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i <br /> � � _ ��iY. — ' <br /> �+.+s N��4�� . . ... •T:lllcfl�l� <br /> (hc£rCRVOF ^ONSTRUCTION - � �-� <br /> l.Ve�l.tt PE�MIT pERMIT N0. 10560 <br /> � CITV HFLL:59�8745 <br /> e�eHerr. wn 9ezo� ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> UJMCH MAILAp�RC55 CIiY Z�P F��G4E <br /> Ole Sletten 8516 196th Street Edmonds 98020 776-1516 <br /> 4RCHiiCCT GR DES4kLN MAILAf"WC55 pTY ZIP PNONC <br /> �,ryr.qF�CO!JiHACtOR MAILnDD�iC55 p�Y IIP PHONE L�CENSEI <br /> Same <br /> iliC�+hNiCAICONiuACTOH AIAILFDDFE55 CItY ZIP PHONE LiCENSE/ <br /> ClUlA�INGGONTRhLTOF MAI�AOOFESS C�ir ZIP PHONE LIGENSE� <br /> ClASS Oi WONK <br /> ❑NEW C,IADDI7IG^+ ❑ALTERATION �EPAIR ❑DEMDLITION ❑PENCE ❑SIGN CGARAGE <br /> VNLUATION OF WOPK <br /> f 1�00. 00 <br /> OCSCAIBE WORK <br /> re—roof--Composition <br /> FROPOSED USE OF BViLOMG <br /> Apartment I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEU THIS AP� <br /> i.ec«ccscaianorrovrnoPearvis�iowoaor�onnnacHFcueeaaies� PLICATIUN AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANGES GOVERNING THIS <br /> 5 �1,5' —3— B,ak 49Q�F Everett TYPE OF WORK WILL BE COMPLIED WITH WHEIHER SPECIFIED � <br /> All 4—N15 ' -5 HEREIN OR NOT. TH[ GRANTING OF A PERMIT DOES NOT <br /> PRESUM[TO GIVE AUTHORITY TO VIOLATE OR CANCEL 7HE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTf�CT � OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB f•ODRESS 516NAiUu�O�CO 1 1 TOR q AUiM��I U A,CNi DhiE <br /> 2305 Colby X U/ 5/17/82 <br /> PLUMBING • MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OP E�UIPMENT FEE <br /> WAiER CLOSET(TOILEf) Flq COND.UNITS—N P [A. _ <br /> F3ATNTUB RcFRIGE�AT10t1 UNITS—H p.EA <br /> �AVATORV(WASH BASIN� �OILEFS—HP.EA. <br /> SHOWER G45 FIRED n C UN'�?S—T01�NAGE EA <br /> KITCHEN SINK 8 DISP. FORCED�UR SVSTEMS—U iL. M EA. <br /> DISHWASNER WALlH6U[RS—O.T.U. M <br /> LAUNDRY TRAV UNIT HE1dER5—dT.U. M <br /> CLOTHES WASNER EVAPOPATNE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> �p�ryq� VENTItATION FAN <br /> ORINKING FOUNiAIN RANGE HOOU <br /> FLOOR�RAIN AIR HANOLING UNIT— C F.M. <br /> VACUUM 6REAKER$ $iOVE <br /> ROOF URAINS—RAINLEADE(75 MEiAL FIREPLACE d CHIMNE� <br /> SINK(SER1'ICE—BAP,ETC� <br /> SUBTOTAL SUBTOTAL S <br /> PERMIT S PERMIT S <br /> TOTALFEE S TOTALFEE S <br /> SIOE YAflD SETBACK STHC6T SET�ACK REAR YARD SETUACH PIhIJ CH[CK NUM�ER PLAN CHCCK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AHEA VACANT SITE ' <br /> I7YES i1N0 FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLN�UNITS <br /> OUILDING $ 1 �000. X�X�:a <br /> SIZE OF BLOG. NO.OF STORIE3 MA%.OCC.LOAD _ <br /> PLUMBING <br /> HPE ZONE �ASEMENT FlHE SPRINKLERS <br /> RCOU�RED M[CHANICAL <br /> I1VE5 i1N0 <br /> APPROVALS BY DATE OTHEP <br /> L ENVIRONMEIJTAL CHECK LIS PENA�T� U B.C. <br /> 2 BUILDING PLANS SEC.303(a) 1� 5 0 <br /> ---T TOTAL X]CQ RQ <br /> �� 3. FIRE HYUfiANT p� <br /> � d. FIRE PROTECTION SY WHCNIPROPE'(iAY'A�LIDATED(M THIS SPACE)THI515 YOUR PERMIt <br /> 5 GRA� 2 6 O I S O I O.O O —Oi <br /> � �G. DRAINFGF�— � <br /> ' 7. ENVIRR�NNNRNTAL I61FWI.T STATEMENT LC� <br /> .� B. H�,�,a o»��T XO U R REC E 1 PT� <br /> I m0 APPLICf�O .BY � PLANS CHEGKED BY APPR.FOR ISSUANCE BY T I�/�N� Y'✓U <br /> N . . <br /> , (� rn � <br /> C ro <br /> ' � � � unr �2 <br /> ""' ADDRESS FILE <br />