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_ � <br /> d�e£��cr,�rerr� <br /> everett � CON�TRUCTIO► . <br /> GTVHALL259�87d5 PERMIT PERMIT NO. 1344g � <br /> EVERETT,WA98201 ❑ COMBINATION �( BUILDING ❑ MECHANICAL ❑ PLUMBING � <br /> OWNER MAIL ApDR[SS dTY 21P PMONE <br /> ��I TFR 1QHNCQ�_�4fi4'i fl anwnnrl Fi ra+t 7r� Q� q <br /> �� ITE SF SIGNE MRIL ADDRE55 dTY 21P PMONE <br /> GENEflAL CONTRAGTOR MAIL AOOHESS CITY ZIP FHOI:E LICENSE Y <br /> �.iRIP <br /> . MECHANICRL CONTRACTOR MAIL AD�RESS CITY ZIP PHONE LICENSE� <br /> PLUMB'NG CONTPAGTOq MAIL ADDRE55 CITY ZIP PMONE LICENSE I <br /> GLA55 OF WORN <br /> � O NEW O ADDIT�JN ❑ ALTERATION C�REPAIR ❑ OEMOLITION O FENCE O SIGN ❑ WOOD STO\'FJFIqEPLACE INSERT � <br /> VALUATION OF WORK <br /> : 350.00 <br /> OESCRIBE WORK <br /> • Reroof <br /> PROFOSED USE OF BUI�DING <br /> Resi dence I HERE3Y CERTIFY THAT I HAVE READ AIJD EXAMINED THIS <br /> LEGALOESCRIPTIDNOFPROPERTY�SNOWBELOWORATTALHFOURCOPIES) APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES o <br /> LOT_BLOCK_OF M 1 e Hei ht GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH .'i, <br /> WHETHER SPECIFIED HEREIN OR NO-. THE GRANTING OF A m <br /> .i 97 2 ft E 220 ft LOt 50 PERMIT DOFS NOT PRESUME TO GIVE AUTHORITY TO VIUL4TE •• <br /> OR CANCEL THE PiiOVISIONS OF A��Y OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE ,.., ,, <br /> PERFORMANCE OF CONS7RUCTION. —i � <br /> JOB ADDRE55 SIG ATURE OF CONTRAGTOR OR AUi RIZED GENT DATE �„� � <br /> w ? 5 31 84 �'m <br /> PLUMBINO MECHANICAL c o <br /> mo <br /> N0. TYPE OF FI%TURE OR ITEM FEE N0. TYPE UF EOUIPMENT FEE �c <br /> WATEFCLOSET TOILE 0� <br /> ( �l AIR COND. UNITS- H.P.EA. <br /> BATHTUB REFRIGERA710N UNITS- H.P. EA. _ .._.� <br /> LAVATOHY�WASHBASIN) BOILERS - H.P. EA. m .. <br /> SHOWER GAS FIRED A.C.UNITS - TONNAGE EA. C <br /> KITCHEN SINK 8 DISP. _ FORCED AIR SYSTEMS- B.T.U. M EA. r= <br /> 1�1 1� <br /> DISHWASMER WALL HEATERS- B.T.U. M ...� y <br /> LAUNDRY TFAY UNIT HEATERS- B.T.U. M � �l <br /> CLOTHES WOSHER _ EVPPORATIVE COOLERS � y <br /> WATER HEATER CLOTHES DRYERS <br /> � m <br /> UFlINAL VENTILATION FAN <br /> m .. <br /> N <br /> DRINKING FOlIN7AIN RANGE HOOD p <br /> FLOOR ORAIN AIR HANDLING UNIT- C.F.M. ('�')tr•1 <br /> _ VACUUM BREAKERS �TOVE-WOOD 3 N <br /> METAL FIREPLACE 8 CMIMNF.V m <br /> ROOF ORAINS- RAINLEADERS z n <br /> _ .�m <br /> SINK(SERVICE- BAR, E7C.) FIREPLACE INSERT <br /> MEAT PUMP D <br /> P <br /> -�1 <br /> _ _ <br /> a <br /> z <br /> SUB TOTAL S SUB TOTA� S 2 <br /> PENMIT S PERMIT f Vi <br /> TOTAL FEE S TOTAI FEE S Z <br /> SIDE VARD SETBACK S7REE75E78ACK REAR YARDS�TBACK PLAN CHECK NUMBER PLAN CHEC�.(FEE � <br /> FEE RECEIPT NO. n <br /> USE 20NE LOT AqE.`. VACANT SITE m <br /> :;YES i',NO FEES VALUATION FEE <br /> TYPE OF CONST. OCGUPANCV GROUP NO.OF DWELLING UN�TS <br /> BUILDING S <br /> SI2E OF ULDG. �O.OF STORIES MAX.OCC. LOAD ��..-� <br /> P:AMBING <br /> FIREZONE BASEMENT FIRESPRINKLERS MECNANICAL <br /> REOUIRED <br /> i�.:YES :�NO <br /> APPIIOVALS BY DATE O7HER <br /> 1.ENVIRONMENTAL CHECK lIST pENALTY U.B.C. , <br /> 2.BUILDING PLANS _ SEC.903101 <br /> 3.FIRE HYDRANT TOTAI �O O <br /> 4.FIRE PROTECTION SYSTEM pERMIT VALIDATICN <br /> S.GRADING WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS O P T r' <br /> 6.DRAINAGE 2 � 2 6 �� rro.��a —:.1 <br /> 7.ENVIRONMENTAL�MPACTSTATEMENT '�.i� <br /> B.HEALTH DISTRICT r� �' ' <br /> APPUCATION ACC. BY PLANS CHECKED BY APPR FOR ISSUFNCE BY � � , , I� .�. i�I I Tv , <br /> . . •.. . . �i . - �) <br /> � �i <br /> - � •JUN „ , <br /> ADDRESS RLE <br /> � � <br />