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_� <br /> �1 ; <br /> Ih�£,`���o� ; CONSTRUCTIO' ' ' <br /> everett PERMIT PERM�T No. 11g77 <br /> CITY MALL 259�B7.t5 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MqiLiDDqF55y` GTY ZIP PMONE <br /> Sill Wahl (Winds Wesz ttBd1L � <br /> ARLMi*EGT OR�ESIGNER Mnll ADORE55 GiIY pIv pqpNE <br /> GENERAL GONTRACiOR MAIL ApORESS CRV 21P PMONE LIGENSE� <br /> Srians Mountain Goai Roofing 11019 37th Drive S.E. 98204 337-7076 <br /> MEGHANICAL CANTRRGTOR MA�L AOORESS GI�Y 21P PHONE LIL[NSE• <br /> r BRIANNY 1033 '"� <br /> FWMBING LONTP�LtOR MAIL ADDRE55 CITY ZIP PNONE UCENSE� <br /> CI A55 OF WORK <br /> O NEW ❑ ADDITION O ALTEHATION [��EP,\IR ❑ DEMOLITIDN ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VAWAiION OF WORY. <br /> t 55�0. 0� <br /> DESCRIBE WORK <br /> remove shingles a ? apply No. 1 heavy Shakes <br /> VROPOSEO USE OF BUIIDING <br /> I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESGRIPf10NOFPROPEHTYISHOWBELOWOPRTTAGHFOURCOPIES) COARECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_9lOCK_OF GOVERNING THIS TYFr OF WOFK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIIJ CR NOT.THE GRANTING Of A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORIiY TO VIOLATE <br /> OR CANCEL THE PfiOVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CON TRUCTIOh. Q <br /> JO[i nODRESS SIGNATUPE OF CONTPAGTOR ON U MOR12ED PGENt 5/qT1�8 3 <br /> 3124 Colby 1 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND.UNITS — HP.EA. <br /> BATHTUB REFRI6ERATION UNITS—M.P.EA. � <br /> LAVAIOPY�WASN BASIN) BOILERS —H.P. EA. <br /> SHOWEH GAS FIREO A.C.UNITS — TONNAGE EA. <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER INALL HEATERS — BT.U. M <br /> LAUNDRYTRAY UNIT HEATEHS — B.T.U. M <br /> CLOTHES WASHEN EVAPURATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILA710N FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIF HAN�LING UNIT— QF.M. <br /> VACUUM BREAKEfiS STOVE— WOOD <br /> ROOF ORAINS— HAINLEADERS tdETAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR, ETC.) FIREPLnCE INSERT <br /> MEAT PUMP <br /> . � <br /> SUB TOTAL S SUB TOTAL f <br /> PERMIT S PERMIT f <br /> TOTAL FEE f TOTAL FEE f <br /> SIDEVARD SETBACK SIREET SE?BACK FEAR YARD SETBACK PLAN CMECK NUMBER PLAN CHECNFEE <br /> FEE RECEIPT N0. <br />�� USE ZONE LOT APEA VACANT 51TE <br /> . !YES ;_NO FEES VALUATION FEE _ <br /> TVPE OF CONST. OCCUPANCV GHOUP NO.OF OWELLIN�UNITS <br /> eui�oiNc s 5500. 56 50 <br /> SIZE OF BLDG. NO.OP STORIES MAa. OCC. LOAD — — <br /> L PLUMBING <br /> _ r <br /> FIRi�ZONE BA5EMENT FIRE SPFINKLERS MECNANICAL <br /> nccuiaEo <br /> vES ' NO <br /> AiVROVALS BY DRTE �THEP <br /> 1. ENVIRONMENTAL CMECK LIST PENALTY U B C <br /> - — SEC.303(el <br /> 2.�UILDING PLANS — - — <br /> 7.FIRE MYDRANT TOTAL S 6 S O <br /> ` A.FIREPROTECTIONSYSTEM PEHMITV�LiDAT10N u���A ���� �� � <br /> 5.GRAOING WHEN PROPERLY VALIDAIED pN T„�, TE�THI I 17� <br /> G.DPAINAGE � <br /> � <br /> Z EMVIRONMENTALIMPACTSTATEMENT <br /> B.HEALTH OISTRICT 1':� U R R E C E I Pl' � <br /> APPLICATION ACC. BY PLANS CHECNED BV APPR.FOR ISSUANCE BV : f-���� ��O U <br /> 12 �Y83 <br /> ADDRe55 PILC <br />� <br /> ; � <br />