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1 • <br /> 1hcErergreen � �NSTRUCTION • • <br /> G�ITr OF � " <br /> everett PERMIT pERMIT N0. 06352 <br /> CITY HAL1.259�87a5 <br /> �ver,err.�vn ��zo� ❑ COMBINATION �xBUILDING ❑ MECHANICAL ❑ PLUMBING <br /> o�rH�q Mai�aoo ss atr zir v��oni <br /> Cal Hardy 3016 Gedney Street 252-5962 <br /> ARp11TEGi OR OESIGNER MPIL ADDRE55 GItY ZiP PIIONE <br /> GEN RALCONTRACTOR MAILAO�RESS GiY ZIP PHONE UCENSE� <br /> S�ame <br /> MECHANIGAL WNTRACTCR MAIL ADDFESS CITY ZIP FMONE UCENSE/ <br /> �LUI.IpINGCONTRACTOq MA�L.IDDFESS CITY 21P PMONE LICENSE� <br /> CLA55 OF 1VORK <br /> ❑NEW ❑ADDITION C�,�LTERhT10N ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VPWATION^�WOFN <br /> f 7S , OO <br /> DESCRIBE WORK <br /> remove porch and add deck <br /> PROPOSED lISE OF BUIL�ING <br /> I HEREBY CERTIFY THAT I HAVE READ 4ND EXAMINED THIS AP- <br /> �ecn�oeseRianorvoFaROPearv�sNowoeiowor+n*cacr�rour�coNicsi PLICATION AND KNOW TFIE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �-or e�a�_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OP CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. <br /> aoenooaess sicr�nru�ee mr�rnncroa�anurnon¢Eun/ceN�l � o.+ii <br /> 3016 Gedney Street X �( ;.�`:- f � �� J � �' :_ 7 13 79 <br /> PLUMBING MECHANICAL� <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> - WATER CLOSET(TOIL6T) AIR COND. UNITS—HP.EA. <br /> 6ATHTUB HEFRIGERATION UNITS—H.P.EA <br /> IAVAtORV IWASH OASIN) BOIIERS—HP.EA. <br /> SHOWER GAS FIRED A C UNRS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSiEMS—B.T.U. M EA. <br /> DISHWASHER WALL HEATEFS—B.T.U, M <br /> LAUNDFY iRAV UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORAiIVE COOLERS <br /> WATER HEATER CLOTHES URYERS <br /> URINAL VEN7ILATION FAN <br /> DRINKING FOUNTPIN RANGE HOOD <br /> FLOOR DRAIN AIR HAHDI-ING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK ISERVICE—BAR,ETC! <br /> SI1B TOTAL SUB TOTAL S <br /> PERMIT f PEflMIT 5 <br /> TOTALFEE S TOTAL FEE i <br /> SI�E ri1RD SETBALK STRL[i SGTpACK REAR YARD SEiDACK PLAN CHECK NUM�ER PLAN CHECK FEE <br /> F[E RECEIPT NO. <br /> USE ZONE LOT AREA VACAN'i SITE — <br /> ❑VES LNO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> BUII.DING 5 �5. 00 S 00 <br /> SIZE OF BLDG. NO.OF STORIES MN(.OCC.LOAD <br /> PLUM8ING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPHOVALS BY DATE OTHER <br /> �. ENVIRONMENTALCHECkl15T PENALTY U.B.C. <br /> SEC.303(a) <br /> 2. BUILDING PLANS <br /> 3. FIRE MYDRANT T�TA� 5 00 <br /> a. FlRE PROTECTION SYSTEM PEHMIT VALIDATION - <br /> 1YHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5 GRADING e <br /> G DRAINAGE ��o � s O U J� ((0 t'��(� � <br /> —3 <br /> Z ENVI(70NMEN7ALIMPACTSTATEMENT C`7 <br /> 0 HEAITH DISTfiICT � <br /> � <br /> APPLICaT10N ACC.BY PLANS CHECKEU�Y APCR.FOR ISSUANCE UY YO U•R REC�lpT <br /> THANK YO U <br /> ao�r.Ess r-i�e I 3 ^ <br />