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� ",`. `"``�r`�`�„ CO NSTFiU CT10 N <br /> - CITV GF <br /> everett PERMIT pERMIT NO. Ob223 <br /> CITY HnLL 259-8745 <br /> �vec�erT �vn na_�ei ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> ��'+�+t�� MaiL Auu1;L55 cllY IiP n��oNE <br /> Duane N, Price 8117 East Glen Drive 98203 355-4602 <br /> anc��rte�rcao�s�„+en einaaoon�_s arv z�a ���oHE <br /> GLIJERALCONiRACtOR MAILAUORESS CIiY ),IP PHONE IICENSEr <br /> SAME <br /> �dEC11ANIGAL WNiFACTOR MAIL NDpRE55 QfY ZIP PHONE UCENSC I <br /> �`lU1dBINGCANTRALiOR �,IpIIADDti[55 qTV ZIP PNONE LICENSEi <br /> C1A55 OF SYORK � <br /> ❑NEW ❑ADDITION ❑ALiERATION ❑REPAIR ❑DEMOLITION X�FENCE ❑SIGN ❑GARAGE <br /> VALl1AilON OF WORK <br /> s900. 00 <br /> D[SCRI�E WORN <br /> G ' Cedar Fence in rear area <br /> �nOpoSE�u5E OF BuiIOING <br /> single family residence I HEREBY CERTIFY THAT I HAVE HEAD AND EXAMINED THIS AP- <br /> i:cn�oescairnoNOFPaorearvisHowee�owuannncNvcuacoaies PLICATION AND KNOW THc SAME TO BE TRUE AND CORRECT. <br /> icr � o�oc�oF Wg$yxMdjxMMXmxM�x ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> Evergreen Glen HEREIN 0 NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUM �0 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS F ANY OTHER �T E- LOCAL LAW REGULATING <br /> CONST CTION OR THE P FORM CE OF CONSTRUCTION. <br /> Si0!J 1 ' OFCOI�iR;.qTOti 10RIZE0 G- pATE <br /> ��f�r��n�5s F.ast Glen Drive ��' -- 6/14/79 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATER CLOSLT QOILET) AIR COND.UNITS—H.P.EA. <br /> BAiHTU� REFRIGERATION UNITS—HP.EA <br /> _ �qyqipqY�WASl1 BASIN� �OILERS—HP.EA. <br /> SHOWER GAS FIRED A Q UNITS—TONNAGE EA. <br /> KIiCHEN SINK 8 OISP. FORCED AIR SYSTEMS—B TL. 1d EA. <br /> DISHIYASNER WALL NEATERS—�.7.U. M <br /> IAUNDRY TRAV UNIT HEATERS—B.T.U. A1 <br /> C�OTHES WASHER EVAPJRATIV[COOLERS <br /> WAiER HEATER CLOiHES DRYERS <br /> URINAL � VENTILAiIONFAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DflA1N AIR HANDLING UNIT— C.F.M. <br /> VACUUM�PEAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS h1ETAL FIREPLACE 8 CHIMNEV <br /> S�NK�SERVICE—BAR,ETCI <br /> _ �� <br /> SUB TOTAL SUBTOTAL 5 <br /> PERMIT S PENMIT S <br /> TOTAL FEE S TOTALFEE f <br /> SIDE YARD SETBACK STliE[T SEi�ACK REAR YARO SET�ACK PLAN CHECK NUA7�ER PLAN CH[CK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE � <br /> I]YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OIX:UPANCY GROUF N0.OF DWELLING UNITS <br /> oUILDING 5 900. 00 S OO <br /> . SIZL OF BLDG NO.OF SiORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIHE ZONE pASEMENT FIRL SPRINKLERS --'- <br /> REOUIREL' MECHANICAL <br /> ❑VES I iN0 <br /> APPNOVALS BY DATE OTHER <br /> 1. ENVIf70NMENTAL CHECK LIST <br /> PENALTY U.�.C. <br /> 2 OUILDING AlANS SEC.309(o) <br /> 3. FIRE HYDRANT TOTAI S OO <br /> a. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPEflLY VALIDAiED pN THIS SPACEI THIS IS YOUR PERMIT � <br /> 5. GRADING • � <br /> 6. DRAINAGE O ' ' 6 r :SO O�..��n �yy 'y .. <br /> r � <br /> 7_ENVIPONMENTAL IMPAC7 STATEMENT � , � �v <br /> � HEALIH DISTRICT ��f ��y' e (� <br /> APPLI(ATION�CC.I3Y PlANS CHECK[D OV APPR POR ISSUANCE E3Y N�V� 1����'r O ' <br /> ' 7HAIVK YO J <br /> .������ ,,; : „_:- � I h � 79 _ <br />