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` <br /> 1110ErPr.lrCen ���` ■ , Y���'O�r . <br /> CITY OP � <br /> everett P���OT PERMIT N0. 09975 <br /> CITY HALL'd�9-87a5 <br /> Ev��:err v:. �7�ri ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> uWt:LR �1nilADUHL55 Oiv La PNOt,6 <br /> Carol Hill 1214 Hoyt Everett 98201 258-2198 <br /> FP:MiEGi OR[%LSGI:[R �AAIL FODRE55 CIiV ZIP PHON[ <br /> GLllERFLCA�ITRAGiOR MAILApDRGSS GIiY ZIP PHOKE LICENSL� <br /> Same <br /> IIEQIAtUCAiCONTRFCiOP MAILPODRE55 CiiY ZIP PMOpE UCEt:SE� —� <br /> v�Ul.'�INGCANIFFGTOR UAItADDRcSS GiiY ZiP PMONE LIGEN L <br /> LLASSOF WOFH � <br /> ❑NEW ❑ADDITION ❑ALTERATION [��1EPAIR ❑DEMOlIT10N ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF YIORK <br /> ' rJ � �O�. �� — <br /> fiiSCRBE WORK <br /> repair and remodel existing duplex <br /> �neonseo use or uui�o!uc <br /> DuQ1Px I HEREBY CERTIFY THAT I HAVE READ AND EXAMWED THIS AP� <br /> _e«oesceirncr+cFF�orearris��o�vue�ov�onnnnc��Fou�icc�iesi PLICATIO�J AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> %%itXB�fX%SX 227 Church & Lamoure ' s ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> n:r eiocK_oF TYPE OF WORK WILL-�E COMPLIED WITH �VHETHER SPECiFIED <br /> g� ZZ_Zg HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NGT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRG <br /> - VISIOtdS OF ANY OTHER STATE OR LOCAL LAW REGULATINC: <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> :.':�Jf.CORES`v SiGNd�iUy s,�OFCOt��R4CtOf+CRFU1r�G0iZE0AGE:JT DFtE <br /> 1214 Hoyt X l.�G�./l � 11/5/81 � <br /> PLUMBING EAECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE _ _ <br /> WATEP CLOSET�f01LET� AiR COND.UNITS—H P.EA. _. <br /> t4%QHTUB REFRIGERATION 11NITS—H.P.EA <br /> .L LFVATORY(YJASH BAS�N� DOILERS—H.P EN. __._ <br /> SHOVlEq GAS FIRED A.0 UNI75—TONNAGE EA. _ <br /> 1 KITCHEN SINK 8 C�ISP. � FORCLD AIR SYSTcMS—B?.U. M EA _ _ <br /> DISHWASHER WALL HEATERS—�.T.U. M _ <br /> IAUNDRY Tft.4Y UNR HEATEP"s—B.T.U. �� _ <br /> CLOTHES WASHER EVAPORATIVE COOlEqS <br /> 1 WATER HEFTER CLOTHES DRYERS _ <br /> URINAL 1 VLNTIUITION FAN <br /> DHINKING FOUNTAI�I RANGE NOOD _ <br /> FIOOfl DRAIN NIR HhNDLING UNIT— C.F.M. __ <br /> VACUUMBFEAKERS STOVE � __. <br /> ROOF DRAINS—RAIM1LFADERS �dFTAL FIREPL4CE 8 CHIh1NEV __ _ <br /> SINK�SERVICE—BAR ETC.) - -��- <br /> SU�TOTAL 6 00 suerorq� s 90. <br /> PERMIT S PEflM1T 5 _ <br /> TO7ALFEE S TOTALFEE S 3 00_ <br /> SIDe YARD SETBACK STRLET SETBACK REAR YARD SEIDACK PLAId CHECK NUM�ER � PtAN CHELK FEE <br /> F[E �7ECEIPT NO. <br /> USE ZONE LOT AREA � VACANT SIT.E — <br /> GYES ❑NO FEES VALUA710N FEE <br /> TYPE OF CONST. 6CCUPANCV GROUP NO OF DWELLING UNITS _ <br /> BUILDING b SO SO <br /> ;I?@ OF BLDG NO.OP STORIES IdAX.OCC.LOAU - --- <br /> PLUMBING 6 OO <br /> i-IFiE ZONE BA°EMENl FIRE SPRINKLERS <br /> REOUIRED MECNANICAL 3 O O � <br /> fiYES ❑NO <br /> APPROVALS BY DAiE OTHER _ <br /> � ENVIRONMENTAI CHECK LIST pENp�7y �B� <br /> SEC.3C3(a) _ <br /> ^ BDILOING PLANS � <br /> Y. FIRE NYURANT TOTAL S B S O— <br /> ;. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> __ . WNEN PROPEALY VALIDqTEO(IPi TNLi SPACE)THIS IS VOUR P[RMIT <br /> 5 GRADING . .. . . , . . � - .. ,_ � ,. Lj� � <br /> 6. DRAINAGE ' � � �� <br /> Z @NVIRONMENTALIMPACTSTATEMENT �1� <br /> � <br /> 0. HEALTH DISTRILT � <br /> APPLIGATI�N ACC.BY FU+NS CHECKED BY APPR.FOR ISSUANCE BY <br /> i DH <br /> i <br /> . . �,rn--- . . - ' ._ <br />