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. , <br /> d�e Ei�e�green � ���e���C7�o N <br /> GTY OF V <br /> everett PERMIT PERMiT NO. O77H1 <br /> GTY HALL 259�8745 <br /> EVEREI7.WA 98207 � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MFILAUDFE55 CIiY ZIP PMONE <br /> Richard Diana 1018 N 48th Street Seattle 98103 <br /> ARC4RECT OR DESIGNER MML AL�RE55 LITY 21P PHONE <br /> GENEPALCANTRACTOR MAILADDRESS CRV ZIP PMONE LICENSE/ <br /> Same <br /> MECMANICAL CONiPACTOR MAIL A�DRE55 CRY ZiP PNONE LICENSE I <br /> SamP <br /> PLUM9INGCONiRACTOR MAI�FODPE55 CITY ZIP PHONE LICENSE� <br /> 4^me — <br /> C1A55 OF WOIiK �[ <br /> ❑NEW ❑ADDITION L"lALTERATION ❑RLPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALU�T�ON OF WORN <br /> ; � � n�� �� —_ <br /> DESCRIpE WORK <br /> R�pa r Remodel interior, mo+a <br /> PROPOSED USE OF BUILOMG <br /> I HEREBY CEHTIFY THAT I HAVE READ ADJD EXAMINED THIS AP- <br /> tecn�o[sc.�iarior+oFPaoaean�SNowee�owoannncHFouRcooiE51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF IAWS P.ND ORDINANCES GOVERNING THIS <br /> �o*?�e�o�K�S�F � TYPE OF WORK WILL BE COMPLIED�WITH INHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTW � OF A PERMIT DOES NOT <br /> lSt A PFESUMETOGNEAUTH TYT � LATEORCANCELTHEPRO� <br /> VISIONS OF ANY OTH 'ST T R LOCAL LAW REGULATING <br /> CONSTRUCTIO k T PE MANCE OF CONSTRUCTIOIJ. <br /> SIGNFiURE OF C R Ci0 UtN . I {�GeNT OAtE <br /> JOB ADDRE55 <br /> x s� ti 6-23-80 <br /> PLIi11BING �MECHANI L <br /> NO. TYi'E OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSEi QC'LET) AIR COND.UNIfS—H.P.EA. <br /> BATHiUB FEFflIGEHATION UNITS—HP.EA <br /> I.id'ATOR:'�WASH BASIN) BOILERS—H.P, EA. <br /> SHOWER GAS FIRE�A.Q UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FOPCED AIR SYSTEMS—B T.LL M EA. <br /> DISHWASNER WALL HEATERS--B:�.U. M <br /> LAUNDRV TRAY UNIT HEATERS—O.T.U. M <br /> CLOTHES WASHER EVAPORATN[COOLERS <br /> WATER f!EATER - CLOTHES DRYEPS •'� <br /> URINAL VENTI(ATION FAN 2 <br /> DRINKING FOUNTAW RANGE HOOD <br /> FLOOR DRAIN AIR HANDLWG UNIT— GF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIIdNEY <br /> SINK(SERVICE—BAR,ETC.) <br /> SUBTOTAI 2 SUB TOTAL E <br /> PERMIT S PERMiT S <br /> TOTAL FEE S T(7'fAL FEE f 2 OO <br /> SIDE YARD SETBACK STREET SETAACK REAq YAfiD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> LYES ❑NO FEES VALUATION FEE <br /> �� <br /> TYPE CF CONSL OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> BUILDING b <br /> S¢E OF BLDG. NO.OF STORIES MA%.OCC. LOAC <br /> PLUMBING ZO OO <br /> FIRE ZONE BASEMENT qEpUIRED KLERS MECHANICAL Z OO <br /> ❑YES ❑NO <br /> APPHOVALS BY DATE OTHER <br /> 1. EP'VIRONMENTAL CHECK UST PENALTV U.B.0 <br /> - t-� SEC.303(a) <br /> 2. BUILDING PL4NS —� <br /> TOTAL oo ]t] �� <br /> 3. FIRE HYDRANT w <br /> a. FIRE PROTECTION SYSTEA� PERMIT VALID/�TIO�N <br /> - �N PROPEflLY VB�.�DATED pN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING ,�. 4" V� �_: v p 3 7 8 6 � O J �. O O !� � <br /> 6. DRAIItlA('iEi,, "_' � > � <br /> h�J—__`" '_ '" Cj . <br /> ' ENyiRQNlv$lJTAL IMPRPJGSiATEAdEP1T �� � N . r- <br /> t.r:_ _'_.._._ . <br /> e HEa.taoiS icfi�r —� o -< n o YC�U'R RECEIPT p <br /> �PLICA7�EN�.BY LANSCHECKF.D BY APFR.FOR ISSUANCE B1' � �}-� `� <br /> i i��i�1��n ��0� <br /> � � � C --� � <br /> l: i�l <br />