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�Be Erer¢reen <br /> � .c � �oNSTaur�ic�n� • <br /> everett PERMI'� PERMIT N0. �-571� � <br /> CITY HALL 259�8745 <br /> EVEREii,V1A 9820t � COMBINATION ❑ BUILDING ,�a', MECHANICAL ❑ PLUMBING <br /> �W���R MAILAODRE55 GTY ZIP PHONE <br /> Robert Meyer 1411 Hoyt Everett 98201 259-4137 <br /> APGMIfECT OR pE51GNER MAII ADDRESS GTY ZIP PHONE <br /> GENERAL CONIRqCTOR AAIL ADDRESS CItV ZIP pHONE LICENSE� <br /> MECMANICFL CONTRAGTOR MhiL ADOFE55 Qtt ZIP oMG!IE LICENSE� <br /> SdiTe <br /> PLUM8ING CONTRACTOP MAIL AppPE55 CrtV Zlp PHONE LICENSEi <br /> CLF55 OF WOPK <br /> ❑ NEW ❑ ADDITION ❑ ALTERFTION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN �'}( WOGD STOVHFIREPLACE INSERT <br /> VALLLiTION OF YlORK <br /> S <br /> DESCflIeE WOAK <br /> Install woodstove <br /> PROFOSED USE OF pUIL�ING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> �eon�oescaianon oF�aoFearr�sHow ee�ow oa nTrncH Foua coPies� APPLICP.TION AND KNOW THE SAME TO BE TRUE AND <br /> CORREGT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_eiocK_oF GOVERNING THIS TYPE OF WORK WILL BE COMI'LIEU WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTIN3 OF A <br /> PERMIT QOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATF <br /> OR CANCF.L THE PROVISIONS OF ANY OTHE9 STPTE OH <br /> LOCAL AW �EGULATING CONSTRUCTION OR THE <br /> Too.+ooaess Pc9F0 C F COp STRU^TION. <br /> sieru,:v - r. +ra ror�R�'t UiHO ZEO AGCNT OFTE <br /> ldll Hoyt X -1.. / �/ ii/is/as <br /> PLUMBING MECHAN 'AL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILET) AIR CONJ.UNITS— M.P. EA. <br /> BATHTUB REFRIGERHTI04 UNITS— HP. G/�.. <br /> LAVATORV(WqSH BASIN� BOILERS— H.P.EA. <br /> SMOWER GAS FIRED A.C. UNITS— TpNNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HFATERS— B.T.U. M <br /> LAUNDRVTRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPOFATIVE COOLEFS <br /> WATER HFi.TEP CLOTHES DFYERS <br /> UqINAI. VENTILATION FAN <br /> _ DRI�:KING FOUNTAIN RANGE HOOD <br /> F�(�Ofl DRAIN Alq HANDLING UNIT— C.F.M. <br /> VACU�M BREAKERS SiOVE —WOOD <br /> ROOF DRAINS— RAINLEADERS IdETAL PIREPLACE 8 CHIMNEV <br /> SINK(SERVICE — BAR, ETC.) F�REPLACE WSERT <br /> MEAT PUMP <br /> SUBTOTAC S SUB TO7AL { <br /> PEflM1T S PERMIT S <br /> TOTAL FEE 5 TOTAI FEE E 1� SO <br /> SIDE YARD SETBACK STqEEi SE78ACK REAR YARD$ETBACK PLAN CHECK NUMOER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> .:YES �.NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> BUILDING S <br /> SIZE OF OLDG. NO.OF STORIES MA%.OCG LCAD <br /> PLLIdBING <br /> FIREZONE BASEMENT FIRE.,PRINKI.ERS — <br /> REOUIRED MECHANICAL <br /> � .YES NO 1� SO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2.BUILDING PLANS SEC.3U3(a) <br /> 3.FIREHYDRANT TOTAL LJ SU <br /> 4.FIFE PROTECTION SYSTEM PEHMIT VALIDA710K <br /> 5.GRADING WHEN PROPERLY VALIDATED QN TM16 g�4�1 THIS�19'T'OU�P�R/y,1T ;-�^ <br /> 6.DRAINAGE �� � � �f <br /> 1_. <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � -� <br /> 8.MEALTM DISTHICT �� _ , � „ �i�� <br /> APPLICATION ACC. 91' PLANS CHECK'J BV �APPA.FOR ISSUANCE BV � ' i• '•'..-." ' , ; I ; <br /> � <br /> i i . � . . <br /> i . �. � . ... � ' �, I <br /> � 5 "�� <br /> u ,; � <br /> ,�-:�:� �. �: � i�.� <br />