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. , <br /> theEvcrgreen _.. ��^ j�TRUCTION _� <br /> Ciiv OF <br /> everett PE�MIT pGRMIT N0. O83g1 <br /> CI'i Y HALI'159�8745 <br /> EVERETT.VJA 9820� ❑ COMBINATION Q�763UILDING ❑ M�CHANICAL ❑ PLUMBIRG <br /> J1tiNER MAILADDRE55 • Cli� ZIP PMONE <br /> Gerold Ju�tice 1918 ;3oyt Everett: 98201 259-4582 <br /> A�CNRECTORLESIGNEN MAILADDRE55 pTY ZIP PeONE <br /> GENERALCON1FnCTOR MAILAODRESS CITV ZiP P��CNE LiCENSE/ <br /> H & G Glass Co. 6502 Evergreen Way Ev�:rett 962p9 353-8989 <br /> :AFCNANICAL WNTflACTOR MAi�pDURESS GITY ZIF PNONE LICEL=_� � <br /> 223-01-40936 <br /> FWMBINGCANTRACTOR MAILPG�RE55 CIiY ZIP PHONE LILC�:`C• <br /> ClA55OF WOR� <br /> ❑NEW ❑A�DITION ❑A�TERATION �REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGC <br /> VALURTION OF WJRK <br /> s re–place siding and windows 5 . 000. 00 <br /> DESCRIBE 1YORK <br /> single family residence <br /> -��oroseo use o=nuiirnNc <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> i�ca�oescaiario��oFaaovearr,sHowe=wwcn�nncHrouecoP�esi PLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. <br /> �-2 ?– 37 Everett Div. B A�L PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ��--���—aF -- T PE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIED <br /> HERFIN OR NOT. THE GRANTING OF A PERMiT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE'2R0- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW' REGULATING <br /> CONSTRUCTION QP. ?HE PERFORMANCE OF CONSTRUCTION. <br /> �oo aocaiss — s�.ca.rune or wrmucon oH r.un�o�izm r�e Nr n�.re <br /> 1918 Hoyt X .,,Y� �_ , , � 10/7/8U <br /> ��k� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE CF EOUIPMENT FEE <br /> YJATER CLOSET fTOIL[T� AIR CONO.UNITS— HP.[A <br /> BAiHTU� REFFIGERATION UNITS—HP.EA <br /> LAVATJRY(WASH BASINI BOIiERE—HP_EP_ <br /> SHON'ER GAS FIRED A C UNITS—TONNAGE EA. <br /> KITCH[N SINK 8 DISP. FGRCED AIR SVSTEMS— B T.U. M EA. <br /> DISHWASHER W�LL HEATERS—87.L. M <br /> IAUNDRY TRAV UNIT HEATERS—�B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE CL`OLEflS <br /> WATE�HEATEF CLOiHES�RY£RS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DP.AIN niq HAiJDLING UNIT— C.F.M. <br /> VACl1UM AREAKEPS STOVE <br /> ROOF DRAINS—RAMLEAUERS METAL FIREPUICE 8 CHIMNEY <br /> SIYK�SERVICE—BAR.ETC.� <br /> SU9 TOTAL SUB TOTAI. S <br /> PEflMIT S PERMIT S <br /> TOTAL FEE S TOTAL FEE 5 <br /> SIDE YARD SEiBACK STREEi SET�ACK REA(i YARD SETBACK FLAN CHECK Ni IMBF.R PLAN CHECK FEE <br /> F[E RECFIPT NO <br /> USE ZONE LOT AREA VACANT SITE <br /> fiYES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GRCUP NQ OF DWELLING UN'TS <br /> 6UILDING S SOOO . 00 SO SQ <br /> SIZL OF BLD(i. NO.OF STORIES MAX.OCC. LOAD <br /> PLUMBING <br /> FINE ZONE BGSEMENT FIFE SPRINKLERS — <br /> REOUIFiED MECHANICAI. <br /> I IVES ❑NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST P�NA�n. U BC <br /> 2. 9UILDING PV.NS SEG 303(a) <br /> 3. FIREHYURANT TOTAL SO SO <br /> 4 FIPE PRO7EC710N SYSTEM PERMI7 VALIDATION <br /> -- — WHEN PROPEPLV VAI.IDATED pN THIS SF�C^�I HIS IS V(�1F�P��1T� O _� � <br /> 5. GaADING � �p � <br /> G. DRnINAGE <br /> � <br /> 7 ENVIRONMENTALIMPACT STATEMENT (Y) <br /> fl. NEALTH DISTRICT \i ' l �� I\ R L C L-I P I pp <br /> � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY - � �1 ; �4� ����U � <br /> - ;, ::r �u <br /> ���or.Fss ri�r <br />