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d�e Ecergree�i ��N ST R U CT I O I� � <br /> CITY OF <br /> everett PERMI�' PERMIT N0. Og196 <br /> CITY HALL 259�E745 <br /> eveaerT.v�r. yezo, ❑ COMBINATION �BUILDING ❑ MECHANICAL PLUMBING <br /> OP:I:EN I.IAILP��RLSS CITY ZIP PHON[ <br /> Richard Deibler 2216 Jade Street 98201 252-5979 <br /> ARCHiiEGT OR DES:GN[R MPiL AD�PE55 Cltt ZIP PHO:vE <br /> GENERAL C�NiPACiO�� MAIL AODRE55 CITY 21P PNONE LICcNSE I <br /> Same <br /> M[CIIANICALCONTRACiOA MAILF�DRE55 QTY ZIP PHONE LICENSEI <br /> PLUM9INGCONTRAGtOR AIAILRD�PESS CiTY ZIP PNONE LICENSEI <br /> CLAS$OF IVORK <br /> LINEW ❑ADDIiION ❑ALTERAiION �REPAIR ❑DEMOLITIOV ❑FENCE ❑SIGN ❑GARAGE <br /> VAWATION OF Y/ORK <br /> S 20�. �� — <br /> I)ESCRIBE WORN <br /> re—roof comp. on garage <br /> PRO�'OSED USE OF pURDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �ecn�oescnianor�oFrnoa�nrv�sNowe��owonnrrnc�+rouncor,esi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AIJD ORDtNANCES GOVERNING THIS <br /> i�r 41 e�aK_oF Temwalt Terrace Div. 1 TYPE OF WORK 1NILL BE COMPLIED WITH WHETHFR SPEGFIED <br /> � HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE FRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGH^iU�EOFWNiRAGi090RAUiHOPIZLDAGENi DAiE <br /> JJi3 A�ORE55 ` �1 n 4/3 0/E 1 <br /> 2216 Sade Street X �'"�^�— � ' �� � <br /> PLUMBIYG MECHANICAL _ <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEt . <br /> WATEfl 0.05cT(TOILET� AIR COND.UNITS—HP.EA. __ <br /> �ATHTUB HEFRIGEfiATION UNITS—H.R EA __ <br /> LAVATORY(WASH BASIN) BOILERS—HP.EA. .-- <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. _ <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—8.7,U M EA. <br /> DISHWASHER WALLHEATERS—BTL. M _ <br /> LAUNORYTRFY UNITriEATEPS—�T.U. M <br /> CLOTHES WASHER [VAPORATIVECOOLERS . <br /> W�TER HEATER CLOTHE$DRYERS <br /> URIN�L VEYTILATiON FAN <br /> DRINKING FOUNTAIN RANGE HOOD . — <br /> FLOOR DRAIN AIR HANDLING UNIT— GF.M. _, <br /> VACUUM BR�+KERS STOVE ,. — <br /> ROOF DRA AS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY __ <br /> SINK�SEPVICE—�AR,ETCJ <br /> SUBTOTAL SUBTOTAL S _ _ <br /> i'i:RM17 S PEHMIT 5 __.. <br /> TOTAL FEE S TOTAL FEE 5 � <br /> SIDE YARD SETBACK STHEET SETBACK REAR YARD SETBACK PLAN CNECK NUMBER PLAN f.HECK FEE <br /> p[E RECEIPi IJO <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> TYPE OF CONST. OCCUPA4CV GPOUP NO.OF DWELLING UNITS <br /> BUILDING $ 200. 00 lO OO <br /> SIZE OF OLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FlFE ZONE BASEMENT REQUIPED KLERS MECHANICAL <br /> L7YE5 i1N0 <br /> APPROVALS BY DATE OTNEfi <br /> 1. ENVIPONMENTALCHECKLIST PENALTY UBC. <br /> _ SEC.303(a) <br /> :. �UILDINGPLANS TOTAL lO OO <br /> 3. FIRE HYORANT <br /> 4. FlRE PROTECTION SYSTEM PERMIT VALIOFTION <br /> WHEN PFOPERLV VALIDATED�IN THIS SPACE)THIS IS YOUR PERMIi <br /> 5. GRADING n �(� <br /> G. DRAINAGE � '. : I .� �� I O. f.� � —�^ <br /> 7. ENVIRONMENTALIMPACT STATEMENT � <br /> �7 <br /> B. HEALTH DISiRICT (� <br /> APPLICATION ACC.BY PLANS CNECKED BY APPR.FOR ISSUANCE DY �. -�. . -. � .I i I <br /> . . � ) <br />