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,,,e e,P�x����,� � C�NSTRUCT�ION � � � <br />crv c� <br />e�verett PERIVIIT pERMIT NO.Ob363 <br />arv HA�� zs�-a;as <br />� .;eWert �vn :s_o� ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />G�:�._,: rJAil4DDRE55 Giiv C+' PIIONE <br />Ron Stenberg 22215 39th Montlake Terrace 98043 <br />- _�i.-EC'GBDC5��4iR I:AIL�CJFfS$ ❑i'� ZIP PHpNE <br />rcM1C��>: CONiPAL10R �d/.R F�GRE55 Crtv ZiP PHONE LiGE�"`- � <br />Same <br />��p��f4ryICRLCONTR4Ci0A 1.IAILAD�RE55 CITY ZIP PMONF �I�EI.Si � <br />� UTABINGCONTRACiOF IAnILA0�RE55 f'SY ZIP PHONF LICEi•zi • <br />CtASS OF VlOAK <br />' ❑NEW ❑ADDITION ❑ALTERATION }GSREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />: ALUFTION OF WORN <br />; Z�JOQ.Q� <br />J(SCRIBF WORK <br />repair fire damage <br />r��+o�oseo use or ow�oi�+c <br />apartment <br />.EGAL DESCR�PTION 0� ��OPCfiiv iSMOYJ pElOY! OP �iTTA <br />17-18� 488F Everett <br />, .�:s� <br />2332 Hoyt <br />PLUMBING <br />N0. <br />KITCHEN SINK B DISP. <br />DISHWASMER <br />LAUNDRYTRAY <br />CLOiHES WASHER <br />\NAiER HEAT[R <br />UAINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM �REAKERS <br />fi00F DhAINS — RAIP <br />c�uk iSCAviCF — RAR <br />�i[)"e t�nRC SETBAGK <br />USE ZONE <br />TVPE OF CONSI�. <br />V-N <br />`i¢E OF BLOG <br />FIXTURE <br />PERMIT <br />TOTAL FEE <br />[ "iHLCT SCTL3hCh <br />�pT AHEA <br />R-1 <br />NO OF STORIP� <br />3 <br />(3ASEMENT <br />yes <br />pYYNJVAw <br />1 ENVIRONMLNTAI CH[CK LIST <br />2 BUILDING PLANS <br />:1 FIRE HYDRANT <br />.t FIRE PROT&CTION SYS?EM <br />S GRADING <br />G DRAINAGE <br />; ENVIRONMENTAL �IAPAGT STATEMENT <br />P ��EALTH DISTRICT <br />iiEFR YARD Si:iC�Ck <br />VACAIJT SiTE <br />YES t]NO <br />N0. OF DWEILING UI <br />5 <br />��nx occ �oao <br />..� .��('ATION ACC. OY TPLARS CHECKED BY I LPPR. FOR �SSUANCE �V <br />� V.C.j <br />I HE�EBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PRUVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHET`1ER SPECIFIGD <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATItdG <br />CONS7RuCT10N OR THE EERFORMANCE OF CONSTRUCTION. <br />,�..i:r ���c��ca�rnncoeq � on�er.r onr-7�17�79 <br />z �I%-ii�� ` y-�� ._____— <br />�� � � � <br />MECHANICAL �'' V � <br />N0. TYPE OF EOUIPME T FEE <br />� niacoNo uHir=--Nr er. __ <br />REFRIGEPATIO� UNITS — H P 61 _ <br />DOILERS — HP. E; -._ <br />GAS FIREO � C UNITS — TJNI:AGE EA __ <br />FOFCED AIR SYSTEh15 — � T.0 Id EA. _ <br />INALL HEATERS — � T.U. �+� _ <br />UNITHEf�.TERS—BTU. F� .._ <br />VF.NTIWiION PAN _— <br />HANG[HOOD <br />AIR HpWDLING UNIT — C F.M _. <br />STOVE — <br />MFTA: FIREPLACE 8 CNRdNEV _ _ _. <br />SUB TOTAL S ___ <br />PERMIT S _ . _ <br />TOTAL FEE S <br />PLAN CHECK FEE <br />P[G FECEIP� �, <br />VALUATION FE[ <br />` 1500. I 15 � 00 <br />MECHANICAL <br />PENALTY UBC <br />SEC.303�a) <br />TO7AL 15 00 <br />PEHMIT VALIUATION <br />WHEN PROP[RLY VALIUATED IIN THIS SPACEI TNI$ IS YOUR PERMIT <br />�h <br />945) i� ��.�d "� c►� <br />� <br />Y�U'R RECEIPT � <br />7HANK YOU <br />