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thr EvrrKrern �'O N STRU CTIO N � <br /> air oF <br /> everett PERMIT pERM1T N0. 08726 � <br /> cirv Ha�_��se-a�as <br /> tvtHe�. w� ya�u� L� COMBINATION �XD�BUILDING ❑ MECHANICAL PLUMBINO <br /> OWNER <br /> MAILADDRESS CITf ZIP �NONE <br /> Alf M. Berentsen 6311 Firwood Place 98203 353-8625 <br /> 4RG�'.TECI OR DESIGNER AIAIL A�DRESS CITY ZIP PNONE <br /> .:ENEPAL CONTRACiOR MPIL N�ORESS GRY ZIP GHONE LIGENSE� <br /> Same <br /> MECHANICAI CONTMCTOP MAIL AOOPE55 CITY ZIG PHONE LICENSE I <br /> PLUMBiNGCONTAACfOR MNILRDDRE55 CITY ZIP PHONE LICENSEI <br /> QASSOF WOflK <br /> ❑NEW L�ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN GAFAGE <br /> VALURTION OF WORK <br /> 5 a5�. 0Q <br /> � DESCRIBE WORN <br /> erect chain link fence (yZ•) <br /> PROPOSED USE OF BWL�ING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ hND EXAMINED THIS AP- <br /> �er,n�oescaianoNOFaaoPearrtsNowae�owoan*rncr+Four+coaies� PLICATION AND KNOW THE SAME TO BE TRUE AND GORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or 47 e�c„K_oF Highland Estates TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIRED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUFE OF CONTRACTOP OR AUTHO�RIZED GENT DPiE <br /> eo nooaess � 12/29/80 <br /> �311 Firwood Place X � <br /> PlUM81NG MECHA CAL <br /> NO. TYPE OF FU(TURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET QOILET) Alfl CAND.UNITS—HP.EA. <br /> REFPIGERATION UNITS—H.P.EA <br /> BATHTUB <br /> LAVATORY(WASH BASIN) BOILERS—H.P.EA. <br /> GAS FlRED A.C.UNITS—TONNAGE EA. _ <br /> SHOWER <br /> KITCNEN SINK&DISP. FORCED AIR SYSTEMS—B T.U. M EA _ <br /> WALLHEATFRS—BT.U. M <br /> DISHWASHER M <br /> UNIT HEATERS—B:LU. <br /> LAUNDRYTRAY <br /> EVAPORATIVE WOLERS <br /> CLOTHES WASHER <br /> - � G.OTHES DRYERS <br /> WATER HEATER <br /> VENTILATIGN fAN <br /> URINAL <br /> � DRINKING FOUNTAIN FANGE HOOD <br /> AIR HANDLING UNIT-- C.P.M. _ <br /> FLOOR DRAIN <br /> VAGUUM BREAKERS STOVE <br /> ROOF ORAINS— RAWLEADERS METAL FIFEPLACE&CHIMNEY <br /> SINK(SERVICE—BAR ETCJ <br /> SUBTOTAL s <br /> SUB TOTAL <br /> PERMIT f PERMIT s <br /> TOTAI FEE S TOT11L FEE f <br /> PIAN CHECK FEE <br /> SIDE'/ARD SETBAGK STREET SEiBAGK REAR YAR�SETBACK PLAN CHECK NUMPER FEE RECEIFi NO <br /> USE ZONE LOT APEA � VACANT SITE FEES �A�UATION FEE <br /> ' IVES �,",NO <br /> 1YPE OF CONST. OCCUPANCV GFOUP NO.OF DWEL�ING UNITS <br /> eui�oiNc $ 850. 00 16 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> ',�iVES I .NO <br /> APPflOVAIS <br /> BV DATE OTHER <br /> t. ENVIRONMENTALCHECKl.15T PENALTY UBC <br /> SW 3031a1 <br /> 2. BUIIDINGPLANS 16 00 <br /> TOTAI <br /> 3 FIRE HYDRANT <br /> a FIRE PROTECTION SVSTCM PEHMIT VALIDATION <br /> WHEN PROPER�V VALIDATED f W THIS SPACE)THIS i5�OUP�EPMIT <br /> � <br /> 5 GRADING , - ' H , ^' � 6. C 0 -N <br /> 6 DFAINAGE � � � � <br /> l ENVIfiONMENTAL IMP�CT STATEMENT � <br /> H HEALIH DISTRICT - -' � <br /> AB�'LICATION FCG BV PLANS CHECKED BV APPP FOR GSUANCE B� <br /> f�T <br /> J <br />