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V <br /> �,..�, <br /> rhe£�rrgreen CO�,STRUCTION � <br /> CITY OF <br /> everett �ERMIT PERMIT N0. OH356 <br /> GT�HFLL 25?�87e5 <br /> Fveaerr.wn oezc� L� COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> Ow'NEP _ MAiLADDRE55 CITY ZIP Pr�BNi <br /> Gertrude Rucker (Brandywine Jewelry) 2806 Colby <br /> R�C✓RECf OR DESiGNCQ MAIL ApDAE55 CrtY ZIP PHONE <br /> GFHCA>LCANTR�CiOH MMLAD�P.E55 CIiY ZiP PHCNE LiCC�iSE � <br /> Solie Builders 7514 Juniper Drive Everett 98203 353-2331 SO-LI-EB- <br /> ktcy/�v�:JdGONTRnCTOu �A�l/DDAE55 GTY Z�o PHO 1 iGENSE r <br /> Evergreen State Sheet Metal 252-3119 _ <br /> '.111/BltlGCANTA>�10A uaaaoonEss r.ITY ZIP PHONf UGiN[.[I <br /> Rens Plumbing 568-3615 _ <br /> QASSOf WORK <br /> ❑NEW ❑ADDITION �ALTEMTION ❑REPAIR ❑DEMOLITION ❑FENCE ❑S�GN L�GARAGE <br /> \'l�W Af 10N OF V/ORN <br /> S 4����0 <br /> OCSGAiBE wOAK . <br /> Remodel <br /> rappp5[D USE OF BUi�Dn+G <br /> I HERESY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> ;�anioescairrior+o�raoa[a�r�sN�weaowoa�,tracr+rouawriesi PUCATION AND KNOW THE SAME TO BE TRUE P.ND GORRECT. <br /> ALL PROVISIONS OP LAWS AND ORDINANCES GOVEANWG THIS <br /> �,,,,��iocK h6A,� TYPE OF WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCFL THE PRO� <br /> VISIONS OF ANY HER STATE OR LOCAL LAW REGULATING <br /> CONS CTI R T E PERFOR CE OF CONSTRUGTION. <br /> JOB FUDAEbS ii.N ,pR[ �f C itR� n OF ' ��HO Z( - ,�3H� DaTE <br /> 2806 Colby X � � 10-8-80 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOVIPMENT FEE <br /> WATEA CIOSET(TORET) AIF COND UNRS—H P EA. __ <br /> BATHTU9 R[FPI�[RATION UNITS—H P.EA ___ <br /> IAVATORY IWASN BASIN BOI�[RS—H R GA _ <br /> SHOWFR GA$FIRE�AC UNITS—TONNACoE EA. _ <br /> KITGNEN SINK 8 DISP. FORGEU AIR SYSiEMS—B T U M EA. <br /> DISHWASHER WALLH[ATERS—BTU. M <br /> LAUNDPY TRAV UNIT H[ATEP� -B.f L. M <br /> CLOTHES YlASHFR EVAi'OHATNL GOOLERS <br /> WATER MEATER ClO1FiC'S DRVEHS <br /> 11RINAL VE�ITILATIOW FAN <br /> ]_ DP.INKING FOUN�AIN �ANGE HOOD -- <br /> FIOOR DRAIN A1P HANDIINa UNIT— C F M. , <br /> VACUUfd BHEAKEAS STOVE — <br /> ROOF pRAINS—RAW IEADERS METAL FlPEPLACE 6 CHIIANEV _ <br /> SINN�SERVICE—BAfl.ETCJ -- <br /> SUBTOTAL SUBTOTAL f __ <br /> PERMIT f PERMIT f <br /> TO7ALFEE S TOTALFEE S <br /> SIDE YAfiD SEiBAGK 51 PLF i Sf iifi•CY. �7EAR YARD SETBACK PLAN CH[GK NUMBEP PLAry CHECN FEE <br /> 80/8356 °CE154.70 �Ecemirao <br /> USE ZJNE LOT AREA VAGANT SITE FEE8 VALUATIDN —FEE <br /> ,�_3 GYES CNO <br /> TYPE OF CONST. OCCUPANGY GROUP N0.OP�WELLING UNITS <br /> Remodel :12 V-1 iir BUILDIN6 �40,000. 238 00 <br /> SIZ[OF BLDG. NO.OF STO'aiES MA%.OCC.LOAD <br /> 1 52 PIUMBING <br /> f IPE ZONE BASEMENf qECJ RED KLERS M[CHANIGAL <br /> f-iVES 7CN0 <br /> APPROVALS BY OATE O7HER <br /> L ENVIAONlALHTAL CHECK LIST pENhLTv U BC <br /> GEC.307(a) <br /> 2 BUILDIIJG PLANS TOTAL <br /> 3 FIREHVDRAN7 23B OO <br /> a. FIRE PFOTEC710N SVSTEM PERMIT VALIDATION <br /> WH[IJ PRGPERLY VFLIUATED�IN THIS SCACEI THIS�6 VOUN PEFiM1T <br /> 4 DRAMAGE � r � 'J �. � � �• � � �7� <br /> 7 ENVIPONMENTALIMPACT SiATEMENT � <br /> �� NEALTN DISTRIC7 <br /> r.PPLICATION ACC.BY PIANS CHECGED BY APPR.FOH K,SUnNLE Bv � . . .• �.I I I <br /> • I <br />