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,.. <br /> �he Grer,�,-ecn ^O IV ST R U CT I O f� � � <br /> CITY OF <br /> everett PERMIT <br /> cirv Hni�z,s.e�4s PERMIT P,O. .1 U �8 O <br /> eveaerT.w,� sazo, ❑ COMBINAT{ON �eBUILDINC ❑ MECHANICAL ❑ PLU�ABING <br /> � <br /> 01VNER AIAIL AUURE55 <br /> QiY ZIP PHONE <br /> Steven Ronald Hoffman 6232 Commercial Avenue Everett 98203 347-1789 <br /> ARCHIiECT OR pLSI�NER M1IAIL A�DRF55 <br /> CIiY IIP PIIONE <br /> GCNERALCONiPACiOR AIAII "�JDF[SS <br /> Same ��tY Z�P PHONE <br /> i�cr.�sc. <br /> IdECHANICAL GONTRAC(OR h1Alt AODRESS <br /> C�iV Zly <br /> PHONE UGENSEI <br /> PLUM1IBING CANTRA�TOR 61AI�ADDPE55 <br /> CIiY Z�P PIION6 <br /> LiCENSE� <br /> ClA55OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION }�REPAIR ❑DEIdOLI710N ❑FENCE ❑SIGN ❑GARAGE <br /> VAWAiION OF lYORK <br /> s 900. 00 <br /> oeseaiae woarc <br /> re—roof--com osition <br /> PROPOSED USE OF BInIDING <br /> single Famil residence I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br /> iecn�oescaiPnoNOFaaocearr�sNowoeioe+oannna�FouncoPies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> iar eiocl�_oF ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> 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 OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONS7RUCTION. <br /> JOB AUURE55 SGNAiURE OF ' �JqpCiOR Oq FUiMp i[ED I+GENi pAiE <br /> 6232 Commercial Avenue L`> > � (I <br /> 8/13/82 <br /> PLUMBING MECHANICAL i \� <br /> NO. 7YPE OF FIXTURE OR ITEM FEE NO. TYPE OF EDUIPMENT <br /> WATER CLOSET(iOILEf) FEE <br /> BATHTUB A�R COND.UNILS—H.P.EA. —�— <br /> REFRIGERATION UNITS—HP EA � <br /> LAVATORY�WASH BASIN� BOILERS—H.P. EA. — <br /> SHOWER GAS FIRED A.C.UNITS—70NNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIF SYgiEMS—BS.U. fd F4 <br /> DISHWASHER <br /> LAUNDRYTRAY WA��H[ATERS—B7.U. M <br /> UNIT HEhTERS—p.T.U. M <br /> CIOTHES WASHER EVAPORl,TIVF.COOLER$ <br /> WATER HEATER CLOTHES DHYERS <br /> URINAL <br /> DRINHING FOUN7AW VENTIiA710N FAN <br /> RANGEHOOD <br /> FLOOR DRAIN AIR HANGLING UNIL— <br /> VFCUUM�REAKERS CF M. <br /> STOVE <br /> F700P CRAINS—RAWLEADERS METAL FIREPLACE 8 CNIMNEY <br /> SINK�SEflVIC[—BAR,ETC.) <br /> SUBTOTAL <br /> SUB TOTAL S — <br /> PEHMIT S PERMIT S <br /> TOTAL FEE S TOTALFEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YqqD SETBACK PLAN CHECK NUMBER <br /> FLAN CHECK FEE <br /> FEE FECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> I1VE5 i_INO FEES VALUATION FEE <br /> TYPE OP WNST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> S¢8 OF BLDG. NO.OF STORIES MAX.OCC.LOAD BUILDING 5 900. 00 <br /> 16 00 <br /> PLUMBING <br /> FIR[ZONE BASEl.IENT FIRE SPRINKLEflS <br /> REOUIRED MECHANICAL <br /> IlYES IINO <br /> APPROVALS BY DATE O7HER - <br /> i. ENVIRONMENTAL CHECK L15T <br /> PENALTY U 8 C. <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIREHVDRANT TOTAL <br /> 16 00 <br /> n. FIRF.PROTECTION SYSTEM PEpMI'�VALIUATION <br /> 4 5. GRADING \YHEN PFppERLV VALIDATED pN THIS SPACE)THIS IS VOUR PER6117 ' <br /> G. DRAINAGE 6 1 1 O S Q I /. � D �� � <br /> 0 <br /> 7. ENVIRONMENTAL IMPACT STATEMFNT <br /> 0. HEAL7H DISTRICT . � <br /> APPLICATION ACC.DY PLANS CHECKED BY APPR.FOR ISSUANCE BY � YQ U R RE C E I PT �--I <br /> i�MA�!K YOU <br /> ADDRESS FIL[ I 3 AU6 $2 <br />