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� <br /> dieC•vergreen - � CP' �VSTRUCTION �� �. � <br /> CITY OF <br /> everett PERMIT pEFtMIT N0. OHO6O <br /> GTY HALL 259�8745 <br /> EVEHETT,WA 58201 ❑ COMBINATION ❑ BUfLDING ❑ MECHANICnL ❑ PLUMBING <br /> UVINER MNIL FUOPE55 CITY 21P PHONE <br /> R. E. BOLDING 4912 COLBY E'lERETT 98203 75 —(1907 _ <br /> APCHITECi OR OESIGN[R MAIL ADDFE55 CIiV ZIP PMONE <br /> GENCRFICANiRACTOR IAAILAODRESS CIiY ZIP PHONE LIGENSE� <br /> MECMANICALGONTRACTOR MAt�ADDPE55 CITY ZIP PHONE LIGENSEI <br /> P�UM�INGCANTRACTOR MAILAOOFESS CITY ZIP PNONE LICENSE� <br /> CLASS OF WOfiK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR �OEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> b <br /> OESCRIBE WORK ' <br /> DEMOLISN HOUSE <br /> PFOPOSED USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVC- RE:AD AND EXAMINED THIS AP- <br /> iecn�oescaianoNOFvaoaeaTr�sHowee�owoannncr+Fouacocie;� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 6 60g PLAT OF EVERETT ALL PRUVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or eincK_ F TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUMETOGIVEAUTHORITYTOVI��LATEORCAIJGELTHEPRO� . <br /> . VISIONS OF ANY OTHER STATE OR LOCAL LAVJ REGULATING <br /> CONSTRUCTION�OR THE PERFORMAIJCE OF CONSTRUCTION. <br /> SiGNnTUREp P�('O4YHAGTO� RAU�HOfl¢E�AGENT OATE <br /> JOBADDRESS // � � <br /> 2611 LOMBARD X . !'� � �i:�,..✓ 8-5-80 <br /> PLUMBING MECHANICAL <br /> NO. TYPE Or FIXTURE OR 17EM FEE N0. TYPE OF EQUIPME FEE <br /> WATER CLOSEf(TOILET) AIR COND.UNITS—HP.EA. . _ _ <br /> BATHTUB REFqIGERATiON UN:TS—H.P.[A" _ <br /> LAVATORY pNASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS PIRED A C. UNITS—TONNAGE EA. <br /> KITCHFN SINK&DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALLHEATERS—BT.U. M <br /> IPUHDRYTRAY UNITHEATEt75—BT.U. M <br /> CLOTHES WASHER EVAPJPATIVE COOLERS _ <br /> � WATER HEATER CLOTHES DRYcRS _ _ <br /> URINAL VENiILATION FAN _ <br /> ORINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN �f.lfl HANDLING UNIT— C.F.L1. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACe&CHIMNEY <br /> SINK(SERVICE—SAR,ETC.) <br /> _ SUBTOTAL SUB TOTAL 5 � <br /> PERMIT S PERA7IT S <br /> TOTAL FEE S 707AL FEE f <br /> SIDE YARD SETBACK STREET SETBACK REAF YARf1 SETE3ACK PLAN CHECK NU618FR PLAN CHECK FEE <br /> FEE RECBIPi NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLDG. IJO.OF STOFIES MA)C OCC. LOAD — <br /> PLUMBING <br /> FIRE ZONE �ASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> L1YES [JNO - <br /> APPHOVALS BY DP�TE OTHER <br /> 1. ENVIFONMENTALCHECKLIST PENALIY U.BC. <br /> SEC.3U3(al <br /> 2. BUILDING PLANS — <br /> TOTAL O Q O O <br /> 3. FIRE HYDRANT � � <br /> n. FIR[PRO7ECTION SYSTEM PEFMI7 VALIDATIn�t <br /> WHEN PROPHRLY VAIIDATED(RJ THIS SPACE)THIS IS YOUR PE(R�IdqIT <br /> 5. GRADING 5 8 b 0 � O `1 V. O.� —�) � <br /> 6. DRAINAGE � <br /> 7. ENVIRONMENTALIMPAGTSTATEMENT G <br />