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,,��`°���,�rn C-�NSTRUCTION � <br /> CITY OF <br /> everett PERMIT pERM1T N0. O914H <br /> GiV HALL 259-B7A5 <br /> eveaETT,wn seao� ❑ COMBINATION ❑ BUILDINCa ❑ MECHANICAL }r,�j PLUMBING <br /> OYMIR Mnl1 AOURLSS I:ItV IiV PIIONt <br /> Mary G. Schultz Everett 98201 252-0132 <br /> nncNrtkcl0ROE5�GN[n AIAil�oonEss c�ir ZIP PNON[ <br /> GI NE�µCON1MCTpR MML AOORESS CItY ZIP PNONF IICENSE I <br /> Same <br /> IAECHRNICRI CANiRhC1pR MAIt�DDFE55 CIiY ZIG PIpNC IICENSE I <br /> PWMBINGCONiPACTOR MMtA�DPE55 CIiV IIP PNpNE IICPISEI <br /> CLRSSOf WOFN <br /> ❑NEW ❑ADDITION ❑A�TERATION ❑PEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> V�LU�110N OF WOAK <br /> f <br /> DESCFIBE WORN <br /> replace water KY2X line <br /> PAOPOSED USF Oi BUIL�ING <br /> eingle family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAP� <br /> iewtoc5cmm�or+orvnoecnrv�sHowoeioHnn>nncurouar.orirs� PIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 20 53a Mithell Land 6 Improve �PROVISIONSOFLAWSANDORDINANCESCAVERNINGTHIS <br /> ior eioc� v E OF WORK WILL BE COMPLtED WITH WHET�iCR SPEGFIED <br /> Co. lst HEREIN OR NOL THE GRANTING OF A PEHM�T DOES NOT <br /> PRESUME TO GIVE AUTHGRITY TO VIOLATE OR CAN(;FL THE PRO� <br /> VISIONS OF ANY OTHEH STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> �oneooaess s�ca.iw+iorcuran>cror�onnun�o ion�rnr o�rz <br /> x -za-� <br /> PLUMBINO MECHANICAL <br /> N0. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILFT� AIR COND UNITS—H P EA <br /> BATNiUB REFRIGERATION UNIiS-- H P EA <br /> LAVnT0�7v�WASH BASINI BOILERS—H P EA _ <br /> SHOWE� GAS FIREU AC UNITS—TONNAGE EA _ <br /> KITCN[N SINK 8 DISR �ORCCD�IR SYSTEMS--B T U M E� <br /> L'ISNWASHER WALL Hf.ATE175—B T U M _ <br /> LAUNDflY TRAV UNIi H(ATERS—B T U. M <br /> CLOTHES WASH[R EVAPOPATIVE COOLERS <br /> WATER HEATER CLOiHES DPVERS <br /> URINAL VENTILATION FAN _ <br /> ORiNKING FOUNTAIN f1ANGE HOOD <br /> FLOOR ORAIN AIIi HAN�UNG UNI7— C F!. <br /> VACUUM BR@AKERS STOVE _ <br /> ROOF�RAINS—RAINLEADERS MET�I FlREPIACE 6 CHIMNEY <br /> SINK(SERVICE—BAR,ETC! . <br /> SUB TOTAL ap 6UB TOTAL i <br /> PERMIT i PERMIT f <br /> TOTAL FEE f TOTAL fEE f <br /> SI[]E VARD SETBACY SiREFi SCT�ACk R[AR YARD SEiBACK PLAN CHGCK NUMBER �'LAN CH,iCK FFE <br /> fE[ �ECGIPT NO <br /> USE ZONE LO7 nREA VACANi SI�E — <br /> IIYES IiNO FEEB VALUAtION FEE <br /> TVPE OF CONST OCCUPANCY GROUP NO OF DWftUNG UNITS <br /> BUIL�ING f <br /> SRE OF BLDfi NO.OF STORI[S MA% OCC LOAD <br /> PLUMB�NG 5 00 <br /> FIRE 20NE B�SEMENi FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> I!VES I�NO <br /> APPROV11L8 SY OATE OTHEP <br /> 1 F.NVIRONMENTALCNECKIIST PENALTV UBC <br /> SEC 303�e) <br /> 2 BUILDING PLANS — <br /> 7 FIRE HVDMNT T�T�� S OO <br /> a FIRE Pi70TECTION SVSTEM PERMIT VALIO�TION <br /> WHEN PROPERIV VAIIDATED(IN TMIS SPACG�TH�fi I$YOUfI P[RMIT <br /> 5 GpA�ING M <br /> __ i . . . , . [. ' _ � <br /> G ORAINAGE '-�' <br /> i <br /> 7 ENVIRONMENTALIMPAC7STATEMENT � <br /> � <br /> 8 MEALTH OISTRICT <br /> —_ _ � <br /> AYY;IYATION ACC.BY PlANS CHECKED BV APPfl FOF ISSUANCE BV '� I <br /> i <br />