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theE��crgreen ^ONSTRUCTION � <br /> Ci7v of <br /> everett PERMIT <br /> arY HF���-�9 P„� PERMIT NO. 111 S H <br /> �vea�rr.v:n sa<o� ❑ COMBINATION �CBUILDING Cl MECHANICAL ❑ PLUMBING <br /> OWNCR NRiI,ADORE55 C�iY �P vnp!16 <br /> JUDY E. A9USOLF 4507 COLBY E1+ERETT 98201 252-1690 <br /> hRCNRECT CI-,Ci.GiG�iER MAIL ApDPEaS <br /> C�TY ZIP PHONE <br /> \ <br /> UENER>LWNTFAGTpq qn�LADpRE55 qTY ZiP WIONE UCENSE 1 <br /> Everett Blders 560G Everoreen 1Vay 98203 353-7161 <br /> MECNA�LCALCANTRApTOP MAILAD�RE55 GTV ZIP PHONE UCENSEI <br /> 22"s EV ER EB 301 PH <br /> PLlMB!NGCANTpA�TOR MAILADORESS ���. 21P � � <br /> fMeO�JE UCCNS[� <br /> CL4550f WOIM <br /> ❑NEW ❑AD�ITION t]A�TERATION ❑REPAIR ❑�EMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUAtiONOF W09K <br /> , 2568. 00 <br /> D[SCRIBE WOAN <br /> Reroof, ne�o gutters (Composition) <br /> �a�PG5E0 U5[OF BWtDMG ' <br /> Residence 1 HEREBY CERTIFY THAf I HAVE READ AND EXAMINED THIS AP• <br /> �e�niocscnivnoaoraauaeArr�sNaweeiowoannacNrouacowcs� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ����• $ •9 eioc�l oF Central Park ALL PROVISIONS OF L1WS AND ORDINANCES GOVERNING THIS <br /> TYPE OF WORK WILL BE COMFLIED WITH WHETHER SPECIFIED <br /> 4078 O11 006 0000 PRESUM TOGI�VEAU HORITYTOVIOLATEORCANCE�L�HEPRpT <br /> \'ISIONS F ANY OT STATE OR LOCAL LAW REGULATING <br /> CONS U 710N OR�t�ERFOiiMANCE OF CONSTRUCTION. <br /> �o��aooatss sicrur „F�;�,�,;nnc. a nun�on¢eo ticeNi � onre <br /> 4 5 0 7 01 U X � Lt� �< �lc�a-�-oc'_ � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIJCTURE OR ITEM FEE NO. TYPE OF EQUIPMENi FEE <br /> WA1EF CLOSET(TOILET) AIN COIJD.UNITS-HP.CA. <br /> �ATHTUB REFf71G[RATION UNITS-HP.EA <br /> IAVATORY(WASH BASIN) BOILERS-H P.EA. <br /> SNOWER GAS FIRLD A C. UNITS-TONNAGE EA. <br /> KITCHEIJ SINK 8 DISP. fORCED nIN SYSiEMS -B T.0 M EA <br /> DISHWASHER IYALLHfA7ER$-BT.U. M <br /> I L4UNDRV TRAY UIJIT HEATENS-B T U M <br />� CLOiN[5 WASH[R EVAPOi7AiN[CCOLERS <br />� WAT[R NEATER CLOTHES DRYERS <br /> �R���A� VENiILATION FAN <br /> DRINk]NG F(7UNTAIN RAIJGL NOpG <br /> FLOGR DPAIN AIR HANDLING UNIT- C F.M. <br /> VACUUM OREAKERS STOVE <br /> ROOF DRAWS-RAINLEAOERS METAL FIREPLACE 8 CHIMNEV <br /> SINK fSERVICE-BAq.ETC) <br /> SUB TOTAL SUB TO1AL f <br /> PENMIT S PERMIT y <br /> TOTAI.FEE f TOTAL FEE S <br /> SIDE YARb SETOACK 51REE1 SET�ACK RLAR VARD 5[T�ACK PI.AN CHECK NUM�EH PLAN CHECK PEE <br /> FLE RECEIPTNO. <br /> USE ZONE LOT AREA VACANT SIiE <br /> C.VES t-�NO FEES VALUATION FEE <br /> TYPE OF CONST. fJCCUPANCY GROUP NO.OF DWELLING UNITS <br /> SIZE OF BLOG. NO.Of STORIES MNc.OCG LOAD BUILOING S Z S�8 . OO 3S S O <br /> PLUMBING <br /> FIqE ZONE BASEMENT FIRE SPRINKLERS <br /> �EQUIRED IdECHANICAL <br /> (IVFS �`�NO <br /> APPt10YALS BV OATE OTHER -�•-� <br /> L ENVIRONMENTAI CMEq(UST <br /> 2. BUI�OING PLAWS PENALTY SEC 303�al <br /> 3. FIREMV�PANT TOTA� 38 5� <br /> 4 FIRE PROTECTON SYSTEM PENMIT VALIDATION <br /> � 5. GRADING <br /> YMEN PROPERLY VALIDATEO(M THIS SPACE)TNIS IS VOUP PERMIT <br /> i <br /> , - 6. ORAINAGE Q A O ` � � � n.� O �� � <br /> 7 9 Y 8 <br /> Z ENVIRONMENTAL IMPAC7 STATEMENT <br /> 8. HEALTH DISTRICT �-{ <br /> APPLICAT�ON ACQ[3Y PLANS CHLCKEU�V APPR,POR ISSUANCG l3Y YO U R REC E I Pl'� <br /> 7'HANK YOU <br /> ADDRE;S FILE � R OCT g2 <br /> —l� <br />