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_+ <br /> 7heG':Cr,�rPen � �pNSTRUCTIOf �_ � - <br /> G�vOF � <br /> ,- everett PERMIT PERMIT NO. 15HH �b <br /> CITY HALL 259�8745 <br /> 'cVERETT,WA9B207 ❑ COMBINATION X� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEB N.AILAUORE55 GITY 21P PHONE <br /> Eugene Smi',;h 526 East Olympic View Drire Freeland <br /> ARLMITECT OP DESi3NEfl �AAIL AD�flESS dTY ZIP PHOHE <br /> GENERAL CONTflACTOR MAIL ADDRE55 dTY ZIP PHONE LICENSE/ <br /> Fortune Roofing 11226 Highway 99 South Everett QR�04 77F o't7i <br /> MECHANICAL LONTRAGTOR MI.IL AODRE55 CTY 2�P PMONE LICENSE� <br /> FORTUR184MI <br /> PIUMBING GONTRPGTOR <br /> MAIL A��RE55 CITv 21P PMONE LIGF,NSE r <br /> CU55 OF YlORK <br /> ❑ NEW O ADDITION O ALTERA710N �EPPIR ❑ DEMOLI710N ❑ FENCE ❑ SIGN ❑ WOOD S70VE/FIREPLACE INS <br /> VAlUA710N OF WORN <br /> S 8��.0� <br /> DESCPIBE WORK <br /> Hot Mop Reroof o <br /> PROPOSEO USE OF BUILOING I HEREBZ'CERTIFY THAT I HAVE READ AND EXAMINED THIS -� <br /> Commercial APPLICATION AND KNOW THE SAME TO BE TRUE AND m <br /> LEGPLOESCRIPTIONOFPROPERTY�SHOWBELOWORATTACHFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES ., <br /> �or 1-?BLOCK__OF Cascade Terrace GOVEIiNIhG THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETIiER SPECIFIC-D H=REIN OR NOT.THE GRANTIiJG OF A �T <br /> PERMI'f DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATf: M � <br /> East 20 OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOC LAW REGULATING CONSTRUCTION OR THE a m <br /> PER �iMANCE OF CONSTRUCTION. c o <br /> SIGNA UR i OF G01 RPGi R OR AUTHOR GENT D6TE m O <br /> �oa nooAess X n 1/3/86 a 3 <br /> 5130 Everur�:en Wa °-� � _ <br /> PLUMBING ME NICAL = � <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE _ � _ <br /> WATER CLOSET(TOILE� AIR COND. UNITS— H.P. EA. C <br /> BATHTUB REFRIGERATION UNITS— M.P. EA. _.._ r x <br /> � � <br /> LAVATORY(VJASH BASIN) BOILERS— H.P. EA. —I tn <br /> GAS FIRED A.C. UNITS—TONNAGE EA. � <br /> SHOWER � <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.7.11. M EA. � 3 <br /> DISHWASHEFi W/+Ll HEATERS— B.T.U. M —1 fn <br /> UNIT HEATERS— B.T.U. M S <br /> LAUNDRYTRAY - — m� <br /> N <br /> CLOTHES WASHER EVAPOtiATIVE COOLERS <br /> or <br /> WA7ER HEATER CLOTHES DRVERS C N <br /> URINAL VENTILATION FAN_ 3 N <br /> RANGEHO00 m <br /> DRINKING FOl1NTAIN � m <br /> FLOOR DRAIN AIR HANDLING UNIT-� C.F.M. . <br /> D <br /> VACUUM BREAKERS S70VE -WOQD . A <br /> pOOF DRAINS- RAINLEADEFS ME7AL FIREPLACE 8 CHIM�lE1' •� <br /> S <br /> SINK(SERVICE- BAR, ETC.1 FIREPLACE W�ER'i Z <br /> HEAT PUMP <br /> � <br /> S <br /> __ H <br /> N <br /> SUB TO7AL i ` $l1B TOTAL S .�-� <br /> PEHMIT 5 PEHMIT S - n <br /> TOTALFEE S TOTAL FEE S <br /> SIDE YARD SETBAGK STREETSETBACK REAP'VARD SETBACK PLAN C:1ECK NUMBER PI.AN CHECK FEE <br /> FEE NECtIPi NO. <br /> USEZONE LOTAREA VAC�WTSI7E FEES VALUATION FEE <br /> :;Y�S ":NO — <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLIN�i UNITS __ — <br /> BUIL6ING S 800.00 14 SO <br /> SI2E OF BLDG. NO.OF STORIES MAX.OCC.LOAD p�UMBING <br /> FIREZONE BASEMENT pEpUSFED KLEFlS �,�EGHANICAL <br /> � YES ":NO — <br /> BY DATE �THER <br /> APPpOVALS — U.B.C. <br /> 1.ENVIR9NMENTAL CHECK LIST PENALTY SEC.J031�r <br /> 2.BUILDING PLANS 70TAL 19 SO <br /> 3.FIRE HYDRANT <br /> ' 4.FIRF.PROTECTIUN SY6TEM PEHMIT VALIUATION <br /> WHEN PROPERLV VALIDATED(IN TH16 6PACE1 THISQISl1YqUfl P@RhtlT Q� <br /> S.GRADING I 7 d 7 9 11 I 4 7 U aFj <br /> 6.ORAINAGE �-,' <br /> 7.ENVIHONMENTALIMPACTSTATEMENT �-n <br /> . � � il':;�' C:i rrl �J <br /> B.HEALTHDISTRIC7 �� �� ���� �- - '� <br /> APPLICATION A�C.BY �LANS CHECKEO B� APPH. FOR ISSUANCE BY _ . , � �,` ,f ._. lJ <br /> " / <br /> - i 1.'::1 uu <br /> ADDRESS FILE <br />