICATION ACC.BY PU1N5 CHECNED BV APPR.FOq ISSUANCE UY � ` �� �l Il C C E I PT O <br /> ` iAPJK YOU <br /> nooRess Fi�e 2 2 r��� SO <br />