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die Evers�een ^,O N ST RU CT IO N <br /> CIIY OF <br /> e�erett PERMIT PERMIT NO. O94HO <br /> CITY HALL 259�8745 <br /> EVEREII.WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL PLUMBING <br /> CItY ZIP PHONE <br /> �,1pILADDFE55 96201 25Z-6718 <br /> O1"MEB Everett <br /> William Dollman 1418 Lombard Avenue cTY Z�P PHONE <br /> ARCHIT[GT OR DESIGNER <br /> MAIL ADDRE55 <br /> MAIL ADDRESS <br /> CITY ZIP PHONE LICENSE Y <br /> GENEiiAL GONTRAGTOR <br /> Same GIiY ZIP PHONE LICENSEI <br /> MEGHANICALCONTFACTOR <br /> hIAIL ADDRESS <br /> Qtt ZIP PMOPIE LIGENSE 1 <br /> I,IA�I A�DRE55 <br /> PLUIdBING GONTRACTOR <br /> C1A55 OF WOFK <br /> ❑NEW ❑ADDITION ❑FLTERAiION ❑REPAIR IX�I4EMOLITION ❑FENGE ❑SIGN ❑GAPAGE <br /> VALUATION OF WOPK <br /> S <br /> �ESCRI9E WOFiK <br /> Demolish garage <br /> aaoaoseouseoFauaoiNc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> single family garage pLICATION AND KNOW THE SPME TO BE TRUE AND CORRECT. <br /> iecn�oEscaiarioN aF rRoaeett isMow oe�ow oe nrrFcri Foue coaiesi ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> iP��n 23 a�4K 19 oF Hilton' s 2nd TYPE OF WORK WILL BE COMPLIED WITH `NHETHER SPECIFIEO <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 /> CONSTRUCTION OR THE PERFOPMANCE OF CONSTR�U ETION. <br /> SIGNATURG 0�CONiPACtOR 0 HOR ED FGENT ��14/81 <br /> Jpp AODPE55 <br /> 1418 Lombard Avenue X � <br /> MECHANICAL <br /> PLUMBING FEE <br /> TYPE OF FIXTURE OR ITEM PEE NO. TYPE OF EOUIPMENT _ <br /> NO• qIR COND.UNITS—H.P.EA. <br /> WATER CLOSET(TOILET) q�FRIGERATION UNITS—H.P.EA <br /> BATHTUB pOIIERS—H,P.EA. <br /> LAVATORY(WASH BASW) GAS FIRED AC.UNIiS—TONNAGE EA. <br /> SHpWER FORCED AIR SYSTEMS—B T.U. M EA. <br /> KITCHEN SINK&DISP. �yq�L HEATERS—B?.U. ti� <br /> DISHWASHER UNIT HEATERS—B.T.U. M <br /> LAUNDRY TRAY EVAPORNTIVE COOLEFS <br /> CLOTHES WASHER CLOTHES DRYERS <br /> WATER HFATER VENTILATION FAN <br /> URINAL RANGE HOOD <br /> DRINKING FOUNTHIN qIR HANDLING UNIT— GF.M. <br /> FLOOF DRAIN STOVE <br /> VACUUId BREAKERS — METAL FIREPL4CE 8 CHIMNEY � <br /> ROOF DRAINS—RAINLEADERS <br /> SINK(SERVICE—BAR,ETC.) ___ - <br /> SUBTOTAL S <br /> SUB TOTAL pERMIT S <br /> PERMIT S TOTAL FEE S <br /> TOTAL FEE S PLAP!CHECK FEE <br /> SIDE'f�aD SETBACK STREET SETBACK REAR�FRD SETBACK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> LOT AREA VACANT SITF. FEES VALUA710N FEE <br /> USEZONE ❑yES ❑NO <br /> TyPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS � OO OO <br /> OUiLDINii <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE 6�.SEMENT FIRE SPRINKI.ERS MECHANICAL <br /> REOUIRED <br /> ❑YES ❑NO <br /> BY pATE O7HER <br /> APPROVALS U.B.C. <br /> t ENVIRONMENTALCHECKLIST PENA�TY SEC.303(a) <br /> �. BUILDINGP�NNS T�T�� 00 00 <br /> 3. FIaE HVDRANT PEHMIT VALIDATION <br /> n. FIRE PROTECTION SYSTEM WHEN PROPEFLY VALIDATeD�1N THIS SPFCE)THIS IS YOUR PERMIT — � <br /> c '. � � 70. Q1 <br /> ,. GRADWG W <br /> 6. ORAINAGE � <br /> C,VIRONIAENTAL IMPACT STA7EMENT - � � — � <br /> • . � , � � �� i � <br /> B. HEALTH DISTRIC7 , � ; � <br /> APPLICA710N ACC.BY PLANS CHECKED BY <br /> APPR FOR ISSUANCE BY , , . , <br /> � '. ,...� � I <br /> ADDRESS FIL� <br />