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-� ; T-_� . -� .� <br /> :heL�'C�YOF �� -':ONSTRUCTIQN-� �- �� <br /> everett � PERI�IT pERMIT NO. 07537 <br /> GTY HALL 259�8745 <br /> eveaert.v,n eozoi ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEF MAI'.AUDHtS$ CIiY ZIP PMONE ' <br /> Jerry J. Dykstra 1701 Colby 98201 252-5962 <br /> RRCHIiECT OR�ESIGNER MAII 4DDBE55 CItY p�F PNONC I <br /> GENCpAI CONTMCipR MAII ApDAL55 GTY ZIP MONE LICENSE I <br /> Same <br /> IAECHRNIUL CONTRACfOq MAIL AODNE55 GTY 21P PHONE LIGENSE� <br /> PWMBINOCONTHPCTOR MAILRDpHES$ qiV ZIP PNpNE lIC[NSE� <br /> GlA55OF WONK <br /> ❑NEW ❑ADDITION �ALTERATION ❑REPAIR �EMOlI710N ❑FENCE ❑SIGN ❑�ARAGE <br /> VALUATION OF WORK <br /> 3 1 <br /> DCSCNIB[wOAK <br /> 3emolish residential garage <br /> � <br /> rqoFbSEo us[of euILo1NG <br /> I HER[BY C[RTIFY THAT I HAVE READ AND EXAMINED THIS AP� � <br /> ��cn�oescaienorvoFrnoveanrsNoweciowoanrrncMrouawvies PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ior 1-N� �ioc�oF Everett Div. L ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS i <br /> TYPE OF WORK WILL BE COMPLIED VJITH 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 REGULATING � <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JJBADpRE55 SiGNAtURlOPGONifiAGTOl10R/U�HORiZE�AGFN1 D/.iE <br /> 1701 Colby X 5/1/80 i <br /> PLUMBIN� MECHANICAL � � <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OP E�UIPMENT FEE <br /> WAT&R CLOSET ROIIEn A�F CAND UNITS—H P.EA <br /> BATHTUO R[FRIGERATION UNITS—H P.EA <br /> LAVATORY(wASH BPSIN) GOILERS—H P EA. <br /> SHOWER GASFlREUAC UNITS—TONNAGEEA <br /> KRCNEN SINH 6 DISP FOHCED AIR SYSTEMS—B T U. M EA <br /> _ OISNWASHER WALL HEATEFS—B T U. M <br /> IAUNDRV TRAv UNIT NEATERS—B T U. M <br /> CLOTHLS WASH[R EVAPORATIVE CAOL[RS <br /> WATER HEATER CLOTHES DRV[RS <br /> URINAL V[NTI�ATION FAN <br /> DRI'IKMG FOUNTAIN qANGE HOOD <br /> F�OOR DPAIN AIN NANDLIN�UNIT— C.F fA. <br /> VACUUM BPEANERS STOVE <br /> ROpf DRAINS—RAINLEAU[RS METAL FlREPLACE 8 CNIMNEY <br /> SMN(5[RVICE—BAR.CTC� <br /> SUBTOTAL SUB TO7AL f <br /> PERMIT f GERMIT f <br /> TOTAL FEE f TO7AL FEE t <br /> SIDE YARD SETBAGK STRECT SET�ACK REAR VARD SETBACK PLAN CHECK NUMBER PLAry CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACAN151'"E <br /> [7YES ❑NO PEE6 VALUATION FEE <br /> TYPE OF CANST. OGCUPANCY GROUP NU.OF OWELLING UNI7S <br /> 512E OF BIOG. NO.OF 6TORI[5 MAX.OCG.LOAD BUIIDING s 00 00 <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRE� MECHANICAL <br /> �IVES �1N0 <br /> APPROVALS BY DATE OTHER <br /> L ENVIRONMENTAL CHECN LIST <br /> PENALTY U B C <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIREHVDRANT T�TA� OO OO <br /> 4. FIRE PRO7ECTION SVS7EM PERMIT VALIDATIDN <br /> WHEN PROPERLV VALIDATED QN THIS SPAf E;O I?IS YOl�7 p(jMyJ• � O _��� <br /> 5. GRADIIJG '1 11 <br /> 6. DRAINAGE n � i u V u <br /> 7 ENVIRONMENTAL IMPACT STATEMENT <br /> � <br /> B. HEALTH DISTRICT }�L; �J � R cC E I P� <br /> APPLICATION ACC.BV PLANS CHECKED BV APPR FOR ISSUANCE BY � �� Y Q U O <br /> T�-in,�K <br /> � . s : <br /> . . �� � � uar80 <br /> ADDRESS FILE � � <br />