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` <br /> die Everg�een ���V�1 l���'o� <br /> CITY Oi- ✓ <br /> everett PERIVIIT pERMIT NO. �91�� <br /> CITY HFLL 259�0745 <br /> eveaerT, v�� eozoi � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING � <br /> ov,r,en �.,ri�nouHtss ci�r ziP ��naut <br /> Richard Diana 3110 Lombard Everett 99201 <br /> ARCHITWT OR OESIGNEH �dAIL FODRE55 � GIiY ZIP PMONE <br /> 1018 N 48tk Seattle 98103 <br /> GENERALCONTRnCiOR MAILA��RE55 CITY ZIP P��ONE LICEpSCr <br /> M[CNANICAL CANTRACTOR �AAII ADDRE55 CITY ZIP PNONE UCLNS!' + , <br /> NLU1.I�INGGONTRACTOR MhLti�DR[SS C�TV 21P PHOIJE LICENSE� <br /> CLASS OF CIOPK <br /> ❑NEW ❑AUDITION ❑ALTERATION ❑PEPAIR X�DEMOLIiION ❑FENCE ❑SIGN ❑GARAGE <br /> VFWATION OF 1YORK <br /> 5 <br /> DESGFIDE WORH <br /> Demolish Tri Plex <br /> '�'�.O�OSED USE OF�UILDING <br /> Three Unit Apartment—Fire Damage I HEREBY CERTIFY TFIAT I HAVE READ AND EXAMINED THIS AP- <br /> �ecn�oEscmrnor:cF�noaearris�rowoe�owoanrTncr+wunco�ies� PLICATION AND KNOW THE SAME TO B RUE AND CORRECT. <br /> 21 74� Everett Land Co, s lst ALL PROVISIONS OF LAWS AND ORDIN CES GOVERNING THIS <br /> �c,r ai.a:K_ F TYPE OF WORK WILL BE COMPLIED TH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GR NTING F A PERMIT DOES NOT <br /> PRESUME TO GIVE. UTHO �Y TO V OLAT OR CANCFL THE PRO� <br /> - VISIONS OF Af�h' TNE 5TATE O� CAL LAN! REGULATIN, <br /> CGNSTRUCTION R TH PER ORMA C�E�,OF CONSTRUCTIOfJ. <br /> J0���DBE55 SIGIJAiURh OF CO 4CTOA 0 � E AG /1 0��� <br /> 3110 Lombard X � /�l 4/30/81 ^ <br /> PLUMBING MECHANI AL __ <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. � TYPE OF E�UIPMENT FEE __ <br /> WlQEH CLOSET(TOILEn AIR CON�.UNITS—HP.EA. _ <br /> BATHT'J� PEFRIGERATION UNITS—H.P.EA _ <br /> LAVAiORY M�ASH 13ASIN) BOILERS—H.R EA. ___ <br /> SHOWER GAS PIRED A C.UNITS—TONNAGE EA. __ _ _ <br /> KITCNEN SINY.8 DISP. FORCED AIH SYSTEMS—B.T.U. M E/., ____ <br /> UISHWASHER WALL H[AT[RS—B.T.U. M _ <br /> LAUN�RV TRAY UNIT HEATERS—�.T.U. �� ___ <br /> CLOIHES WASHER EVAPORATIVE COOLERS _ <br /> NlATER HEATER CLOTHES DRYERS ___ <br /> URINAL VENTILATION FAN _ _ <br /> DRINKING FOUNTAIN RANGE HOOD _. _ <br /> FLOOR ORAIN AIR HFN�UNG UNIT— CF.Id. ___ <br /> VACUUM BREAKERS SiOVL __ <br /> RDOF DRAINS—RAWLEADERS METAL FIflEPLACE 8 CHIMNEY ___ <br /> SINK ISERVICE—BAR.ETG) --- <br /> SU9 70TAL SUB TOTAL 5 __ <br /> PEHMIT S PEPMIT S ___ <br /> TOTAL FEE S TOTAL FEE S __ <br /> SIDE YARD SETBACN STREET S[TBACK REA9 VARD SEiBACK PLAN CHECK NUMBER PLAN CHECK FEF <br /> FEE iECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE — <br /> '_]YES i]NO FEES VALUATION FEE _ <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S OO OO <br /> SITE OF BLDG. NO.OF STORiES MAX.00C. LOAD --- <br /> PLUMBING <br /> FIREZONE BASEMFNT FIRESPRINKLERS MLCHANICAL <br /> REOUIRED <br /> �lYES IiNO -- <br /> APPNOVALS BY DATE OTHER _ <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U�C. <br /> _ SEC.303(a) <br /> :' �UILDWGPLANS — <br /> TOTAL 0 O 0 0 <br /> 3. RI7G HYORANT <br /> :. R;G PfiO7ECTION SYSTEM PEHMIT VALIDATION <br /> WHEN PROPERLY VALIDATED QN THIS SPAC[)THIS IS YOUR PERMInT { <br /> 5. GRADING 1 ��. l: 9 ? � G O. `i '� —'CZI ... <br /> 6. DRAINAGE G' <br /> � <br /> 7. ENVIRONMENTAL Ih1PACT STATEMENT <br /> _ �. � <br /> !1. HEALTH DISTRICi , , ,�, . � � I�1 <br /> ,-�^PLICATION ACC. �Y PLANS CHECKEU�Y APPR.FOR ISSUANCE BY . ' ' ' � ' ' <br /> —__—_--I ._—_--_..--__.— __ . <br /> _ _n <br />