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���Y <br /> : h %Y'�. <br /> 4 r �� Y. <br /> '.5 iy i�,�`��. <br /> Y� ! 4 Ffi <br /> ��:�r`.. .. �.� . . . . �.i� .k�a K <br /> rheEvergreen � �nNSTRULT��JN � <br /> CITY OF <br /> eve�rett PERI�AIT pERMIT NO. O9Z97 <br /> CITY HALL 259�8745 <br /> EVERETf,WA 98201 ❑ COMBINATION L� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEH MAILADDRE55 GITY 21P PHONE <br /> O. K. Owens 1049 Crown Drive Everett 98203 259-2572 <br /> ARCHITECT OR�ESIGNER MAII AODRE55 CITY ZIP PMONe <br /> GENERAI CANTRACTOR MAIL ADORE55 CITV ZIP PNONE LICENSE 1 <br /> Same <br /> � AIECNANICAL CONiRACTOR MAIL ADURESS CITV ZIP PNONE LICENSE I <br /> PLUMBING CONTRACTOR MAIL AD�PE55 CITV ZIP PMONE LICENSE� <br /> ClA55OF WORH <br /> ❑NEW OAJDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑fENCE OSIGN ❑GARAGE <br /> YALUATION OF\'lORK . <br /> S 400. 00 <br /> �ESCFlIBE WOdK <br /> erect car-port <br /> PROPoSED USE OF BUILDING <br /> cover for Mini-Home I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> LEGALDESCRIPTIONOFPRCPER7V(SMOW BELOWORATTACNFOURCOPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECI�. <br /> 25 Harbor View ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or BLOCI(__OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PEFiMIT 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 CONSTRUCTION. <br /> SIGNFiURE OF fANTRACiOR OR AUTHORI2E0 AGENT DAiE <br /> JOB ADDRE55 �" � <br /> 1049 Crown Drive �.C� c�� � '� 5/26/81 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET QOILEn AIR CAND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> L4VATORY(WASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br />�� DISHWASHER WALL NEATERS—BT.U. M <br />�� LAUNDRYTRAY UNITHEATERS—BT.U. M <br /> CLOTHES WASHC(7 EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br />� URINAL VENTILATION FPN <br /> DRINKING FOUN�AIN RANGE HOOD <br /> FLOOR DRAIN AIF HANDLING UNIT— QF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—HAINLEADERS METAL FIREPUICE&CHIMNEY - <br /> SINK(SERVICE—BAR.ETC.1 <br /> SUBTOTAL SUBTOTAL S <br /> PERMIT S PEHMIT S <br /> TOTALFEE S TOTALFEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PU1N CHECK FE[ <br /> 9297 FEE 6.50 REc�Ei�p�y�o6 <br /> USE ZONE LOT hREA VACANT SITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> NPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N M-= BUILDING � 400.00 10 00 <br /> SIZE OF BLDG. N0.OF STORIES MA%.OCC.LOAD <br /> �.4 �X24 � PLUMBING <br /> FIRE ZONE BASEMENT REOUIRED KLERS MECHANICAL <br /> OYES <br /> APPHOVALS BY DATE OTHER <br /> 1. ENVIRONMEN7AL CHECK LIST PENALTV U.BC <br /> SEC.303(a) <br /> 2. �UILDINGPLANS ZO OO <br /> TOTAL <br /> 3. FIRE HYDRAN7 <br /> 4. FIRE PROiEC710N SYSTEM PEHMIT VALIDATION <br /> \YHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PEflM1T <br /> 5. GRADING (� � <br /> 6. ORAINAGE i '� r' i �` �� I ll. �'� ',� -- N <br /> 7. ENVIRONMENTALIMPACTSTATEMENT � <br /> B t�[ALTH DISTI4CT _ ___ Q <br />