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,�.- � GTYOF V I <br />�V���� ��' `��� pERMIT NO. �9F89 <br />G7v HALL 2b3�37a5 <br />ever�err v+;, �ezo� ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ pLUM81NG <br />py;ry�ti G41LRLpRE55 CITV ZIP PMJNE <br />C. L. Bess 6816 Colby Everett 98203 353-0293 _ <br />4R,NIiEQ OR DESiGNER MA�L ADDRE55 QTY IIP PHON[ <br />GENEHALCANiRAGiOP MAILAD�NGSS GTY ZIP MONE UGENSC/ <br />H& G Glass 2931 Bond Street Everett 98201 353-8984 <br />NEGHANKAIGONTRACIOR MARADDRE55 CITY ZIP PHpNE UCENSEI <br />HG GL A 204PG <br />v�pNBMGCAMRRCIOR MAILAD�RE55 GITY 21P PMONE UCENSE� <br />❑NEW ❑ADDITIDN `�ALTERATION 7QREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAiiAGE <br />VRLUATION Oi WORR <br />3 1%�Q0�.00 <br />DESGN:B[ WOPK --� �— <br />Repair fou�. <br />PROPJSED USE OF BUILCING <br />Single Fam, <br />LEGAL DESCRIVTION 0: PROPEPi <br />LCT PLOCv_OF <br />19-27-5 <br />JOB ADDRESS <br />6816 Colby <br />PLUMBIN6 <br />�v9(1�Fo <br />lence I HEREBY GERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />ATfACMFOU�iCAPIES) PLICATION AND KNOW THF SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN O!� NOT. THE GRANTING OF A PEHMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS F ANY OTHER STA7E OR LOCAL LAW REGULATING <br />CO ION ORiAEPE(�ORMANC OF CONSTRUCTION. <br />Si ATURE G CONiRAC OR OR p T DATE <br />y 'g 9/11/81 <br />TYPE OF FIX7URE OR ITEM <br />WATER CLOSET (TOI�ET) <br />OATHTU� <br />LAVPTORY(WASH BASIN) <br />SNOWER <br />NITCHEN SINK & OISP. <br />CISHWASHER <br />LAUNDf7Y TFAY <br />CLOTf'.[S WASNER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DFAIN <br />VACUUM BRE4KER5 <br />ROOF DRAINS — RAINLFA�ERu <br />SINK (SEFVICE — 6AR. ETCJ <br />SUBTOTAL <br />PERMIT <br />SIDE YARD 5ETBACK <br />V-N <br />GF B�DG <br />ZONE <br />STRE[T SETBF '�K <br />LOT AREA <br />OCCUPANCY GI <br />R- 3 <br />NO. OF STORIEI <br />I <br />APPHOVALS <br />1. ENVIRONMENTALCHECKLIST <br />2 BUIIDINU PLANS <br />3. flqE Nv�RANT <br />a. FIR[ PROTECTION SVSTEM <br />5. GRADING <br />b. DRAINAGE <br />Z ENVIRONMENTALIMPACTSTATEMENi <br />B. HEALTH QISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BV <br />V.C. <br />qEARYARD SETBACK <br />VACANT SITE <br />C]1"ES Q�}Q <br />ND. Of DWELLING UNITS <br />i <br />MAX.00C.LOA� <br />APPR. fOR ISSUANCE BY <br />TYPE OF E�UIPMENT <br />AIR COND. UNITS — H P. EA <br />REFRIGERATION UNITS — H.R EA <br />BOIlERS — H P. FA. <br />GAS FlRED AC. UNITS—TONNAGE EA. <br />FORCED AIR SVSTEMS — B TL. � <br />WALL HEATERS — BT.U. � <br />UNIT HEATERS — BTA. � <br />EVAP0�7ATIVE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />Alq HAND'_ING UNIT — ( <br />81/9689 <br />FEES <br />BUILDING <br />PLUMOIN� <br />M[CHANICAL <br />PENALTV <br />PlA1J CHEJK FEE <br />F[E 79.63 54923 � <br />VALUA710N FEE <br />$ 17,000 <br />UBC. <br />SEC. 303 �a) <br />122 I 50 <br />WHLN PROPERLV VALIDATED pW THIS SPACE) THIS IS YOUR 1'ER�nIT <br />p �^ r.! b0 <br />,,- L2.. _-- <br />i.o <br />� <br />' , � i=���� O <br />ADDRESS FILE � I �� � � I <br />