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, - , � <br /> , <br /> rheEvc�veoF V�r 'STRUCT�O� l <br /> everett PERMIT PERMIT NO. OH5O1 <br /> CITY HALL 259-8745 <br /> EVEREI7,WA 98207 ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ pLU1lABING <br /> GWNER MGILADORES$ GILY ZIP PHDNE <br /> Northwood Homes Inc. 6520 212th S .W. Lynnwood 9&036 775-0657 <br /> APCHITECiORDESIGN[fl MAILADDRE55 CITY ZIP PY.ONE <br /> GENFRqLCONTRAGTON MAILADORESS CITY ZIP PHONE LICENSE/ <br /> Same <br /> MECHANICAL GONiRACTOF MAILA�DRESS C:-1/ ZIP PHONE IICENSE I <br /> PLUMBWGCONTflAGOF MAI�ADDRE55 CITY 21P PHONE LICENSEI <br /> CLA55OF WONK <br /> ❑NEW ❑ADDITION XX4LTERATION ❑REP�IR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAHAGE <br /> VALVATIOtJ OF WORN <br /> s 3 , 000. 00 <br /> DESCH16'c WORK <br /> interior re:nodel for re <br /> P90PoSED USE OF BJI.OING <br /> commercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LFGAI DESGRIPiION OP PROPERiV(SHOW BELOW OR ATfACM FOUF COPIES� PLICATION P.ND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> iar aix�oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRAMi1NG OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONST UCTION OR THE PERFORMANCE�JF CONSTRUCTION. <br /> JOB AOORESS SIGNAT F OF GONTqACiOR R AUTM091Zi0 AGE DATE <br /> 4826 Evergraen Way X � 10/29/80 <br /> PLUMBING CHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WA7ER CLOSEf(TOILEf1 AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P. EA <br /> IAVATORY(WASH BASIN) 801LER5—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNFGE EA. <br /> KITCHEN SINK 8 DISP. FORCED Alq SYSTEMS—B.T.U. M EA. <br /> I DISHWASHER WALL HEA7ERS—B.7.U. M <br />' LAUNDRYTRAY UNITHEAT�RS—B.T.U. M <br />� CLOTHES WASHER EVAPoRATIVE COOLERS � <br />� WATER HEATEIi CLOTHES DRVERS <br />, Ur11NAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br />� FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br />. ROOF DRAINS—RAINLEA�EftS METAL FIREPLA�E 8 CHIMNEY <br /> SINK(SERVICE—BAR.ETQ) <br />' SUBTOTAL SUB TOTAL S <br /> PEHMIT S pEHM1T 5 <br /> TOTAL FEE S TOTAL FEE S <br />� SIDE YARD SETBACK STREET SETBACK REAR YARD SEfBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. � <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑VES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS `� <br /> SIZEOFBLDG. NO.OFSTORIES MA%.00C.LOAD BUILDING $ 3000.00 38 SO <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> HEOUIRED MECHANICAL <br /> �YES ❑NO <br /> APPROVALS BY DATE OTHER � <br /> 1. ENVIRONMENTAL CHECK LI3T <br /> PENALTV U.B.C. <br /> 2. BUILDING PLANS bEC.303(a) <br /> 3. FIREHVDRANT TOTAL 38 .ri0 <br /> 4. FIRE PROTECTION SYSTEM ' PENMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(M THIS SPACE)THIS IS YUUR PE(iMIT <br /> S. GRADING Q4 � � $ 038. 50 -- � <br /> 6. ORAINAGE <br /> 7. ENVIRONMENTALIMPACTSTATEMENT � <br /> B. HEALTH DISTRICi � . <br /> APPLICATION ACC.BY PLANS CHECKED OY APPR.FOR ISSUANCE BY ' -' 1' '� R �=�I PT O <br /> ' p$ ' �. .�`'i I �,. U <br />