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_. `1 <br /> 1 <br /> � dieEvergreen COp 'STRUCTION � <br /> CITY OF <br /> everett PERMIT p�HMIT NO. O664H <br /> CITY HALL 259�8745 <br /> tVERE7T.WA 98201 �I COMBINATION �] BUILDING � MECHANICAL C� PLUMBING <br /> " ow�+en iwanouH�ss cirr ziP rHor+e <br /> � Dick Calkins �d07 Highland Ave. Everett 98201 258-3��06 <br /> APGMITECT OP DESIGNER �A��ADDPE55 CITY ZIP �HONE <br /> GENERnLCONLRnCTOR AIAILAODPE55 GITV 21P CHONE IICENSE� <br /> Plan Formation 6822 311th Place Arlington 98223 659-7163 <br /> MECHANICAL(ANiNAGiOR MNIL ADD�E55 Cltt ZIP GHONE IIGENSE• <br /> PLUMOiNGCANiRACiOF MaIL�O�BE:S Cli�' 21P PNONE IICENSEI � <br /> C1A55 OF W��K <br /> �EW ❑�DDITION ❑ALTERATION ❑AEPAIR ❑DEMOUTION ❑�ENCE ❑SIGN GARAGE — <br /> VALVAiION OF WOPK <br /> S �.Z7�0��.�0 � <br /> DlSCRIBE WOPK <br /> construct single family residence <br /> PPOPOSE�USE Of BUILDING <br /> single family residence I HEAcBY CERT:rY THAT I FIAVE READ AND EXAMWED THIS AP- <br /> iecn�oescainnor+or eaoaearr isHow onow oa nnncN FouacoPiesi PLICATION At�D KNOVd�SNE SAME TO 86 TRUE AND CORRECT. <br /> 29 David Dlarine Acres ALL PROVISION�OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or oiocK_oF TYPE Or WORK�NiLL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESU ME TO GIV[AUTHORITY TO VIOLATE OR CANCEI THE PRO• <br /> VISIO�ANY OTHER STATE OR LOCAL LAW REGULATING <br /> R 34—i9-4 CONS RU TION OR 7HE PERFORMANCE OF CONSTRUCTION. <br /> YGNP l P 0 CONiRPL10 d UINORIZ nG[Ni DAiE <br /> .roenooaess � e � 9/27/79 <br /> 4709 Gardiner Avenue X � �� G <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OP.ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> j WAIER LLOSET(i011 ET) B OO AIF COND UNITS—H.fl EA. ' <br /> 2 BATHTUB t( OO �EPRIGEiiATION UNIiS—HP.EA <br /> j �pyqiORY�YASH BASIN) DOILERS—N P.EA. <br /> �. $HOWEF Z OO GASFIREDAA.UNITS—TONNAGEEA. <br /> KITCHE�!SINK 8 OISP. ], FOPCED AIR SYSTEMS—8 TL. A1 EA. <br /> �� DISHWASHER 1VALLHLAT[RS—BTL. M — <br /> LA'JNORYTPAV UNITHEATEfiS—BT.0 M _ <br /> CLOTHES WASHEh Z OO EVAPoRATrvE WOIERd <br /> 1 WATER HEATER CLOTHES DPVLRS <br /> URINAL 3 VENTIIl�iION FAN <br /> OPINKING FOUN�AIN 1 R�NGE HOOD <br /> Z FLOCF �Rl.IN Q OO FIR HANDLING UNIT— C.F M. <br /> VACU'1M BREAKFRS STOVE <br /> ROOF ORAINS—RAINLEADERS 1 METAL FIREPLACE&CHIMNEY <br /> SINN�SERVICE—DAR 6TC.) <br /> SU9 TOTAL 30 OO SUB TOTAL S 2� � <br /> PEPMIT f PERMIT f <br /> � TOTAL FEE f 3O TOTAL FEE f 2� OO <br /> SIGE VABD`�BACN STREET SETB.1Cn PEAR VPPD$ETBACK PLAN CHECR NUMOEP PLAN CHECK FE[ <br /> . 7�� 25' 25' 79/6648 FEE ySS.�S 429P.1� <br /> USE 20NE ��T AR� py�5 T LlNO FEES VALUATION FEE <br /> R—S <br /> TYPE OF CANST. OCCUPANCY GROl1P NO.OF UWELLING UNITS <br /> V-N R-3 1 BUILDING s 127,OOQ. 37'. 50 <br /> SIZE Of BLDG. NO.OF STORIES MAX.OCC IOAD <br /> 59'x71'6" 2 PLUMBING 30 00 <br /> FIRE ZONE BASEMENT qEOUIRED KLERS MECHANICAL 2O 00 <br /> 3 Yes :7YE5 ❑NO — <br /> �� APPflOVALS BY UATE OTHER � <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U 8 C. <br /> SEC.303�a) <br /> 2. DUILDING PlANS ~ <br /> .... 70iAL 427 50 <br /> 3. FIFE HYDRANT `e � <br /> 4. Flp[PP T ION SYSTEM P�HMIT VALIDATION <br /> WHEN PROPERLI'VALIOATED(IN THIS SPl.Gq THIS IS YOUF PERMIT <br /> N�. GAADMG _ � � - <br /> • �6. DRAINAGEA �piAc}}ngysh�l not �4�1 25.(���� � � <br /> � aYppa'Eje� e'ie tion at therfoo� o t <br /> 7.,ENVIRC�ME�TAL IMPQSTATEMENT building. .� ";• � �. CD f <br /> ��. HEALTHDIE�AICT �'O'U R RECEIPT � � <br /> �qpPLICATI6N C.BY U+NS CHECKED BY APPR.FOR I:SU f�I BY r E c t i Pr i <br /> V �; � " P1K YOU .11iANK YOU <br /> � � v.c. <br /> � . .. <br /> A AD�R�9�11�� _ _ _ 2.� $fP �9, _ <br /> , � <br />