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1heE�rr,�reen � � /\p�STRUCTION � � <br /> Ciir OF <br /> everett PERMIT pERMIT N0. O93SO <br /> CITV HALL 259-07:5 <br /> eveaEn.�vH �szo� C� COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILADDHE55 CRY 21P PMIN�E <br /> Francis t�i mhomas 1914 Colbv Ave Everett 96201 _ 252-5991 <br /> ARCHrtECTOR�ESiGNER MR�LADDRE55 CfTY ZIF PMONE <br /> GENERAI CANTRALTOR iMIL ADDRE`uS G7Y ZIP PNONE LICENSE• ' <br /> Self <br /> NEGMANICRICONiRAGiOR AWLADDFE55 CITY ZIP RVONE IIGEHSEI <br /> PWMBINGfANTNALTqi MAII�ODRE55 GTY 21P PNDME IIGENSE/ <br /> CtA550F WOFK <br /> ❑NEW �ADDITION ❑AL7ERATION ❑REPAIR ❑DEMOLITION ❑iENCE ❑516N ❑GAMGE <br /> VALU�TION OF WOAN <br /> s 600.00 <br /> OESCPIBE WORK <br /> Close in car port _ — <br /> vROPO5E0 USE OF BUILDING <br /> For Car I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> IEGAlDESCP�Pi10NOFPFO^ERtY(SNOWBEIOWORATTACrIFWRCAPIESI PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOV[RNING THIS <br /> ior 2�-2'Liar,�Z.$_oF ti i B TYPE OF WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT 0�)ES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATIIJG <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> $iGNAiURFOFCANiRACTORORhUiHOR12EUAGENi DAT <br /> J013�DORE55 - <br /> X <br /> PLUMBING MECHANICAL _ <br /> NO. TYPE OF PIXTURE OH ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATER CLOSEi(TOILET) AIF COND.UIUTS–NA.EA. _– <br /> BATNTU[3 REFRIGERATION UNITS–HP.EA _ . <br /> LFVATORY�4JASN BASIN `BOLLERS–H P.EA_ _— <br /> SHOWER GAS FlRED A.C.UNITS–TOIJNAGE EA. <br /> KITCHEIJ SINK 6 DISP. FORCED AIR SVSTEMS–B T.U. M EA _ <br /> DISHIVASHER WALL HEATERS–B.T.U. M <br /> LAUNORY TRAY UNIT HEATERS–BSA. M —.- <br /> CLOTH[5 WASHER EVAPoRNNE COOLERS _ <br /> WAiEfi HEA7ER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> URIIJKWG FOUNTAIN RANGG HOOD <br /> FLOORDRAIN AIqHANDIRJGUNIT– CFM. <br /> VACUUM�REANERS STOV[ <br /> ROOP DRAINS–PAMLE/+DERS METAL fIREPIACE d CNIMNEV <br /> SINK(SERVICE–BAF.EfC.) -- <br /> 3UB TOTAL SUB TG idL S <br /> PERMIT f PERMI7 f <br /> TOTAL FEE S TOiALFEE S <br /> SIDE YARD SETBACK STPCLT SETBACK REAR YAR�SET�ACK PLAN GHEGK NUMBER PLAN GHEGN FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANi SITE <br /> L]YES ❑NO fEES VALUATION FEE <br /> 7YPE OF CONST. UCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUiLDING $ <br /> SIZE OF BLDG. NO.OF STORIES MA%.OGC,LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT F�AE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> flVES [7N0 <br /> pPPROVALS BY DATE OTHEF <br /> 1. ENVIRONMENTAL CHEGK L15T PENALN U BC. <br /> SEC.303�a) <br /> 2. BUIL�INGPLANS TOTAL 11 SO <br /> 3. PIRE HYDF�INT <br /> a. FIPE PROiiCT10N SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED�1N THIS SFACE�Tk11S I5 YQU�i qEqMl� �i O 1 <br /> 5. GRADING 7 I C I 1 I <br /> � <br /> fl DFAINAGE <br /> M <br /> Z ENVIRONMENTALIMPAC75TATEMENI • ' � , � ��-'� <br /> B. HEALTH DISTRICT . . t� O <br /> �.. . <br /> APPLICATION ACC.BY PIANS CHECKED BY APPR.FOR ISSUANCE BY � ��• <br /> - '' :�:�I C � <br /> ADDRESSFILE <br />