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` <br /> ,;,�� ,_,��.A,����„ �ONST�iUCTlf��v <br /> ��r�o: � <br /> everett PE���T PERM�T �o. so835 <br /> Cily HFLL 259�87<5 <br /> ��e,eTT ::a sszo� ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING <br /> �`'''"'PAUL OLSON '"""-''"�`�s' 2101 HOYT p11 EVERETT ='� 259-2235 "��°t <br /> ��- �� .I:CN�ESi��AiH MAiL ApOPi35 CIiV ZIP FHOHE <br /> ,.. ... .. ..;��iri4Gi0� I;�,i1lADDRE55 Ciiv ZIP PHONE LiCEN51 • <br /> —QYmer <br /> . � �':`C4L GONiPAGIOR I.IF�L ADDPESS LIiY ZIP PHONE IIGENSE� —�' <br /> . i�NGCChiRhC10� �UILAD�RE55 CrtV ZiP PNC`:E UCENSC• <br /> . . +,O�YlOiiN <br /> ❑NEW ❑ADDITION ❑ALTERATION X�X�I7[PAIR ❑DEMOL�TION ❑FENCE ❑SIGN ❑GARAGE <br /> .�. ..��'i01!C�K'ORh <br /> ��.:.,�:: :i:c:Onr: <br /> Replace water line <br /> -..�. -_seuusEor eunou,� — _ <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br /> — . . _ .r.�,��r�;e�c��=:-�r�.r.rris�ewee�owor+nircc�vouRwcies� PLICATION AND KNOW TFIE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> . nirr�`_or TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIEL <br /> HEREIN OR NOT. THE GRANTING OF A PEP.MIT DOES NOT <br /> PRESUME TO GIVE AGTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL IAW REGULATWG <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> —. :.:.-rn�,:s sieu,�ron�occcunaa onaun�oai uo .ra ome <br /> 2101 Hoyt X � 8/2/82 <br /> PI.UMBING�� MECHAMICAL <br /> . RO.� TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> �1VATER CLOSET QOILETI _ AIR WND.UNiTS—HP.EA. . ,-- <br /> BATHTU� REFRIGERATION 11N1T5—H.P.EA <br /> LAVFTOR'/(WASH BASIN) BOILERS—H.P.EA. <br /> � SHOWER GAS FIRED AC UNITS—TONNAGE EA. <br /> KITCHEY.�INK&DISP. FORCED Alfl SYSTEMS—B TL. M EA. <br /> GISITY/ASHER NAi L HEATERS—B.T.U. M <br /> � LAUNDRY TRAY UNIT H[ATERS— BS.0 M <br /> CLOTH[5 V✓ASHER EVAPORATIVE COOLEFS <br /> WATER HEATER f�OTHES OFYERS _ <br /> UPINAL VENTILATION FAN <br /> URINK:NG FOUNTAIN RANGE HOJD <br /> FLOOfi DRAIN AIR HANCUNG UNIT— QF.M. <br /> VFCUUM�PEAKEFS SiOVE <br /> FOOF�RAINS- � RAINLEADFRS �AETAL FIREPLACE&CHIMNEY <br /> SIMK�SLRVICE--HAq.ETCJ <br /> _1 Jcldt2l'_.1_7ri <br /> SUBTOTAL SUBTOTAL E _ <br /> _ PEHMIT S __3 Q8 PEFMIT S _ <br /> TO7Al FEE S 5 � TOTAL PEE S <br /> .. i 'i: IAPD SETBACF STREET SET�4CK REAR YARU Si.i b:.�F: PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO <br /> �. ' ZONE LOT AREA VACANT SRE <br /> ❑YES l]NO FEES VALUA710N FEE <br /> i�r e OF WNST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> BUILOING b <br /> .:'i OF BLDG N0.OF STORIES MAX OCC.IOAD <br /> PLUMBING 5 OO <br /> � � LONE BASEMENT FIRE SPRINKLCRS - <br /> REOUIRED MECHANICAL <br /> ❑Y[S !�NO <br /> APPROVALS BY DATE O7HER <br /> ' I.nVIRONMENTALCHECKLIST PENALiV U.B.C. <br /> — SEC.3B3(x) <br /> �� .fUI�pINGPlANS - <br /> ' FI{?EHYDRANT TOTPL 5 OO <br /> : r iRF PpOTEf.7lON SYSTEM PERMIT V9LIDATIDN <br /> —�-- WHEN PROPERLY l'nULAI@�IIN TNIS SPACEI THIS IS YOUF PERAIIT � <br /> '�. G�in01NG <br /> _,_.�«��NA�= --_ 5 6 9 b S 0 0 5.0 0 ---- � <br /> ; F;<VIRONIdENTAL IMPACT STATEMENT � �-' <br /> i�G1�111 OIS7RICT 'p y�' � <br /> Pi�UL4ilO4AC(. H1" PIANSCNEGHHDBV PPPR.FORISSUP,t�GC�Y YOU f� RCC�IPT � <br /> D° THANK Y^!1 <br /> , ,,,� ��; <br />