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� <br /> (he[cricreen <br /> everett � �ONSTRUCTIOF ' <br /> PERMIT PERMIT NO. - " <br /> arr Hau zs9 e�as ' <br /> EVERET7,VJa9B20� � COMBINATION ❑ BUILDING ❑ MECHANICAL 7� PLUMBING <br /> OWNER MAILADORE55 CITY 2iP PMONE <br /> Alice Bertelalon 1824 Colby Everett 98201 258-2948 <br /> r ��PGHiTEGi OR DESIGNEH MFII AOORE55 C17Y 2iP PMONE <br /> GENENAL CONiH�CTON MAIL ADDRE55 CITY <br /> L Z�P PNONE L�GENSE� <br /> MWH4NIGALGONTFnCTOR MRILADORE55 CRY ZIP PHONE LIGENSE� <br /> PLIIMBING GONTRRGTOR MFIL PDDRESS GIT� 21P PNONE LICENSE Ir wt <br /> lee's Plumbing 10�07 30th Place S.E, Everett 338-6931 LEESP171HS <br /> CLR55 OF WORR <br /> O NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION O FENCE O SIGN ❑ WppD STOVFIFIREPiACE INSERT <br /> VRLUATION OF WORN <br /> f <br /> DESCRIBE WORK <br /> VROPOSEO USE OF BUI�OING <br /> I HEREBY C[RTIFY THAT I HAVE FEAD AND EXAMINED THIS <br /> LEGRL Ofl5CRIP110N OF PROPEPTY(SHOW BELOW OR ATTALH FOUR COPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOi_BLOGK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.TN[GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHOfiITY TO VIOLATE <br /> . OR CANCEL THE PROVISIONS OF ANY' OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB FDDRE55 SIGNRT RE ONTRALiOR OA h HOP11E� ENT DATE <br /> 1824 Colby X ' 1/3/85 <br /> PIUMBING MECHANICAL � <br /> NO. T'ipE OF FI%TURE OR ITEM FEE N0. TYPE OF EUUIPMENT FEE <br /> WATERCLOSET�TOILET) AIR COND.UNITS- M.P. EA. <br /> BATHTUO qEFRIGERATION UNITS- H.P.EA. <br /> LAVATORY(WASHBASIN� BOILERS- H.P. EA. <br /> SHOWER GAS FIREO A.C.UNITS-TONNAGE EA. <br /> NITCNEN SINK 8 OISP. FORCED AIR SYSTEMS- 9.T.U. M EA. <br /> DISMWASHER WALL HEATERS- B.T.U. M <br /> LAUN�RY TRAY U41T MEATERS- B.T.U. M <br /> CLOTHES W<SHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRI'ERS <br /> URINAL VENTILATION FAN <br /> _ DRINKING fOUNTAIN RANGE HOOD <br /> FLOOR DPAIN AIR HANCLING UNIT- <br /> QF,M. <br /> VACUUM BREAKERS STOVE- WOOD <br /> FOOF DFAINS- RAINLEADERS ME1Al FIREPLACE 8 CNIMNEV <br /> SINK�SEflVICE - BAR, ETC.) FIREPLACE INSERT <br /> 1 Wate 1 HEATPUMP <br /> SUB TOTAL i SUB 70TAL S <br /> PERMIi f D_ PEflMIi { ' <br /> TOTAI FEE S TOTAL FEE f <br /> SIOE YARD SETBACK STREET SETBACK REAR VARD SETBACK PLAN CHECN NUMBEfl PLAN CNECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> . YES ,:NO F�Eg VALUATION FEE <br /> 7YPE OF CONST. OCCUPANCY GROUP NO.OF DWEILING UNITS <br /> BUILDING g <br /> SIZE OF OLDG. N0.OF STORIES MA%.OCQ LOAD <br /> PLUMBING S OO <br /> FIR[ZONE BASEMENT FIHE GPRIHKLERS MECMANICAL <br /> (7EOUIRED <br /> VES NO � <br /> APPROVALS OV DAiE OTMER <br /> 1 EN�:IRONMENTAL CHECK UST PENA�TY U.B C. <br /> 2.BIALDING PLANS SEQ J071a) <br /> J.fIREHVDRANT ��� TOTAL S OO <br /> a.FIqE PPOTECTION SYSTEM PEHMIT VALIDATION <br /> �(- � r, .-1 <br /> 5.GRADING WHEN PROPERLV VAUDATED(IN THI6 SPAQE)TH15�IS YdUR PERMIT-'- (� <br /> L fi ORAINAGE Q <br /> 7.ENVIRONMENTALIMPACTSTATEMENT M <br /> 8.HEALTH DI51 RICT ��� � d' <br /> APPLICATION ACC. BV PLANS CNEGKED BY APPR.FOR ISSUANCE BV � <br /> �_ AD!)kL55 f IL[ <br />