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- tlie Ere� rectt � � <br /> CI�YOF ^or'STa�1CTIQ�I <br /> ever�tt PERMIT <br /> CI7V I1ALL 259�8745 P E R M IT N O. 11 O$6 <br /> EVtRETT,WA 98201 ❑ COMBINATION ❑ BUIL�ING �MECHANICAL ❑ PLUMBING <br /> OYINER MAII ApDPESS CITY <br /> Greg Chandler 26th Magnolia Z'P �•"o"F — <br /> nacr�ireaoaoesicruee Everett 982U3 347-3_741 <br /> MAIL ADORESf CIiY ZIP PHONE <br /> �FNFflAL CONTpACTOR L1Ai�qDORE55 CITY <br /> ari�e ZiP nyONE �IC[ry5E e <br /> M[CtiAHiCAL CONTRNCipF MAIL ADDRE55 <br /> CITY ilP PHONE �ICENSE/ <br /> PlUM91NG CCNTRAQOR MAIL ADpiE55 CITY <br /> Z�P PHUNE LICENSE� <br /> CLAS$OF WORK ( <br /> ❑1�EW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DE�dOLIT10N ❑FENGE ❑SIGN ❑GARAGE <br /> VAW 1TIOW OF WORK <br /> .. .niBE\VURK <br /> l:,stall wood stove <br /> °aovoseo use oF ounoiNc -- <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �ecn�oesceiFnoNOFaaoPe�r��sHowce�owoanrTnci�wuacoPiesi Fi.ICATION AND KNOW THE SADAE TO BE TRUE ANG CORRECT. <br /> ic� eioc�_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 NO7 <br /> PRESUME TO GIVE AUTHORITY TO VI0�,4TE OR CANCELTHE?RO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRWCTION OR T P R�ORMANC F CONSTFUCTION. <br /> JOBA�ORES$ SIGN4TVf' FCOI�iRACiC R �OFIZlDAG �t <br /> onTe <br /> 26 Magnoli� , 9/30/82 <br /> PLUMBING ECFIANIC <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> lYATER CLOSET(TOILET) AIR COND.UMITS—H.P.EA. <br /> BATHTUB REFFIGERATION UNITS—H.P.EA <br /> LAVFTORV�WASFI HASIN) pOILERS—H.R[A. <br /> SHpWER GASFIREDAC UNITS—TONNAGEEA. <br /> KITCHEN SINK&DiSP_ FORC[D AIR SYSTEMS—�T.LL M EA. <br /> OISHIYASHER _ VJA:L HEAIERS—B.TL. M <br /> LAUNDRY TRAV UNIT HLAiERS—6.T.U. M <br /> CLOiHES VlASHEF EVAPORATIVE COOLERS <br /> WATER HEA7P.R CLOiHES URYERS <br /> UFINAL VENTILATION FAN <br /> DRINKING FOUNiAIN RANGE HOOD <br /> FLUOR DRAIN AIR HANDLING UNiT-- <br /> C F.M <br /> VACUUM BREAKERS STOVE WOOCI <br /> ROOF DRNNS—RAMLEADERS METAL RREPLACE A.CMMNEY <br /> _ SINK ISERVICE—flAR �TC! <br /> i <br /> SUB TOTAI SUBTOTAL f <br /> PERMIT 5 PEflM1T 5 I <br /> TOTAL:EE f TOTAL FEE S <br /> SIDE YARD SETBACK STREE7 SETBACK Rr-qR YFRD SET�ACK PLAN CHECK NUMBER PIAN CHECK FEE <br /> FEC RECEIPT NO. <br /> USE ZONE LOT AREA VACANi SITE <br /> f7YES LINO FEES VALIIATIUN FEE <br /> TYPF.OF CONST. O,^,CUPANCY GROUP NO.CF DWELLING UNITS <br /> 9UILDING $ <br /> SIZE OF BLDG. � NO.OF STORIES h1AX.OCG LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPflINKlERS <br /> REOUIPED lAECHANICAL i <br /> ❑YES LJNO 1'] S� <br /> .4PPpOVALS BY DATE OTH[R I <br /> � ENVIRONMENTAL CI{E;K LIST J <br /> PENALTY U.B.C. <br /> 2. BUILDING PIANS SEC.3a3(a) <br /> 3. FIRE HYDR4NT TOTAL 1� S O <br /> 4. FIRE PROiECT10N SYSTEM PEHMIT VALIDATION <br /> 5. GRADING WHEN PROPERLY VALIDATEO�IN THIS SPACE)THIS IS YOUi PEFMIT <br /> 6. DRAINAGE � <br /> � <br /> 7. ENVIRONMENTAL IMPACT STATFMENT 0 <br /> 8. HEALTH DIS7qICT �--{ <br /> APPLICATION ACC.BY PI.NS CMECKED BY APPR.FOR ISSUANCE 6Y � <br /> DAB <br /> ALDRESS FIL� <br />