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d�c E��erBreen �V�V��V V T��.r�� -- <br /> CITY OF �� <br /> eve�e�t PER��� PERMIT NO. 09410 <br /> CITY HALL 259�8745 <br /> eveaErr,wti �szc� ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> 0:'MCR MAILA�DRE55 CRV ZIP PNO�+E <br /> RollandfSteb 1210 Hoyt Everett 98204 252-2832 <br /> pRC�uiFCi 09 DESiGtIEP MAILADORE55 Crtv ZIF PMOY.E <br /> GEUERALCONiRNCiOR MAILAODRE55 CITY 21P ' FMONE LIGENSE� <br /> Same <br /> iAECr�ANICAL C��NTPACTOq 'AAIL ADDFE55 CiTY ZiP PHONE LICENSE� <br /> PLUMAINGCONTRACTOP AIAILFDORE55 CITY ZIP PMONE LICENSE� <br /> C1A55 OF WOFN <br /> ❑NEW ❑ADDITION ❑ALTERATION C}a�EPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> 5 5��.�4 <br /> OESCRIOE�'�ORK <br /> Reroof existing residence <br /> PROPOS[0 USE OF BUILOING <br /> Single Fan�ily Residence I HEREBY CERTIFY THAT ! HAVE READ AIJD EXAMINED THIS AP- <br /> LEGALOESGRIPTIONOFP50PERTY�SH05'IBELOWORATTRGHFOUPCOPIES) PLICATION AND KNOW THE SAME TO BE TP.UE :�ND CORRECT <br /> 21-N�22 227 Church and LaMoores 4LLPROVISIONSOFLAWSANDORDINANCESGGVER�eI�JUTHIS <br /> �or e�oc�oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT . <br /> PHESUME TO GIVE AUTHORITY TO VIOLATE OR:.�ANCELTHE PRO� <br /> �� VISIONS OF ANY OTHER STATE OR LOCAL !AVJ REGULA.TIN� <br /> CONSTRUC?ION OR THE PERFORMANCE OF CO�lSTRUCTION. <br /> JOB 4pDRE51 Z 1 O H O t SiGUAi Fc 0 CO r0.�CTOR AUT IZED AGENT DATE <br /> 7 6/22/81 <br /> y X <br /> PLUMBING M HANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(iOILET) AIR COND.UNITS-H.R EA. <br /> BATHTU� _ REFRIGERATION UNIT3-H.P.EA <br /> LAVATORY�VJASH BASIN� BOILEFS-H.R EA. <br /> SHGV✓ER GAS FIRED A.C.UNITS-TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS-B.T.U. M EA. <br /> DISHWASHER WALLHEATERS-B.T.U. M <br /> LAUNURY TRAY UNIT HEATERS-B.T.U. M <br /> CIOTHES VJASHEfl EVFPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTIIATION FAN <br /> 7RINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLIN i UNIT- GF,M. _ <br /> VACUUM BREAKEflS STOVE <br /> ROOF DRAL`1S-RA"��NLEADERS M2TAL FIREPWCE 8 CHIMNEY _ <br /> SINK�SERVICE-BhR.BTC.� — <br /> SUBTOTAL SUBTOTAL S <br /> PERMIi S PEHMIT F <br /> TOTAL FEE S TOTAL FEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBEfl PL4N CHECK FEE <br /> FEE RELEIPT NO. <br /> USE ZONE LOT APEA VACANT SITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> TYPE OF CONST. OCCUPAN"Y GROUP N0.OF DWELLING UNITS <br /> BUILDING S SOO. LO OO <br /> SIZE OF BLDG. NO.OF STORIES MA%.UCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIPE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> C7YES ❑NO <br /> APPpOVALS ti'! UATE �THEF <br /> t ENVIRONMENTALCHEf,KLIST PENF.LTY U.P.C. <br /> SEC 303(a) <br /> 2. BUILDINGPLANS ],O OO <br /> TOTAL <br /> 3 FIRE HYDRANT <br /> a. FIRE PROTECTION SYSTEM PEHMIT VALIDA710N <br /> WHEN PROPERLY VALIDATED(IN THIS SPAC�I THIS IS YOCR PFR IT <br /> 5. ORADIrvG .. � I � ': I �. � � —� � <br /> 6. DRAINAGE � <br /> 7. ENVIRONIdENTPLIMPACTSTATEMENT � <br /> 8. HEALTH DISTRICT '� ` ���I' b <br /> APPLICATION ACC.BY PlANS CHECKED BY APPR.FOR ISSUANCE BY � , � , �� <br /> n .; �i <br /> ADDRESS FILE <br />