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, <br /> �r , <br /> rhr ErerA�rrrn <br /> ���� °� ' �ONSTRUCTIOP' <br /> everett PERMIT PERMIT N0. 1��C2 <br /> GTv HALL 259�87a5 <br /> EVERETi.WA98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNER MAiLRppRE55 Gliv ZiP PMONE <br /> R. G. DANIELS 15�j Colby rvPr�rr tva on�m �57_�Rnn <br /> RRGnRECT OR OESiGNER MFIL 4DORESS LRV bG PHONE <br /> GENERAL CONTRR�TOR MAII ADDRE55 GiY pIP PMONE UCENSE M <br /> Same <br /> �MELMANIGA�LONTR/.GTOR MAIL AOOHE55 CITY ZIP PNONE LICENSE Y � <br /> � <br /> PLUMBING CONiPALTOR MqIL AOORE55 QTY plP PHONE LICENSE� <br /> LLA55 OF WURK <br /> ,[�NEW ❑ ADDITION ❑ A�TERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE � SIGN ❑ WOOU STOYFJFIREPLACE INSERT <br /> Al. <br /> VALUATIDN OF WORN <br /> s <br /> �ESCRiBE WORK <br /> Install wood strn�e <br /> PNOPOSED USE OF BUILDING <br /> Residence I HFREBY CERTIFY THAI I HAVE READ AND EXAMINED THIS <br /> LEGAL DESCHIPTION OF PNOPEHTY�SMOW BELOW OR ATfACH FOUR('APIES� APPLICATION AND KNO'JJ THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_s�ocn_oF_ GOVERNING THIS TYPE Or WORK WILL BE COMPLIED WITH <br /> WHE7HER SPECIFIED HEHEIN OR NOT.THE GRANTING OF A <br /> PERPAIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGUTATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOBAODRE55 SIGNAT f�0 RAG7ORORAUtHO/11TEDAGENi DAtE <br /> 1515 Colb � <br /> IJ ' ( <br /> PLUMBIN6 MECHANICAL <br /> N0. TYPE OF FIXTURE ON ITEM FEE ' NO. TYPE OF EOUIpMENT FEE <br /> WATEfl CLOSET ITOILEn AIR COND.UNITS— H.P.EA. <br /> BATMTUB REFqIGEFAiION UNITS— H.P. EA. <br /> LAVATORY�WASH BASIN) BOILERS— HP.EA. <br /> SHOWER GAS FIRED A.C,UNITS—TONNAGE EA. <br /> KITCHEN SINN 8 DISP. PORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISMWASHLR WALLMEATERS— B.T.U. M <br /> LAUNDHV TRAV UNIT HEATERS— 8 T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEA7EF CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> PLOOR DRAIN Alq HANDLING UNIT— QF.M. <br /> VACUUM BREAKERS STOVE—1NOOD � SO <br /> f100F DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE — BAfl,ETQ� FIREPLACE INSEflT <br /> HEAT PUMP <br /> • sue rorn� s sua ror�� s 7 50 <br /> PERMIT { PERMIT f ZO OO <br /> TOTAL FEE S TO7ALFEE f S� SO <br /> SIDE YARD SETBAGK STFEET SETBACK REAR YAflD SETBACK PLAN CNECN NUM6EN P�AN CMECN FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> .YES I NO FEES VpLUA710N FEE <br /> TYPE OF GONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S I <br /> SIZE OF BLDG. NO.OF SiOFIES MA%.000. LOAD �.r <br /> �_ <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECMANICAL 1� SO <br /> REOUIRED <br /> VES ' NO — — <br /> APPROVALS �V U�TE OTMER <br /> 1.ENVIRONMENTAL CMECK U5T U BC <br /> PENRLTY SEG.303�a) <br /> 2.BUILDING PLANS <br /> 5.FIREHY�RANT TOTAL 1� SO <br /> � 4.FIR8PROTECTIONSVSTEM pERMITV�U0ATI0N <br /> 8.DFA NIAGE �NHEN PROPERIV VALIDATED(IN THI=SP^C;�TIiISJSOVqUa P€R1111T— � <br /> J 9 L 7 I I / 5 u <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> 8.MEALTM DISiRICT N <br /> APPLICqTION ACC.BY PLAN6 CHECKED BV APPR.FOR IeSUANf.E BY �'`�^�tJ R REC E I PT `� <br /> ;i•9ANK YOU <br /> ADDR[SS Fl�.e <br /> 2 4 ocT 8� <br /> • � <br />