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�- -� <br /> rh�•tC,��•.c.re,� <br /> e�erett �'� P`J 5'�'R U C�"i� r ° <br /> P� �1�►' �� PER�AIT NO. l�� �� <br /> CITY HALL 2598745 <br /> eveaerT,van 9a:o, L, COMBINATION �� BUILDING CJ MECHANICA3. ❑ PLUMBING <br /> 01Y1lER MAI�AppRESS CRY ZIP PHOHE <br /> Charl.es S. Brown 815 12�ith S.W. Space 83 Everett 98204 353-F3281 <br /> FRCMIiEGT OR LFJGNER MAi�FOD�155 :ITV ZIP PHONE �j <br /> 7 � <br /> GENERALCONTFRCTOR h1AlLqppRE55 CRY 71P PwONE LICENSE� <br /> Same <br /> MECMANICfLLONiRACiOR MFILAOOFE55 CITY ].IP PMONE LICENSE� <br /> PWM9ING GONTRAGTOR MAIL ADDRESS CITY 21P PHONE LILENSE x <br /> CLASS OF WORK <br /> ❑ NEW ❑ AD�ITION ,�(ALTERATION ❑REPAIR CJ DEMOLITION ❑ FENCE C� SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VALUATION OF WORN <br /> S 7SO.00 <br /> OESCRIBE WORN <br /> small storage closet� Expand dack, add utility room _ u <br /> PROPOSEO USE OF 6UILpING <br /> apartment I HtREBY CERTIFY THAT I HAVF READ AIJD EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRU� AND <br /> LEGALDESCRiPT10NOFPPOPENTY�SNOWpELOlY0RA1TnCMFOURCOPIES� CORFECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �ar5-6 e�ocK 425 oF Everett GOVERNING 7HIS TYPE OF WORK WILL BE CUMPLIED VJITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVF AUTHORITY TO VIOLATE <br /> OR CANCEL THE PfiOVISIONS OF ANY OTHER STATE OR <br /> LOCAL lAW REGULATING CONSTRUCTION OR THE <br /> PERF6RMANCE OFCONSTRUCTION. <br /> JOB A�ORE55 SiGN iUF OF CO�IT�iACOR OR U*MOWi2Ep AGENi DATE <br /> ,1� Hoyt 2011 Hoyt X � y � �_ :��r�,�An�6/4/84 <br /> PLUIdBING MECHANICAL <br /> NO. TYPE OF FIICTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATEHCLOSET�TOILEn AIR COND. UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P.EA. <br /> LAVATORY(WASH BASIN) BOILERS — H.P. EA. <br /> SNON'EF GAS FIRED A.C. UNITS— TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL MFATERS— B.T.U. M <br /> IAUNORY7RAY UNIT HEATERS— B.T.U. M <br /> CI.OTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLUTHES DRVERS <br /> URINAL VENTILi.,iON FAN <br /> ORItlKING FOUNTAIN RANCaE HOOD <br /> FLOOR�RAIN AIF HANOLING 11N1T— C.F.M. <br /> VACUUM BREAKERS STO`JE— WOOD <br /> ROOF DRAIf15— RAINLEADERS METAL FIFitPLACE 8 CHIMNEY <br /> SINK�SERYICE— DAR, ETCJ FIREPLACE INSERT <br /> MLAT PUMP <br /> SUBTOTAL i SU6TOTAL S <br /> PEflMIT S PERMIT S t <br /> TOTAL FEE f TOTAL FEE 5� <br /> SNEYARD SETBACK STREETSEiBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 84/13426 FEE9,Q3 RECEIPTNO. <br /> USE ZONE LO7 AREA VACANT SITE —�fl?� -- <br /> YES NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCU7ANGY GROUP NO.OF DWELLING UNITS <br /> BUILDING S 750.00 14 50 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD — <br /> PLUMBING <br /> FIf:E ZONE BASEMENT FIRE SPFINKlERS MECHANICAL <br /> REOUIRED <br /> YES NO <br /> APPNOVALS BY DATE �THER <br /> � 1. ENVIRONIdENTAI CHECK LIST PENALTY U B.C. <br /> SEG.30J la) <br /> 2,BUILDING PLANS <br /> J.FIREMY�RANT T�TA� 14 SO <br /> 4.FIRFPflOTEC710NSYS7EM PERMITVALIDATION , ❑�L`� <br /> 5.GRAUING �dHEN PROPERLY VALIDATED pF THIS�S�AEE)TMI$Iti T�47H FER�d{7--_ � <br /> 6.�RAIhAGE � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT <br /> 8.HEALTH DISTRICT l. �,i �;� � •��' <br /> � <br /> APPLIGATION ACC.BV PLANS CHECKEO 9Y APPR. FORISSUANCE 6Y � . , I � <br /> , .='C�r[`:._ � �_ <br />