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,< <,� �,� „ r���)NS I i��C:i=IU�I � � <br /> CITY OF <br /> everet� PERMIT PERMIT NO. O931H <br /> QTY HALL 259-8745 <br /> eveaeTr.wn 9ezo� ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> O�:NER IAAILMDHESS GRY Z�P �ONE <br /> Don Healey 4519 Colby Everett 98201 259-3790 <br /> r.RCn�tECTORDES�GNEVi �ILaDDRE55 GITY ZiP PHONE <br /> GENEHAIfAN�PAGfOri MAILADDFESS GTY ZiF FMONE L�LENSEI <br /> Same , <br /> IAEGMAtLG<i WNTRACTOR 1MIL 11DDRE55 Cltt Z�V PMO'IE UGENSE I <br /> PLIIMBINGWNTRAGiD�' NAILAI1DflE55 CfTV 21P PMONE LICENSE/ <br /> CVSSOF WORK R <br /> ❑NEW ❑ADDITION ❑A�IERATION ❑AEPAIR ❑DEMOLITION }µFENCE ❑SIGN ❑GAMGE <br />' vnw�non oF wo�c <br /> S 300.00 <br /> OESCRIBE N'ORN <br /> erect 36' chain link £ence <br /> Pa0PO5ED OSE OF BUILOING <br /> single f amily res idence I HEREBY CERTIFY THAT I HAVE REP,D ANC EXAMINED THIS AP• <br /> LEG4LDESCRIPiIONOFPROP[FiY�5NOW8ELOWOR/•TTNG�FOURCqMES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 14— 11 Central Park ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> cb�— �et�c�_oc _ TYPE OF WORK WILL BE COA!PLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE G�ANTING OF A PERMIT DOES NOT <br /> PRESU ME TO GIVE AUTHGRITY TO VIOLATE OR CANCEL THE PRO• <br /> VISIONS OF ANY OTFiER STATE OR LOCAL LAW FEGUTATING <br /> CONSTRUCTION 0 i THE PERfORMANCE OF CONSTRUCT�ON. <br /> SiGNATU � CANiP:.C1DR09AUinORIZC AGLHT OAiE <br /> 4519EColb X � � 6/1/81 <br /> Y �7 = <br /> PLUMBING MECHPhICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. 7YPE OF E�UIPMENT FEE <br /> WATER CLOSE�(TOILET) AIR CA4D.UNITS—NP.LA. <br /> 6ATHTUB REFRIGERATION UNITS—HP.EA <br /> LAVFTORY(WASH BASIN) BOItERS—HR EA. <br /> SHOWLR GAS FIRED A C.UWITS—TONNAGE EA. <br /> KITCHEN SINK 6 DISR FORCED AIP SYSTEMS—C T.0 M EA. <br /> DISHWASHER WALLIIEATERS—BT.U. M <br /> LAUNDRV iRAY UNIT NEATEf75—0 T.U. M <br /> CIOiMES WASNER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES D�7YER5 <br /> UFItJAL VENTILATIUN FAN <br /> DRINKING FOl1NTAIN RANGE HOOD <br /> FLOOR DHAIN AIP HANDIING UNIT— CF.M. <br /> VAGUUM�iIEAKER$ STOVE <br /> ROOF DRRINS—AA�NLfADERS METAL FIREPLACE 6 CHIMNEY <br /> SINK(SEH\9CE—B/+R.ETCJ <br /> SUBTOTAL SUBTOTAL t <br /> PEPMIT S PENMIT f <br /> TOTAI FEE f TOTAL FEE S <br /> SIDE YARD SETBACK STREET SET6ACK (7EAfl YARD SET�ACK PLAN GHECK NUMBER PLAN CHECK FEE <br /> FCL RECEIPT NO. <br /> USE ZONE lOT AFEA VACANT SITE FEES VALUATION FEE <br /> LIYES L]NO <br /> TVPE OF CAN57. OCGUPPNCY GROUV NO.OF DWELLING UNITS <br /> BUILDINO �OO. 00 lO OO <br /> SI2E OF BLDG. NO.GF STOP.iES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE B:SEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> f�V[S CINO <br /> APPPOVALS BY DATE OTIIER <br /> i. ENVIRONMENTALCHEGKLIST PENALTV UB.G <br /> SEC.30S la1 <br /> 2. BUILDINGPLANS TOTAL 10 00 <br /> 3. FIRE NYDRANT <br /> a FIRE PROTECT�ON SVSTEM PERMIT VALIOATIDN <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING c 1 � 9 � J I O. IJ IJ — � <br /> 6. DRAINAGE <br /> M <br /> Z ENVIRONIdEN7ALIMPACTSTATEMENT � <br /> B. N[ALTH DISTRICT � �,. - �1 I O <br /> APPLICATION ACC.BY PLANS CHECKED BV APPR.FOR ISSUANGE BV . . . � <br /> _ I � <br /> •�-.i 61 <br /> ADDRESS FILL' <br />