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. , - <br /> �h�`.��R���° ` r�NSTRUCTION - <br /> CITv GF <br /> everett PERMIT PERMIT N0. 08654 <br /> CITY HALL 259�87C5 <br /> eveFerr.vJA 98201 ❑ COMBINATION ❑ BUILDING rxbtMECHANICAL ❑ PLUMBING <br /> OWR'lP MAILhUDRLJS CI1Y FIP PNONE <br /> Lawrence F. Binder Jr. 1621 Colby Avenue Everett 98201 252-2028 <br /> 4RCniilCi OH UESi;N[A MAILADpRES$ GTY ZiP �DNE <br /> GENCRnLCA^iTRACTOR MARADDRE55 GTY ZIP GMONE IIGENSEt <br /> Same <br /> Vb�vANi:ALCANiRnG�OR MWLAODF[55 QTY 2iP �ONE LICENSEf <br /> PWUBiNGCONTRAGT0i1 MAILRDDRE55 CITY ZIP PMONE LICENSEI <br /> C1P55 0��'/ORK <br /> ❑NEW CADDI110N ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VaWAiION OF WORB <br /> S <br /> 1'ESC:aBE WORK <br /> instail wood burning stove <br /> PPOPOSED USE OF�UILDING <br /> single family residence I HEREBY CERTIFY THA7 I HAVE READ AND EXAMINED THIS AP- <br /> lLG/t�LfiCFiFt�ONOFPROPERTV(SHOWBELOWOHATTACYFOUFlCOPIE51 PLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �cr e�oca_oF TYPE OF WORK WILL BE COMPLIED WITN WHETNEF SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES tJOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGUII�TING <br /> CONSTFUCTION OR THE PERFOfiMANCE OF CONSTRUCTION. <br /> JOBApDHL55 S�GryPIU OFCA'ItR4CipRURAviNO�IZ�DAGtNT DATE <br /> /> ZZ�5�8� <br /> 1621 Colb Ave. X ' �� // � � <br /> PLUMBING MECHANICAL � � <br /> NO. TYPE OF FIXTUHE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATEF CLOSET(TOILET� _ AIR COkO UNITS—N P [A <br /> BATHTUB REFRIGERA710N UIJITS—H P EA <br /> �AVATORv�WASM BASIN) �OILEFS—H P EA <br /> SHOWER GAS FIPED A C UNITS—TO�:NAG[EA. <br /> KITCHEN SINK 8 DISP. FORCE�AiP SYSTEM$—�T.0 �d[A <br /> UISHWASNER \'JALL HEAT[RS—B.T.U. M <br /> IAUNDRY TRAY UIJI7 FlCATEt�S—B TL. M <br /> CLOTHES WASHER EVAPpRATNECOOlERS <br /> WATEA HEATER CLOTHES DRVEFS <br /> URINAL V[N i ILA710N FAN <br /> �R W H ING FOUIJTAIN RANGE HOOD <br /> FLOOfi DRAIN AIR HANDLVIG UNIT— CP.M. <br /> VACUUM BAE/KEFS SiOV[ <br /> ROOF GRAINS—RAWLEFDERS �AFTAL FlREPIACG 8 CMIIANEY <br /> SINK�uERVICE—BAF.ETC.) <br /> SUBTOTAL SUBTOTAL S <br /> VEPMIT f PEPMIT S <br /> TOTAL FEE f TOTAL FEE f <br /> SIDE VARD SET3ACK STREET S[T�ACK REAR VARO SET�ACK PIAN CHECK NUM�ER PLAN CHFCK FE[ <br /> FEE RECEIPT NO. <br /> US[ZONE LOT AREA VACANT SITE <br /> IJYES �NO FEES VALUA710N FEE <br /> TYPE OP CANST. OCCUPANCY GNOUP NO.OF DWELLING UNITS <br /> BUILDING E <br /> SIZE OF BLDG. NO.CP STORIES MAX.OCC.lOAD <br /> PLUMBING <br /> FIRE 20NE BASF.MENT FIRE SPqINKLERS <br /> HEOUIRED MECHANICAL 7 SO <br /> ❑YES I7N0 <br /> APPHOVALS BY OATE O-HER <br /> 1. ENVIRONMENTALCHECKLIST PFNALTY 118C. <br /> SEC.303(B) <br /> 2. BUILDING PLANS <br /> 3. FIREIiYDRANT TOTAL 7 50 <br /> 4. FIRE PROT[CTION SYSTEM PERMIT VALIDATION <br /> — WNEN PROPERIV VALIDATED(IN THIS SPACE)THI51$YOUR PERMIT <br /> 5. GPADING <br /> p /� � <br /> 6. DRAINAGE � 2 S �� 1, 11 O 1, 5 O ��j]� <br /> l <br /> 7. ENVIRONMENTAL IMPACT SfATEMENT (1.7 �..,I <br /> B. HEALTH DISTRICT � <br /> �PPLICATION PCC.OY PLA1J5 CMECKED BY APPR.FOR ISSUANCE BY � - � �7 7^�+^ h O � <br /> ; ,. „ . :_!; T � <br /> v.c. . ,, . �,; <br /> �: „�., 1'C; U � <br /> ADDRESS PILE _ �: , ��-i' ,:i"i � <br />