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. <br /> d�e E��cr�rcrn <br /> � �G� �-~ ;ONSTRUCTIOf�� - <br /> everett PERMIT PERMIT NO. 11��3 <br /> GTV MALL 259-0745 <br /> EVERETT.VJA 98207 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> . OWNER MRILADDNE55 dTY ZiP PnONE <br /> 14ILLIAM HELBERT MILL CO PO Box 1111 Everett WA 98206 <br /> � ARGNITEGT OR DESIGNEH MAIL AODflE55 CITY ZiP PHONE <br /> GENEN�LCONTRACiOP 11AILADORE55 dTY ZIP PNONE LIGENSEt <br /> Edmonds Roofing PO Box 571 Edmonds tVA 98020 778-3141 EDMONR262DB <br /> MEGNANICAL GONTRApTON MAIL AODPE55 dTY IIP PHONE LILENSE� <br /> PLUMBING COHTRAGTOH MI11L ADDPE55 CIT1' LP PHONE 4CENSE I <br /> LUSS OF WORK <br /> O NEW ❑RDDITION � ALTEMTION �'�REPAIR ❑DEMOLITION ❑ FENCE ❑SIGN ❑ W000 STOVE/fIREPLACE INSERT <br /> VALUATION OF WOqN <br /> i 75�0. �� <br /> DESCRIBE wORk <br /> Hot mop roof <br /> PPOPOSEO USE OF BUI�.DING <br /> COtI11IICTC131 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEG THIS i <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND i <br /> IEGnLD[ECHIPTIONOFPpOPEFTY�6NOW8ELOWOPATTACMFOUIICONE6� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �oT_e�ocK_cF GOVERNING THIS TYPE OF WORK WILL BE COMPL�ED WITH � <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A ', <br /> PERMIT DOES NOT P UME TO GIVE AUTHORITY TO VIOLATE I <br /> — OR CANCE� THj!PROV IOt S OF ANY OTHER STATE OR <br /> LOCAL L �4iEGULA I GONSI' CTION OR THE i <br /> PERFO ° F CO UCTI � <br /> JOB AppRE55 SiGrvATUR G +��� � NO�.ZED -NT DA1E I <br /> 3019 Colby /12/83 I <br /> PLUMBING MECHANICAL - <br /> 1 <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEH CLOSET(iOILET7 AiR COND.UNITS— H.q EA. � <br /> BATMTUB REFRIGERATION UNITS — MP.EA. � <br /> LAVATORV(WASH BASIN� BOILERS— H.P. EA. �I <br /> SHOWEH GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCMEN SINK B DISP. FORCED AIR SYSTEMS— B.T.U. M EA. ' <br /> DISHWASHEfl WALL MEATERu— B.T.U. M i <br /> LAUNDNY TRAY UNIT HEATERS — B.T.U. M � <br /> CLOTNES WASHEfl EVAPORAiIVE COOLERS ' <br /> WATER MEA7ER CLOTHES DRYERS , <br /> URINAL VENTILATION FAN _ i <br /> DRINKING FOUNTA�N RANGE MOOD � <br /> FLOOR DRAIN AIR MANDLING UNIT— C.F.M. <br /> VACUUM BFEANERS STOVE —WOOD <br /> ROOF ORAINS— RAINLEADEflS METAL FIREPLACE 8 CHIMNEY �� <br /> SINK ISEHVICE— BAR,EtC.) FIREPLACE INSEiiT �� <br /> HEAT PUMP <br /> SUBTOTAL S SUBTOTAL f , <br /> PEHMIT f PERMIT f <br /> TOTAL FEE f TOTAL FEE S <br /> SIDE YAR�SETBACK STREET SF.TBPCN pEAR YARD SETBAGK PLAN CNECK NUMBEF PLAN CNECK FEE � <br /> FEE RECEIPT NO. � <br /> USE ZONE LOT AR'cA VACANT SITE <br /> I-_YES ��.NO FEES VAWATION FEE <br /> TYPE OF CONST. OGCUPANGY GROUP NO.OF DWELLING UNITS � <br /> SiZEOF8LD0. NO.OFSTORIES MAX.000.LOAD BUIIDING f�SOO. 00 6H SO � <br /> PiUMBING <br /> FIPEZONE �ASEMENT FIRE SPRINKlERS MECNANICAL � <br /> PEOUIflED <br /> VF.S NO <br /> APPROYALS BY OATE OTMER � <br /> 7 ENVIRONMENTALCHECKLIST PENALTY UB.C. <br /> SEC.3071a1 <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRAN7 TOTAL GS SO ' <br /> <.FIRE PPOTEC710N SYSTEM PERMIT VALIDATION � <br /> 5.GRADING WHEN PROPERLV VALIDATED QN TH��5�A�E)THIS_IS�V�U�P�R�.11T — � �. I <br /> � [ A U <br /> fi.DRAINAGE � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � I <br /> � <br /> 8.NEALTH DIS7RICT � <br /> APPLICATION ACC.BY PLANS CHECKEU BY APPR.FOR ISSUANCE BY Yi�U R RE C E I PT '� <br /> �!-iANK YOU <br /> I 3 �� g� <br /> �40DRE55 FILE <br /> i , <br /> I <br /> � <br />