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dieEvergreert ^,pNSTRUCTl01� � <br /> CITY OF p E�M IT <br /> ever�tt PERMIT NO. Og�HO <br /> CITY HAL1259�8745 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> EVERETT.VJA 98201 <br /> CITY ZIP PHONE <br /> una nooness 2 5 2—6 718 <br /> ov+Nen Everett 98201 <br /> William Dollman 1418 Lombard Avenue cT Z�P pHONE <br /> Ma�nooRess <br /> ARCHITECT OR DESIGNER <br /> MAIL ADDRE55 <br /> CIIY ZIP PMONE LICENSE M <br /> GENERALCONiRACTOR <br /> Same GTY ZIP PMONE LICENSEI <br /> MECHANICAICANTRAGTOR <br /> MAIL AOURESS <br /> lAAIL PD�RESS <br /> GIiY ZIP PMONE LICENSE� <br /> PLUId�ING CONTRPCTOR <br /> CLASS OF W ORK <br /> ❑NEW ❑ADDIiION ❑ALTERAiION ❑REPAIR ��EEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VAWATION OF WORK <br /> b <br /> DESCRIBE WORK <br /> Demolish qarage <br /> Pnoroseo use oF om�oirvc I HEREBY CERTIFY TYAT I HAVE READ AND EXAMINED THIS AP- <br /> single family garage pLICATION AND KIJOW THE SAME TO BE TRUE A'�D CORRECT. <br /> �e�n�oescaiPnor+oF rnoaearrRNow oe�o�voa nrrneH FouncoPiesl ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �P��n 23 8�4,� 14 oF Hilton ' s 2nd TYPE OF WORK WILL BE COMPLIED WITH WHETHEH 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 PcRFORMANCE OF CONSTR�UCTION. <br /> GIGNATURE OFJCANiPACTOR O HOR ED A ENT .�/14/81 <br /> JOB A���E55 <br /> 1418 Lombard Avenue X � <br /> MECHANICAL <br /> PLUMBING TYPE OF EOUIPMENT FEE <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. <br /> AIR COND.UNITS—H.P,EA. <br /> WATER CLOSET QOILET) qEFRIGERATION UNITS—H.P.EA <br /> �ATHTUB gOILERS—H.P.EA. <br /> LAVATORY(WASH BASIN) GAS FIRED A C.UNITS—TONNAGE FA. <br /> SHOlYER FORCED AIR SYSTEIdS—0 T.U. M Eh, <br /> KITCHEN SINK&DISP. WqLL HEATERS—P.T.LL M <br /> DISHWASHER UNIT HEATERS—B T.U. M <br /> LAUNDRV TRAY [VAPORATNE COOLERS <br /> CLOTHES WASHER CLOTHES DRYERS <br /> WATER HEATER VENTILATION FAN <br /> UPINAL RANGE HOOD <br /> DRINKING FOUNTAIN qlP HANDLING UNIT— CF.h1. <br /> FLOOR ORAIN STOVE <br /> VAGUUM BREAKERS METAL FIREPLACE&CHIMNEY <br /> ROOF DflAINS—RAINLEADERS <br /> SINK�SERVICE—BAR,FTC.) <br /> SUe70TAL S <br /> SUB�OTAL pERMIT 5 <br /> "rERMIT 5 TOTAL FEE S <br /> TO7AL FEE S PLAN CHECK FEE <br /> SIDE YARD SEiBACK STREET 5[TBACK REAP YARD SETBACK PLAN CHECK NUMBER FEE RECEIPT N0. <br /> USE ZONE LOT AREl. VACANT SITE FEES VALUATION FEE <br /> L]YES ❑NO <br /> TYPE OF CONST. OCCUPANCY GflOUP NO.OF DWELLING UNITS � OO OO <br /> BUILDING. <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> RE�UIRED <br /> ❑YES [lN0 <br /> ppPROVALS <br /> BY DATE OTHER <br /> PENALTY U.B.0 <br /> 1. ENVIRONMENTAL CHECK L15T SEC.303(a) <br /> 2. BUILDINGPLANS T�TA� 00 00 <br /> 3. FIRE HYDRANT <br /> PEHMIT VALIDATION <br /> 4. FIRE PROTECTION SYSTEM WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PEAMIT <br /> C ' - ; `' ;11� �. 0 � — � <br /> 5. GRADING � <br /> 6. DRAINAGE � <br /> 7. ENVIFON�dENTAL IIdPACT STATEMENT ''-� � <br /> CJ <br />