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dte ErCrGrPPn � �O N ST R U CT I O R r <br /> U7v OF �� <br /> everett PERMIT PERMIT NO. 127Oa <br /> CIiV HALL 259�ft745 <br /> EVERETT,WA90201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILAODRE55 CITV ZIP PHONE <br /> Jerry Erbine 1531 Lombard Everett 48201 <br /> AflCMRECT OR OESIGNER MAIL AODPE55 CITY ZIP PHONE <br /> GENERAL GONTRACTOR IAAIL AD�RESS CITY ZIP PMONE LILENSE X <br /> Jose R. Yepez P.O. Box 7216 Everett 98206 258-3089 <br /> MECMANICAL GONTRACTOR MAIL A�OflESS GTY ZIP PHUNE ULENSE N <br /> DOVERC*'.S1D5 <br /> PLUMBING CONTRFGTOR MAIL AOORE55 QTY ZIP PMONE UGENSE M <br /> C1.4c�OF WORK <br /> O NEW ❑ ADDITION ❑ AL7ERATION K}CREPAIR ❑ DEMOLI710N ❑ FENCE ❑ SIGN ❑ WC'OD S70VE/FIREPLACE INSERT <br /> VALUATION OF WORK <br /> S 2,587.00 <br /> �ESCRIBE WORK <br /> remove roof and reroof with shakes <br /> PROPOSED USE OF BUIL�iNG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND K�vOW THE SAME TO BE TRUE AND <br /> LEGALOESCRIPTIONOFPROPERTY�SHOWBELOWORATTACMFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK_OF GOVERNING THIS TYPE OF WORK W�LL BE COMPLIED WITH <br /> WHE7HER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT P�ESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> J09 ADDRESS SIGNATUP.'OF CONTRFCTOR OR A iHORREO A ENT DATE <br /> 1531 Lombard X 11/17/83 <br /> PLUMBING MECH ICAL <br /> NO. TYPE OF FI%TURE OR �TEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEI� AIR COND.UNITS— H.P. EA. <br /> BATHTUB REFRIGEflATION UNITS — H.P. EA. <br /> LAVATORY(WASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED H.C. UNITS— TONNAGE EA. <br /> KITCNEN SINK&DISF. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHEfl WALL HEATERS— B.T.U. M <br /> LAUNDRY7RAY UNIT HEATERS— B.T.U. M <br /> GLOTHES WASHER EVAPORATIVE COOLERS <br /> WATEF HEATER CLO7HES DRYERS _ <br /> URINAI VENTILATION FAN <br /> DRINKING FOUNTAIN RANCaE HOOD <br /> FLOOR �RAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAK�3RS S70VE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR, ETC.� FIREPLACEINSERT <br /> HEAT PUMP <br /> SUB TOTAL 5 SUB TOTAL 5 _ <br /> PERMIT S PERMIT S <br /> TOTAL FEE 5 TOTALFEE S <br /> SI�E YARD SETBACK STREET SLTBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIP7 NO. <br /> USE ZONE LOT AREA VACAN7 SI7E <br /> ;��.VES . .NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUf'ANCY GROUP NO. OF DWELLING UNITS <br /> eUILOING 52587.00 38 50 <br /> SIZE OF BLDG. NO.OF STORIES MAX. OCQ LOAD — <br /> PLUMBING <br /> F1RE ZONE BASEMENT FIRESPRINKLERS ti�ECHANICAL <br /> REOUIRED <br /> �� :YES ��.NO <br /> APPROVALS DY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILDIWG PLANS <br /> TOTAL 38 SO <br /> 3.FIRE HYDRANT <br /> 4.FIRE PRO'�ECTION SYSTEM PERMIT VALIUATION <br /> 5.GRAOING WHEN PROPERLY VALIDATED pN TMIi�P{1GE)THI�I$�Y�I�Q.�EFj�11T .Y�) � <br /> � � � u a � u <br /> 6.DRAINAGE <br /> �..' <br /> 7.ENVIRONMENTALIMPACTSTATEMEN7 (',_� <br /> 8.HEALTH DISTRICT ' � ? r'-(�r'�� .. , <br /> . i. � <br /> APPLICA710N ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY <br /> �"' YC�� fJ <br /> . <br /> � � �r,, �� � <br /> � i;��l u.i <br /> ADDRESS FILE <br /> � <br /> � <br />