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, . <br /> �� <br /> !liP�'.PcrGrCPlI �`I ��������o � _ <br /> Ui° Ui <br /> everett pE�� ��' PERMIT NO. 127H2 <br /> CI7Y HALL 259�B7d5 <br /> EVEFFTT,lNA9B201 � COMBlNATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> � OINNEft MAILADORE55 GiY 21P PHONE t� <br /> it'. A, h1ILLER 515 - 1Q'h Mukilteo Blvd Everett ' <br /> AflLH1iECT OR pE51GYEF MqIL ADORE55 ptY 21P PHONE <br /> GENERALCONiRAGiOR MAILAU�RE55 QTY 21P PHONE 4CENSEI <br /> Ricli Menzel 1408 iValnut Everett 1VA 257.-7696 D9ENZER18205 <br /> MECHANICAL LONiRACTOR MAIL AODRF55 CITY 21P PMONE LIGENSE x <br /> PIUMBING CONTRAGTOR MAIL AODRE55 CIiY ZIP PHONE LIGENSE 1 <br /> CLA55 OP WORN <br /> ❑NE6V O ADDITION ❑ ALTERATION �']REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSEPT <br /> VALUATION OF V�OPK <br /> s 3460. 00 <br /> DESGRIBE WORK <br /> Reroof = composition <br /> PPOPOSED USE OF BUILDING <br /> ReS id211Ce. I HEREBY CERTIFY THAT� HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRI;E AND <br /> LEGALDESCRIPTIONOFPqOPERiY15M01Y�ELOYlORATfACHFOURCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or�]eCbcK�2],.cF Heigllt5 Addri t0 T GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTItJG OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORI7Y TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STFTE OR <br /> LOCAL LAW REGULAT�NG CONSTRUCTION OR THE <br /> PERFORMANCF OF CONSTRUCTION. <br /> J0�AO�RE55 SIGNATUfiE OF CONTRACTOR OR AUTMORRED AGENT DATE <br /> X ./ �i�_ 12/5/83 � <br /> PLUMBING MECHl�'iICAL <br /> INO. TYPE OF FIRTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> � WATERCIOSET(TOILEn A�R COf:D. UNITS— H.P.EA. <br /> BATHTUB H:FP.IGERATION UNITS— H.P.EA. <br /> LAVATORY(WASH BASIN) LOILERS— H.P.EA. <br /> SHOWER �AS FIRED A.C.UNITS—TONNpGE EA. <br /> KITCHEN SINK 8 DISP. FORCED 41R SYSTEMS— B.T.U. M EA. <br /> DISHN/ASMER WALL MEATERS— B.T.U. M <br /> LAUNDPVTRAY UNIT HEATERS— B.T.U. M <br /> CLClTHES WASMER EVAPOFATIVE COOLERS <br /> WATER HEATER CLOTHES�RVERS <br /> URINAL �ENTILATION FAN <br /> DFINKING FOUNTAIN RANGE HOOD <br /> FLOCR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEA�ERS I.IETAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE — BAR, ETQ) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL i SUB TOTAL 5 <br /> PEflM1T t PEHMIT S <br /> TOTAL FEE S TOTAL FEE S <br /> SIDE YARD SETbnCK STREET SETBACK REAR YARD SETBACK PLAN CMECK NUMBER PLAN CFIECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ..VES .NO FEES VALUATION PEE <br /> TYPE GF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING ' E3Q6(1.0� 44 5� <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECNANIGAL <br /> � REOUIRED <br /> -.-�.VES � .NO � <br /> APPflOVALS 9Y DATE OTHER <br /> 1.ENVIROYMENTAL CHECK LIST pENALTY U.6.C. <br /> SEC.J09 1+�) <br /> 2.BUILDING PLANS TOTAL 44 S O <br /> 3.FIRE HYDRANT <br /> 4.FIFlE PROTECTION SYSTEM PEflM1T VALIDATION <br /> S.GHADING WHEN PFOPERLV VALIDATED(IN TH�S�SP��E)THIS.I�YQUji.Fjff�AlT (�f .� <br /> ' � y �� � � U! <br /> 5.DRAINAGE <br /> � <br /> 7.ENVI RONM ENTAL IMPACT STATEMENT N <br /> B.HEALTH�ISTRICT ��; ; �,� �; RFCL�PT � <br /> APPUCATION ACC.BY PLANS CHECKED BY APPR.FORISSUANCE BV ' <br /> -; !/�";K 1`C' U <br /> " � � n : <br /> , ��C o J <br /> nou:�ess r-a[ <br />