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I <br /> r��� ���;`Y`oF ^ONSTRUCTION , <br /> everett PERMIT pERMIT NO. 11246 <br /> CITY HALL '259�87�5 <br /> eveaerr. �vn oezo� ❑ COMBINATION �tBUILDING ❑ MECHANICAL ❑ PLUMBING <br /> G�h'!JEN MAILApDRESS GiY ZIP PMON6 <br /> Mrs. Harry Nelson 1521 Colby Everett 98201 252-8809 <br /> PCC��rt[Ci OA OESIUNEIi MhIL RODRESS CITY ZIP PMOM1E <br /> GENERA�CONiA/.GTOB r.IniLADDRE55 GiV 2i� VNONE L�CRSE� <br /> Wayne' s Const. Co. 5317 South 2nd Everett 98203 252-5212 <br /> MEGHMLCAIi%JNiRnCiOQ MnILADORE55 L17Y ZIP FMONE UCE!JSE� <br /> WA YN ES C319J(i <br /> PWMBINGCANTAALiOR NP4AD�PESS CITY ZIP PNONE LiCENSE� �� <br /> CUSSOF WORK <br /> ❑NEW ��DDITiOR ❑ALTERA710N [X�EPPIR ❑DEMOLITION ❑FENCE ❑SIGtJ ❑GARAGE <br /> YRLUATiON OF WORK <br /> y 42��. 0� <br /> GESGAiBE WORK <br /> repair foundation <br /> ��POPOSED USE OF�tIILDIN� I <br /> Single family residence I HEREBV CERTIFY THAT I HAVE FEAD AND EXAMINED THIS AP- <br /> i�cnoexni�•nor+oraauecetrts!+owaeiowonnnna+rouecoP;�si PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 10-11-12 37$ Everett Div. B ALLPROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS <br /> io* eiocK_ F TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIIJ OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRE£UME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> +JISIONS Of= ANY OTHER STATE OR LOCAL LAW FEGULATING <br /> CONSTRUCTION OR THE P FORMANCE OF CONSTRUCTION. <br /> �oe ncoetss ��or�n-_,:.c �mr,rnn�rce cn ti r�o �zEo n./eJ.r., nnre <br /> 1921 Colby „L �dLZ(.L� - 16 82 <br /> {�LUMBINO ME NICAL <br /> NO. TYPE OF FIXTURE OR ITEM PEE N . TYPE OF E�UIPMENT FEE <br /> 1NATER C.lOSET�TOILEi) HIR COND.UNITS—H P EA <br /> 3ATHTUf3 RLFRIGERATION UNITS—H P EA <br /> lAVA70RV IWASH BASIN) BOILERS—HP [A <br /> SHOWEF GAS FNEU A C.UNIiS—TONNAGE EA <br /> KI7CHEN 51NK&�ISP. KORCED Alq SVSiEMS—B T.U. M EA. . <br /> DISH\VASHER WALL HEATEi�S—8 TL. M 1 <br /> LAUNDRV TRAV UHIT HEAT[PS—E7 T U. M I <br /> CLOiHES WASHER [\'AFORATIVE COOLEHS <br /> WATER HEn1ER CIOTHES DRYERS <br /> Ur71NAL VENTIlA110N FAN <br /> URINKIdG FOUNT�IIJ RANGE H00� <br /> FLOO��RAIN AIR HANDLING UNIT— C.F.M. <br /> VANUM f3REAKEHS ETOVE � <br /> ROOF DHAINS—HAIIJIEADEPS METAL FIR[PLACE b CHIMNEV <br /> SINK�SGRVICE —BAR. EiC I <br /> SUBTOTAL SUBTOTAL S <br /> PEHMIT S PERMIT f <br /> TOTALFEE f TOTAL FEE S <br /> SICE VARD SETBACK Sil�(ET 5[i�ACK R[AR YAR�SEIBACN PIAN CNECK NUMA[P PLFN CHECK FC@ <br /> FLE PECEIPT MO <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> i)YES i7N0 <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLMG UNITS <br /> u'JILDING b QZQQ . $Q rjQ <br /> SIZE OF BLOG NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE �ASEMENT qEOUIRED KlERS MECHANICAL <br /> f1VE5 fINO <br /> APPPOVALS BY DATE OTHER _� <br /> 1. ENVIRONMENTAL CHECK LIST pENALTY U 6C <br /> SEG 9071a) <br /> 2. DUILDINGPLANS 50 50 <br /> - �OTAL <br /> 3. FIPE H1'DHANT <br /> a FIR[PPOTECTION StSTLM PEHMIT VALIOATION <br /> VlHEN PFOPERLY VALI�ATED QN THIS SPACE)7NIS IS YOUR PEPMIT <br /> 5. GRADING 0 0 7 9 S.0 5 0. 5�0 --- �' <br /> 6 DflA1NAGE • . . <br /> Z ENVIRONMENTAL IMPACISTATEMENT ' : � � ' � <br /> 8, HF.ALTHDISTRICf YV��'R RECEIPT `� � <br /> APPUCATION ACC f3Y PLANS CNFCF[D BY APPR FOR ISSUANCE BY <br /> 7�1/�i�l}�' YOU <br /> ADDRE55 FILE ' , 1 � �y gl � <br />