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.....�.. .. . , .. <br /> ��£���`�" CONSTRUCTIC'11 <br /> cirr oF r'~.. ^, ^ <br /> everett PERMIT PERMIT N0. 15489 <br /> CITY NALL 2548715 <br /> � <br /> ��R��W"�01 ❑ COMBINATION �I BUILDIN(i ❑ MECHANICAL ❑ PLUMBINO <br /> ��� MAIL ADDRE55 CITY ZIP PNONE <br /> ltichael J. Peacxk 4809 Foreet DRive �.erett 98203 259-7083 <br /> � NR T OR DESIONE �IRIL A�OPESS CITV ZIP PMONE <br /> NERAL LONTMCTOR MAIL ADOPESS CITY 21P PHONE LICENSE� <br /> same <br /> MECHANICAL CONTMCTOR MAIL ADDRE55 CITY IIP PXONE LICENSE/ <br /> PLUMlINO CONTRACTOX MAIL ADOflE55 CITY ZIP PMONE UCENSE 1 <br /> ^.1A55 OF WOqK <br /> � ❑NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR `�pEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPUCE INSERT <br /> VALUATION OF WpRK <br /> f <br /> DE9CRIBE WORK <br /> Demoliah exieting carport <br /> vnoroseo use oF ew�oiNa <br /> Single family reaidence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LE6AL DESCRIPTION OF PROPERTY(SHOW BELOW OR RTfACH FOUR GOPIES) APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �oT�� BLOCN__OF Forest Park GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB AODRESS SIG TURE OF ONTPACTOP O UiHORIZED AGENT DATE <br /> 4809 Forest DRive X 9/26/85 <br /> PLUMBINO MECHA ICAL <br /> NO. TVPE OF FI%TURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�TOILEi) AIR COND.UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY(WASN BASIN) BOILERS— H.P.EA. <br /> SHOWER GAS FIRED A.C. UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED Alp SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WpLL HEATERS— B.T.U. M <br /> LAUNDRYTRAV UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER MEATER CLOTHES DRVERS <br /> URINAL VENTILATION FAN <br /> DRiNKING FOUNTAIN RANGE HGOO <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METALFIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SU!TOTAL i SUB TOTAL S <br /> PERMIT S PERMIT S <br /> TOTALFEE S TOTAL FEE f <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SI7E <br /> CYES GNO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIPE SPRINKLERS MECHAt�ICAL <br /> REOUIREO <br /> ❑VES ❑NO <br /> APPpOVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST pENALTY U.B.C. <br /> 2.BUILDING PLANS SEC.303�a) <br /> 3.FIRE HYDRANT TOTAL OO 00 <br /> 4.FIRE PROTECTION SVSTEM VERMIT VALIDATION <br /> S.GRADING WHEN PROPERLY VALIDATED pN TH��ID1�E)THI�1�1�1�i f�IP11L :,� <br /> 8.DRAINAGE � <br /> '�' <br /> 7.ENVIRONMENTALIMPACTSTATEMENT <br /> 8.HEALTH DISTRICT \� L� <br /> , OUF, RECEIPT , -, <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> �( "„'�.N K Y O U <br /> 1 � 5EP 8 5 <br /> ADDRESS FILE <br />