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� rhe icri�recn , p N ST R U CT I O N-°• ^ <br />CiivoF I!'� Q <br />��erett PERMI� PERMIT N0. 16576 <br />CITV Hn'.L 2596745 <br />EVERETT,:NA98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL PLUMBING <br />PMONE <br />WNER mn <br />A1 Schlicken 616 Colby <br />Everettr WA 98201 252-1864 <br />_.�. %IP <br />ARGHI7 EGT ON Utmoncn -- � - <br />GENERAI CANTR4C'OR MAIL ADURE55 <br />CITY ZIP PNONE LICENSE � <br />Solie Builde*s TRC. �+r CITY 21P PNONE LIGENSE 1 <br />MECM�NILAL CONTP�CTOR MAIL Ap RESS <br />❑ NEW � AD�ITION ❑ ALTEHATION ❑ AEPAIR ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVFJFIREPLACE IN51_RT <br />= 10,000 <br />ESCRIBE WORN <br />cover front porch with gable <br />ROPOSED U&E OF BI/ILDING <br />EGAL PESGRIPiION OF PROPERTV ISHOW BELOW OR <br />i�2-33 e�ocK 130 oF Legion Par <br />JOB �DDRESS <br />616 Colby Ave <br />PLUMBINU <br />N0. TYPE OF FIXTURE OR ITEM <br />WATER CLOS[T (TOILEn <br />BATHTUB <br />LAVATORVIWASHBASIN) <br />SNOWER <br />KITCHEN SINK 6 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLO7HES WASHER <br />WRTER HEATER <br />URINAL <br />DRINNING FOUNTAIN <br />FLOJR OHAIN <br />VACUUM BREAKERS <br />i OOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR� ETG.) <br />of <br />SUETOTAL + <br />PEHMIT f _ <br />T0TI1L FEE s <br />ID SETBACK STREC-T SEiBACK REAR YAiiD SE' <br />N.A. N.A. � N.A. <br />N.A. <br />V-N <br />N.A. <br />N.A. �:YES X-NO <br />PAiJGV GRO�P NO. OF OWELLIM <br />R-3 1 <br />iF STORIES MA%. OCQ LOAD <br />1 N.A. <br />MENT FIRE SPRINKLER <br />RE�UIRED <br />�. �VES Xh10 <br />c BY OA <br />t. ENViRONMENTAL GHECK LIST <br />2. BUIIDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PFOTECTION SYSTEM <br />S. GRADING <br />6. DRAINAGE <br />7. EN VIRONMENTAL IMPACT STATEM <br />8. HEALTH DISTRICT <br />pPPLICAT10N ACC. BY PLANS <br />SG JEF <br />BY IAPPR.FOR <br />� <br />ting roof <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNUW THE SAME TO BE TRUE AIJD <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />PERM T DOES NOT PRESUME TO GIVE AUTHORITY TO V OI.A,TE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING C STRUCTION OR THE <br />PERFOR�y� C STRU N. <br />__'1"'1..� .�. nn� a'(huTf� DATE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GPS FIPED A.C. UNITS — 70NNAGE EA. <br />FORCEU AIR SVSTEMS — B.T.U. M EA. <br />VJALL HEATERS — B.i.U. M _ <br />UNIT HEA7EPS — B.7.U. M <br />EVAPORATIVE COOLERS <br />CLOiNES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />pIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE & CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />86/16506 <br />BUILDING <br />PLUMBING <br />MECHANICA� <br />OTHER <br />PENALTY <br />TOTAL <br />FEE <br />TOTAL � <br />MI7 = <br />AL FEE _ <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />52.33 I 7qiaa <br />VALUATION FEE <br />510,000 <br />80150 <br />PEHMI7 vnuonnvn <br />WHEN PNOPERLY VALI�A7ED (IN TNIS SPACE) TMIS IS YOUR PERMIT fy} <br />3433 $08�.�0 -- _� <br />C1% <br />' � . �'. �.,i:�l'� c-i <br />��•�, IJ <br />I '� . I U U <br />ADDRESS FILE <br />