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!hi' ErerGreen � �o t�sT R�u e r�o �' <br /> Ci�vGF � <br /> �V����� PERMI� PERMIT NO. 1�$�� <br /> GTV HAL:259�8745 <br /> eveaeTT,wa 9ezoi ❑ COMBINATION K� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNGq MAIL ADOFE55 CITV 21P PHONE <br /> MERLIN VERLTOEVEN 1431 LOMBARD EVERETT WA 98201 9��-�am <br /> � ARCNITECT OR DESIGKER MAIL AOOPE55 QTY ZIP PFONE <br /> GENERAL CONTRNGTOfl MAIL ADOflESS CITY ZIP PHONE LICEYSE� <br /> Same <br /> MFCHANILFL CONTFFCTOR MFIL ADDRESS CITV ZIP PHONE UCENSE M <br /> PLUMBING CONTRAGtOR MAIL ADOPESS CITV ZIP PHONE LICEkSE M <br /> GLA55 OF WOPN <br /> ❑ NEW � ADDITION X� ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FCNCE ❑ SIGN O WOOD STOVFJFIREPLACE INSERT <br /> VALUATIUN OF WORK <br /> 5�2�0.0� <br /> OESLRIBE WOR� <br /> New paaked roof _ <br /> PROPOSEO lISE OF BUILOING <br /> Garage APPLICAT ONRTANDTKNOW THE SAME TO EBE MIRUE ANID <br /> LEGAL OESCRIPTION OF PPOPEHTY(SNOW BELOW OR ATfACM FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 14-15-16 288 H11tOn'S 2 Addn GOVERNING THIS TYPE OF WORK WILL 3E COMPLIED WITH <br /> LOT_BLOCK_OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO Glb'E AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGUI.ATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRE55 SIGNRTURE OF CONTRACTOR OR AUTMORILEO AGENT DATE <br /> 1431 Lombard X 1� '7� `;b�c-�-� <br /> PLUMBIMG MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE _ <br /> WATERCLOSET�TOILEn AIR COND. UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS — H.P. EA. _ <br /> LAVATORY�WASHBASIN) BOILERS— H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. _ <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— 6.T.U. M EA. _ <br /> DISHWASHER WALL HEATERS— B.T.U. M _ <br /> LAUNDRY TflAY UNIT H[ATERS— B.T.U. M <br /> CLO7HES WASHER EVAPORATIVE COOLERS _ <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR�RAIN AIR HAND�ING UNIT— C.F.M. _ <br /> VACUUM BREAKERS �TOVE— WOOD <br /> ROOF DRAINS— RAINLEADERS META:FIREPLACE 8 CHIMNEY <br /> SINK(SEfiVICE— BAR, ETC.) FIREPLAGE INSERT <br /> HEAT PUMP <br /> SUB 70TAL ± SUB TOTAL 5 <br /> PERMIT S PERMIT S <br /> TOTAL FEE S TOTAL FEE : � <br /> SIDEYARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONC LOT AREA VACANT SITE FEES VALUAT!ON FEE <br /> YES i:NO <br /> TYPE OF CONST. OCCUPANGY GROUP NO. OF DWELLING UNITS <br /> BUIIDING S�ZOO.00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE RASEMENT FIRE SPRINKLERS MECHANICAL <br /> REQUIREO <br /> I '.YES ". :NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.309(a) <br /> 2.BUILDINGPLANS TOTAL ZO 5O <br /> 3.FIRE HYDRANT <br /> 4.FIRE PROTEC110N SYSTEM PERMIT VALIDATION ' <br /> S.GRADING WHENPROPERLYVALIDATED�WTHIS�P�QE}THISI�Y�Uj7oEF[pAR �� <br /> 77 7 � <br /> 6.ORAINAGE _ (,e'l <br /> 7.ENVIRONMENTALIMPACTSTATEMENT ('\f <br /> 8.HEAITH DISTRICT �� , n�� ��I P (a i <br /> {\�. J�- <br /> APPLICATION ACC. BY PLANS CHECKED BV APPR. FOR ISSUANCE BY \�;, <br /> .. i'I. ; ����:� I ,.� U <br /> � �� .�:�: li'� <br /> �DDRESS f-ILL <br /> 1 <br /> I <br />