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� , <br /> dIPE�'CTYCOF "� CC�'VSTRUCTION �� � �� <br /> everett PERMIT pERMIT NO. OH4`34 <br /> CITY HALL 259�8745 <br /> EVERETT,WA 90201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAIIADOPE55 C17Y 21P PIIONE <br /> Morris R. Davies 4959 Elm Street 98203 <br /> ARCHITECTORDESIGNER MAILAODPE55 QiY 21P PHONE <br /> GENERAL CONiRAGTOR MAIL AODPE55 CIiY ZIP PHONE UCENSE I <br /> Buds Masonary 1923 71st Street N.E. Marysville 98270 659-5055 <br /> MECHRNICA�CANTRACTOF MAILAOOPE55 GTY ZIP PMONE LICENSE• <br /> BU DS M204J3 <br /> PlUM01NG CANTRACTOfl MAIL ADORE55 CIiY ZIP PHONE LICENSE/ <br /> CIASS OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> s 1300. 00 <br /> OESCRIBE WORK <br /> construct masonary fireplace <br /> PROPOSED USE OF BUILOING <br /> sin le famil residen e I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> IEGAL�ESCRIPiIONOFPROPEPTY�SMOYlpELOWORATTAG11F0URGOPIES) PLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCcS GOVERNING THIS <br /> �or ZZ e�oc�oF View Ridqe TYPE OF WORK WILL BE COMPLIED WITH :^�HETHEH 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 CONSTRUCTION. <br /> JOBADORE55 SIGN CONTRACTO UiMO . AGENi OATE <br /> 4959 Elm Street X .. � 10/28/80 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. Tl PE OF E�UIPMENT FEE <br /> WA7ER CLOSET QOILET) AIR WND,UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN) �OILERS—N.P.EA. <br /> SHOWER GAS FIRED AL.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B T.U. M EA. <br /> DISHWASHER WALI HEAT[RS—B.T.U. M <br /> IAUNDRY TRAY UNIT HEAT[RS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> \NATER HEATER CIOTHES DRVEPS <br /> URINAL YENTILATION FAN � <br /> ORINKING FOUNTAIN F7ANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.EM. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIFEPLACE 3 CHIMNEY <br /> SINK(SERVICE—BAR,EfC.I <br /> SUBTOTAL SUBTOTAL S <br /> PERMIT f PEHMIT S <br /> TOTALFEE S TOTAL FEE S <br /> SIOE YARD SETBACK STREE7 SE7BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ' ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP N0.UF DWELLING UNITS <br /> BUILDING $ 1300. 00 22 00 <br /> SIZE OF BLDG. NO.OF STORIES MN(.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIREO MECHANICAL <br /> ❑YES ❑NO <br /> APPROYALS BV DATE OTHER <br /> 7. F.NVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIRE HVORANT TOTAL 2 2 O O ~` <br /> 4. FIRE PROTECTION SVSTEM PEHMIT VALIDATION <br /> WHEN PROPERLV VALID�TED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING <br /> 6. DRAINAGE Q � 3 � � O � �. O O __� <br /> 7. ENVI(70NMENTAL IMPACT STATEMENT � �' <br /> B. HEALTH DISTRICT � <br /> APPLICATION ACC.BY PIANS CHECKED BY APPR.POR ISSUANCE BY `� � ' �-� :� R i:C E I PT� <br /> V.C. , � {;'�I��K �I O � <br /> ADDRESS FILE , L `'u' I.�CT EO <br />