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0 <br />r <br />�. <br />�`��.L,��{;���� ;ONSTRUCTIf�N <br />e�erett �°�'��'� PERMIT NO. ZO63E/ <br />��T, �«����.�;:� <br />ever�err c�n eezo� ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL �I PI.UMBING <br />oNUEIi p•qLn[lUHE55 (�rr DP rtiGUE � <br />J. Kubin 7312 Lowell Larimer Ruad Everett 98203 <br />cr.o-rtecr nr� oescr�en rna� nooaess cirr zu° �°��or�[ <br />GE�lER>LCO�liRFCiOR IAAILAO�RCSS QiY Zi� wiONE LICLNSE• <br />Damage Repair Services Box 2045 Everett 98203 337-4222 <br />__:.nANICnLCONiRFCiOR b�NIIApORE55 GTY ZIC PHON[ LICENSEI <br />DA DfA GI 238 D3 <br />fLU6�01NGGONiPACiOR IdMlhpDnESS CIiY ZiP PHONE LiCENSE+ <br />❑NEW <br />VnLUATION OF WORK <br />8 <br />�[GCRiBE WORK <br />PROPOSED USE OF �UIl01NG <br />i EGh; DEFiCRIPiION OF PHOPEFT' <br />LOi �LOCK_OF <br />OADDITION ❑ALTERATION ❑HEPAIR ❑DEMOUTION ❑FENCE ❑SIGN ❑GARAGE <br />er�c;� <br />7322 Lowell Larimer Road <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />SHOWER <br />& DISP. <br />DRIVKING FOI <br />FI OOR DRAIN <br />ROOF DRAINS — <br />SINK ISERVICE — <br />SIUE VARG SETBACK <br />USE ZONE <br />TVPE OF CONST. <br />SIZE OF BLDG <br />FIPE ZON[ <br />STHEET SLTBACK � REAP <br />NO.OF <br />BASEIdtNT <br />�JYES CNO <br />GROUP NG. OF DWELUNG UNITS <br />IES MA%. OCG LOAC <br />FIPE SPRPJKLEFS <br />REOUIRCD <br />IlYES i NO <br />Bv GATE <br />t. EN�'IRONMENTALCHECKLIST <br />i BUILDING PIJ�NS <br />3. FIRE HYDRANT <br />4 FIFE PROTECTION SYSTEM <br />5. GRADING <br />6. ORAINAG[ <br />7. ENVIRONMENTALIMPACT STATEMENT <br />C HEAIiH DIuTRICT <br />�PPLICATIO�! ACC. BY PU+NS GHECKED [3Y APPR FOR ISSUANCE �Y <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOV[RNItJG THIS <br />TYPE OF WORK WILL BE COMPLIED NJITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT D�ES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />s;cn�nrur+ECFcor+�r�acror+oanutNoniteon o�r� <br />X f. �u����� 6/4/82 <br />MECHANICAL � � <br />NO. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — H P. EA. <br />REFPIGERFTION UNITS— H.R EA <br />R011 FRF — H P EA. <br />GAS FIRED A C. UN ITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B T.U. i <br />VJALL HEATERS — B T.U. I <br />UNIT HHATERS — B T.U. � <br />EVAPORATIVfl COOLERS <br />CLO�HES DRYERS <br />VHNTILATION FAN <br />RANGEHOO� <br />AIR HAIJ�LING UNIT -- � <br />STOVE <br />IAETAL FIREPIACE 8 CHIMNEY <br />[7UILDING <br />PLUMBING <br />IAECHANICnL <br />OTH[fi <br />PENPLTY <br />PERMIT S <br />TOTALFEE S <br />PLAN CHECK FEE <br />FEE RECEIPT N0. <br />VALUATION FEE <br />S <br />U.B.C. <br />SEC. 303 (a� <br />00 <br />15 I 00 <br />PROPERLY VALIDAT[D (IN THIS SPACE) THIS IS YOUF PER411T <br />3 3�� E 0 I 5. 0 0---- �; <br />!_� <br />�� <br />i`OUR REGF" - <br />i�i'��1�1. ,'-. .' <br />',,r;i���^� rILE <br />-hJ!5'; <br />