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a� <br /> theF.veCrg oF S : ��STRIJCTION ��. <br /> everett PERI�IT �ERMI7 NO. O7�5S - <br /> fi'Y NPLL 259�8745 �' � - ' .. <br /> � . EVFAET7,WA 98201 ❑ COMBINATION '0 BUILDINO ❑ MECHANICAL �U PLUMBING � . � . <br /> '� OWNER �� MAIL�DDNE55 . GTY � ZIP PNONE � <br /> M[crvi. J. Niemela Everett 98203 355-3241 <br /> ARGMRECTGeCrStt:NER MRILADDPE55 CItY 21P PHONE <br /> Cape Cod 7 Magnolia Everett �98203 <br /> �'.CNEflnLCONTPAGiGB MRIIADDHE55 CITY ZIP PHONE LIGENSE• <br /> Same <br /> UECHRII'CALGONTtACTOR MnILADDRE55 CRY 2i> PHONE LICENSE/ <br /> PL11M91NG fANTBALtOR MAIL ADDRE55 CIiY ZIP PHONE LICENSE/ <br /> QA.`.SOF WORK <br /> ❑NEW ❑ADDITIOM ❑ALTERATION �REPAIR ❑OENOLITION ❑FFA'CC ❑SIG4 ❑GAPAGE <br /> VPLUATION GF WORK � <br /> , aoo.no <br /> DLSCRIBE WORK <br /> Apply 8 squares roof.inq <br /> .':LhSED USE OF BUIL�MG <br /> ^ Single family I HEREBY CERTIFY THAT I HAVE READ AND EXAMINE�THIS AP- <br /> �e�ni oescaianoN oF aeoaea*�isnow seiow oR nrrnc��FouacoPiesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 63 AA-2 Airport Acrea ALL PROVISIONS OF LAWS AND ONDINANCES GOVERNING THIS <br /> �oT 6L(�CK__OF TYPE OF WORK WILL Bc CO�APLIED WITH WHETHER SPECIFIEU <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL lAW REGULATING <br /> CONSTRL'CTION THE PERFORM�E OF CONSTRUCTION. <br /> doanooaess si�i�Nnr�u/-a�aFwNr c aoa/pG � izEoayEnr onrE <br /> 7 Magnolia Everect X //��Iw � G �� 6-19-80 <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H.P.EA. <br /> BATH7U8 REFRIGEFATION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS PIRED AC.UNITS—iONNAGE EA. <br /> KITC�iEN SINK 8 D�SP. FORCCD AIR SVSiEh+S—B T.L'. M F.f,. <br /> OISHWASHLR VJALL HEATERu—B T.U. 'd <br /> LAUNDRV TFAY UNIT hIEP.TERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVECOGLERS <br /> WATER HEA7ER CLOTHESDRYEFS <br /> URINAL V[WTILATION PAN _ <br /> DRINKING FOUNTAIN RANGE HOOD <br /> PLOOR DRAIN AI9 HAu�LIflG UNIT= L.F.M _ <br /> VACUUMBHEAKEFi —_---a--"--"'�—�'— -- ST'�,�E <br /> ROOF DRAINS—R0.INLEADERS ME?h_FlREPLACE 8 CNIMNEY <br /> SINK�SEPVICE—9AH.ETC.) _ <br /> SUBTO7AL SUBTOTAL S <br /> PEflM1T f _ PERMIT S <br /> ��� TOTAL FEE S TOTAL r'EE S <br /> SIDC YARD SETBACK STPEEi FET�ACK REAP YAFD SET9ACK PLAN CHECK NUMB[P PWN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE — <br /> ❑vES ❑NO FEES l'ALUA710N FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNIiS <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD BUILDWG 5 400.00 S OO <br /> PLUMBING <br /> FIRE ZONE BAStMENT FIRE SPRINKLERS <br /> REOUIflED NECHANICAL <br /> :JYES ❑N'7 <br /> APPROVALS BY UATE ��THER <br /> 7. ENVIRONMElJiALCHECKL151 P�.NA�n. U.BC. <br /> SEC.303(a) <br /> 2. BUILDINGPLANS <br /> 3. FIREHYDRANT T�fA� S OO <br /> 4. FIRE PROTECTION SYSTEM PEl1MIT VALIDATION <br /> — WHEN PROPERLY VALI�ATED pN THIS Sj�P�Ef T�I515 V�l�i�'E��� O �� � <br /> 5. GRADING S 6 ! U U <br /> 6. DRAINAGE . � <br /> Z EN'/IRONMENTAL IMPACT STATEMENT �^ � <br /> 8. HEALTH DISTRICT Y V �� R R c C E I PT I�" <br /> APPLICATION ACC.BV PIANS CHECKED BY APPF.POR ISSUANCE BV T i�I r�I V!K YO U O <br /> L.C. <br /> � 9 ,� 80 <br /> AGDRE5S FILE <br />