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p �,,�r,� ��,*,��+��,� r 0 N ST R 11 CT I O N <br /> 6.V�l �l.l. A� �R� IT PERMITNO. 1 _i;-' �� '� <br /> QTV HFLL 25?b][5 <br /> eveaerT. v:Fsazoi ;_ COMBINATION j�; BUILUING —' MECHANICAL � P!_UMBING <br /> A��EB !•%�i :p]RE55 C-i. .r cnONE <br /> JCarl Gipson 1933 ltoyt Everett 98201 259-0542 <br /> .�Gr�rtECT OR OEStGNER MRIL<ODPE55 CIiV LP FHOHE <br /> GivEa4LLOHiRAGTOF MRiLA0DRE55 CITY ZIP PM�NE IICE�+_^.� <br /> ,'tiverside Ftoof 2916 State Street Everett 98201 258-4646 <br /> �/iCNaNiCRLGONTRACTOR MRRApDRE55 GrtY ZIP PHONE I�GEr.t! . <br /> ���*3�2� <br /> �'.UNBING CONTRAGTOP M�IL AODRE55 CITY ZiP PMONE UCEN:��� <br /> LlFSS OF WORN <br /> O NEW ❑ A�DITION ❑ ALTERATION P�FiEPAIR ❑ DEMOLITION ❑ FENCE C SIGN ❑ WOpD STOVFJFIREPLACE INSEP.i <br /> ':<WAtION OF WORR <br /> 1 1262.00 <br /> �SCRIBE WORN <br /> IHot tdop re-roof <br /> P��OP05E0 USE OF BWLOiNG <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ ANi7 EXAMINED TH'S <br /> APPLICATION AND KNOW THE SAME Tll BE TRUE AND <br /> LE.Gh�0E5GFIPiIONOFPPOPERiY15NOWBELOWORATTRCHFOUflCOPIES) CORRECT. ALl PROVISIONS OF LAWS AN� ORDINANCES <br /> ��{'18-J��o�K 377 oF Everett Div. B GOVERNING THIS TYPE OF WORK VJILL BE CGMPLIED WITH <br /> WHETHER SPECIFIE� HEREIN OR NOT.THE 3RANT�NG OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AU.THORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STAiE OR <br /> I.00AL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE CF OONSTRUCTION. <br /> lUlf RDDRESS SIGNAi�RE O�CONTRp�IOR OP ApfMOFijEU RGCN� �AiE <br /> 1932 Hoyt X Check #6092 7/16/84 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE Of EOUIPMENT FEE <br /> WATER CLOSET�TOILET) AIP COND. UNITS— HP.EA. <br /> BATHTUB FEFRIGERATION UNITS— M.P.EA. <br /> Ll:VATGqV�WASM BASIN) BOILERS— M.P.EA. <br /> SHOWER �AS FIRED A.C.UNITS—70NNAGE EA. <br /> KITCHEN SINK d DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> DISHINASHER WALL H@ATERS— B.i.U. M <br /> LAUNDRY TRAY UNIT MEATEHS— d T.U. M <br /> � CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER H�ATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> �RINKING FOUNTAIN RANGE MUOD <br /> FLOOR 7HAIN AIR HANDUNG UNIT — C.F.M. f <br /> VACWM oPEAKERS STOVE—WOOD � <br /> — � <br /> ROOF DRAI�S— ftA1NLEADERS METAL FIREPLACE 8 CMIMNEY <br /> SINK�SERVICE— BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> � , <br /> SUB TOTAL f SUB TO7AL f <br /> rl: <br /> PERMIT S VERMIT f � <br /> TOTAL FEE S TOTAL FEE f �� ':' ' <br /> SIOIS YARD SETBACK STREET SETBACK REAR YAqD SETBACK PLAN CHECI(NUMBER PLAN CMECK FEE � �- <br /> FEE RECEIPT NO. r5 ' <br /> US[ZGNE LOT AREA VACANT SITE — <br /> YES N� FEES YALUATION FEE <br /> l YPE OF CONST. OCCUPANCY GROUP NO.OF D�VELLINC UNITS � <br /> AOILD,NG S 1262. 22 00 � <br /> '�.'E OF BLDG. NO.OF STORIES MA%.OCQ LOAD — — <br /> PLUMBING <br /> ��•��E ZONE BASEMENT FIfiE SPFINKLERS MECMANIChL <br /> REOUIRE� <br /> YES NO <br /> APPROVALS BY DA7E OTHER � � <br /> � F� <br /> t ENVIRONMENTAL CHECK LIST PEN�LTY ���" �'� <br /> SEC. 303(al <br /> .' k3W�DIN7PLANS <br /> ! ciREMVDPANT TOTAL 22 00 � <br /> t <br /> .: RREPROTECTIONSYSTEM PEflMITVALIDATION <br /> 5 GP,ADING WNEN PHOPERLY VALIDATE��.IN Thl$SPACEI THISISrYOUfjPFFi'dlT � . '� <br /> 6 DRAfhAGE F / l ll f <br /> 7.ENVIFONMENTALIMPACTSTATEMi�� � <br /> ,—_ (v-� <br /> ti .�FFLTH�ISTRICT , .. <br /> aPPt'GTIi.'.li nG I� � FLAN$CHECKE�BY APP(i FOR 1951'ANi.E �Y � ' ' <br /> I <br /> ____—__� __—_— ____.— _—_ . _ <br /> f <br />