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—, , T--� -� <br /> rhe £rergrcen '� . ""^pN�TRUCTION � <br /> cnr OF I <br /> everett PERMIT pERMIT N0. 0�450 <br /> CITY HFLL 259-8745 <br /> evEaEn, wa 9azo+ ❑ COMBINATION � BUILDING ❑ MECHANICAL PLUMBING <br /> pWNlN �AIIPUUP.tSS GiY ZIP !'NDNE <br /> g, p, Lewia 1601 Colby Everett 98201 252-6311 <br /> AHGHITGGt OR DCSIGNEF MFR ADDPL&5 WTY ZIP PHONE <br /> GENE1iAL CANTRA(,TOR M�II ADDRE55 CRY 21P RIOME UGENSE! <br /> Same <br /> IAECNPNiCAI COHTReLTOR MAIL ADDRE55 CITY ZIP PHONE UCENSE t <br /> PLUMBIHG LONTfl�TOR MAq ADDfi[SS CRY ZIP PMONE LKIENSE� <br /> CU650i WOi1K <br /> ❑N[W ❑ADDITION `�-I.ALTERAiION ❑REPAIR �7EMOlIT10N ❑FENCE ❑SIGN GARAGE <br /> ��iunTrow oF wam <br /> s <br /> LESCPo9E WO� <br /> Demolish Single Faznily Residence <br /> rHOPOSIo WE of eu�LOING <br /> I HEREBY CERTIFY THAT I HAVE HEAD AND EXAMINED THIS AP- <br /> icca�oescnivnor+arno�cqrr�sNoweeiowoannncNrouaconi�s� PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 1-2 340 Everett Div. L ALL PROVISIONS OF lAWS AND ORDINANCES GOVERNING THIS <br /> �nr__e�oc�_ov 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 U+W REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTAUGTION. <br /> 5'�SN/..iUPt (6 C. niiqFCiON Oq hU1Hp91Z[D P/iENi D/.tf <br /> �oF3 AouSess ' q/10/80 <br /> 1601 Colby X ,��"a—' <br /> PLUM81N0 MECHANICAL - <br /> NO. TYPE OF FIXTUHE OH ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATCA CLOSET(TOILET) AIR CAND UNI15—N P EA <br /> BPTNTUB REI RIGERATION UNITS—M P EA <br /> LAVATORY(WASH BA61N) [301LFR5—H P EA. <br /> SHOW[R GAS��IRED A C UNITS—TONIJAGE EA. <br /> KITCHEN SINK 8 DISP. FORCfD AIP SYSTEMS—Bl U M EA <br /> DISHWASHER WALL HEATFRS—BT U. M <br /> IhUNDRY iRAV UNIT HEAiERS—B 7 U. M <br /> CLOTHFS WP.SHER EVAi'ORATNF GOOLERS <br /> WATER HF.AT[F7 CLOTHES DR�EHS <br /> U�INAL Vi NiILNTION FAN <br /> DRINNMG FOUNTAIN RANG[HOOD <br /> AIP NANDLING UNIT— C F.M <br /> FLOOR�RAIN <br /> VACVUM 9R[AKGRS STOVE <br /> FOOF DAAINS—RAINL[ADERS MFTAL FIREPLACE 6 CHIMNEY <br /> SINK IS[RVICE—AAR,ETC) <br /> SUB70TAL SUBTO7AL f <br /> PERMIT i PERMIT f <br /> TOTAL FEE f TOTqI FEE f <br /> SIOE VARD SEiBACK STREET SETBACK REAR YARD SET[iACK PLAN CHECK NUMBER PLAN CNECK FEE <br /> f�EE RECEIPT NO <br /> USE ZONE LOi AREA VAGANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE _ <br /> TYPE OF CAN57. OCCUPANCY GROUP N0.OF DWELUNG UNITS <br /> BUILOING b OU 00 <br /> SIZE OF BIDG. NO.OF 5TORIES MA%.OCC.LOAD — <br /> PWMBINO <br /> FIRE ZONE BASEMENT 7EOU RE�NLERS MECHANICAL <br /> I!rE5 I.]NO <br /> APPHOVALS BY OATE 01'HER <br /> t ENVIRONNENT.4l CHECK LIST PENALTV U.BC <br /> SEC.3o3(a1 <br /> 2. BUILDING PLAN£ — 00 00 <br /> TOTAL <br /> 3. PIRE MVORANT <br /> 4. FlRE PFOTECTION SVSTEM PERMIT VIILIOATION <br /> WNEN PRUPERI�VALIDAT[D ON THIS SPACE)THIS IS VOUfl PERMIT <br /> 5 f RAD W G _ a � [ � a O O a.O O p 0 O <br /> T <br /> G ORAINAG[ � 'O SA�� <br /> 7 ENVIRONMENiALIMPACT STATEMENT <br /> � <br /> A. HLALTN DISTRICT <br /> APPIICATIOIJ PCC 0Y PLANS CHEGKED�V APPR.FOR ISSUANCE BV Yn U�R RE C E I P <br /> T!-1ANK YOU <br /> ADDRESS FILG I o �Pe 80 <br />