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�heEv�RYeoF � ��ONSTRUCTIOI� � � <br />e�erett PERMIT PERMIT NO.O6HC�2 <br />CITY HALL 259�8745 <br />EVERETT, WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL �pLUMBING <br />���%"��A MRILAD�RE55 GIiT ZIP PIIONE <br />R.E. Finegan 9021 Evergreen {Vay <br />ARCHITECTOFDESIGNER MAtLADDPE55 CiTV ZIP PHGNE <br />GENEPAICONiRACTOR MAILAODRE55 CITY ZIP PNOtIE IICENS[i <br />AIECHANICFLCANTqACiOR MFILADpRE55 CITY ZIP PNONE LICENSE� <br />VLU'dBINGCQNTRACiOR MFILADORE55 CIiY ZiP PHOIIE IICENSE� <br />Rob R. Schmalz 12213 Cuuer Road Lynnwood 98036 SC HD9 AR R235L <br />CtASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN CGARA�E <br />VALUATION OF WOFK <br />5 <br />�ESCRIBE WORK <br />IEGAL OESCRIPiION OF PROPERTY �SMOW BELOW OR ARFGH FOUP COPIES� <br />lOT BLOCIL_pF <br />�oB���s%X 221 South Broad�aay <br />PLUMBING <br />NO. TYPE OF FIXTURE ON ITEM FEE <br />W�TER CLOSET (TOILET) <br />BATHTL'B <br />LAVATORY(WASH BASIN) <br />SHOWEfl <br />KITCHEN SINK R DISP. 2 <br />D ISH WASH EP <br />LAUNDRV TqAY [� <br />CLOTHES WASHER <br />WATER HEATER <br />UNINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADEFS <br />]_ SINK (SERVICE — �AR ETC 1 <br />SUBTOTAL Ri <br />SIDE YARD SETBACH STPEET SETBACK <br />USE ZONE LO7 AREA <br />TYPE OF CONSL OCCUPANCY GRC <br />SIZE UF BLDG. NO. OF STORIES <br />FIRE ZONE BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LI51 <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />G. DRAINAGE <br />Z ENVIqONMENTALIMPACTSTATEMENT <br />e. HEALTH DISiRICi <br />APPLICATION l.CC. BY I P�ANS CHECKED BV <br />I HEREBY CERTIFY THAT I HAVE R[AD AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PFOVISIONS 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 />PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTIO OR THE PERFORMANCE OF CONSTRUCTION. <br />SiG4ATUe FCONi CTORORAU(i��IORiZEO{GENT DAiE <br />� `i � \ � L\ ? p?¢ ( <br />X / PJ��I'Y•� v�.� �.� CC J• 9l <br />;OND. UNITS — H.P. EA. <br />IIGERATION 11NITS — H. <br />ena — n.r. er. <br />FIRED A.Q UNITS — TOI <br />;ED AIR SVSTEMS — fl T <br />M <br />UNIT HEATERS — B7.U. <br />AIR H4NDLING UNIT — <br />METAL FIREPLACE 8 CHIMNEY <br />REAF YARD SETBACK PLAN CHECK NUMBER <br />VACANT SITE <br />IIYES ;�;NO FEES <br />N0. OF DWELLING UNITS <br />BWLUING <br />MAX.00C.LOAD <br />PLUMBING <br />FIRE SPRINKLERS <br />REOUIRED MECHANICAL <br />❑YES i]NO <br />BY OATE OTHER <br />PENALTY <br />TOTAL <br />APPR. FOR ISSUANCE BY <br />PEpMiT <br />FEE <br />PLAN CHECK FEE <br />FEE I RECEIPT N0. <br />UBC <br />SEC. 303 (al <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS VOUR PERMIT <br />319q E011.00 �� <br />' . ' 0 <br />. �. <br />`r'�UR RECEIPTo <br />+ �3ANK YO U <br />- j G�i r 4 <br />ADDRESS FILE <br />