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_ , <br /> +hcF.rrFrrrrr - CONSTRUCTIC� N - <br /> everett I PERMIT PERMIT N0. �3� � 1 <br /> qTV HALL 25967<5 <br /> EVERE7T.WA98201 � CQMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILPODRE55 CITY piP PnONE <br /> G. Brocker and M. 5hroyer 98203 252-5751 <br /> qR{,wiWT OR OESIGNER MRIL 4D�FE55 �ITY ),IP PMONE <br /> GENERRL CONTRACTON MAIL AODRE55 GTY 21P PHONE IICENSE� � <br /> Ed Burby 18105 47th Avenue S.E. Bothell 98012 338-0231 <br /> MELHANI.RL GONTRRCTOR MAIL ADDRE55 CITV 2iP PMO��[ UCENSE r <br /> EDBURCR19BK8 <br /> PWMBING GONTRAGTOR MAIL ADDRESS GItY ZIP VHLNE LICENSE� <br /> GLR55OF WORK �l <br /> ❑NEW ❑ ADDITION ❑ ALTERATION X.A REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOO�SiOVE/FIREPLACE INSERT t <br /> YAWRiION OF WOAN <br /> f 48��.�0 <br /> DESCRIBE WORK <br /> Reroof with fiberglass roofing <br /> PHOPOSED USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE 7RUE AND <br /> LEGAlDESGRIPf10NOFPROPEHTY�SMOWBELOWORATfACHFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ioT_eiocn_oF GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH <br /> WHETHER SFECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR C:4NCEL T PROVISIONS OF ANY O?HER STATE OR <br /> LOCAL L �EGULATING CONSTRUCTION OR THE <br /> PERFOR CE OF CO TRI <br /> JOB aDORE55 !iIGNATU . ON . h�:TOR . iH G[RT DAtE <br /> 1929 Colby � 9/14/84 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEH CLOSET(TOILEn FIR CONO.UNITS — H.P.EA. <br /> BATHTUB REFRIGEPATION UNI7S— N.�. EA. <br /> LAVATORY�WASH BASIN) BOILERS— H.R EA. <br /> __ SHOWER fp5 FIFED A.C.UNITS — TONNAGE EA. <br /> KITCHEN SINK B CISP. FORCEO AIR SYSTEMS— B.T.U. M cA. <br /> DISHWASHBfl WALI HEATERS— B T.U. M <br /> LAUNDRV TRAV UiilT HEATERS— B.T.U. M <br /> CIOTNES WASNER EVAP08ATIVE COOLERS <br /> WATER MEATEN CLOTHES DRYEiiS <br /> URINAL VEhTILATION FAN <br /> DRINKING FOUNTAIN I7ANGE MOOD <br /> FLOOF DRAIN AIP HANDLING UNIT— C.F.M. <br /> VACUUM BNEARERS STOVE —WOOD <br /> ROOF DRAINS — BAINLEADERS METAL FIREr'�ACE 8 GHIMNEY <br /> SINK(SERVICE— BAR.ETC.) FlHEPIAGE INSERT <br /> HEAT PUMP <br /> SU6 TOTAL f 5UB TOTAL S <br /> PERMIT { PERMIT S <br /> TOTAL FEE 5 iOTAL FEE S <br /> SIDE YAHD SETBACN S?REET SEiBACK flEAR VARD SETBACK PLAN CHECK NUMBER PLAN CHECN FEE <br /> FEL RECEIPT NO. <br /> USE ZONE LOi ARLA VACAnf SITE <br /> ..YES NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF�WELLINO UNITS <br /> BUILOING a7B00. SO 50 <br /> S12E OF BLDG. NO.OF STORIES MAX.OCQ LOAD _ <br /> PLUMBING <br /> FINEZONE BASEMENT FIRESPRINKLERS MECHANICAL <br /> HEOUIRED <br /> VES ' .NO <br /> + APPROVALS BY DATE OTHER <br /> 1. ENVIPONM£NTAL CHECK LIST U B". " <br /> — _ PENALTV gEC. 3071a) <br /> 2.8UILDING PLANS — <br /> 7.FIREHYDRANT TOTAL SO SO <br /> 4.FIRE PROTEGTION SVSTEM PERMIT VALIOATION <br /> S.GRADING WNEN PROPERLV VALIDATED IIN THIS SPAC��TNIS IS YOUq-PEPMIT�r--q <br /> B.DflAINAGE � . .� � .. ) ��. .� '•. <br /> N' <br /> ZEIJVIRONMGNTALIMPACTSTATEMENT � <br /> 9.HEALTHDISTRICT - �r� � <br /> � ...i-•� � .. <br /> 1.- � <br /> APPLICATION ACC. BY PIANS CHECK:D BY APPR. FOR ISSUANCE BV ' ' �' � ' � <br /> i � <br /> I <br /> ADD�dL;iS FIL� <br /> L <br />