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, <br /> � <br /> � <br /> �heGccrgreen —� — CONSTRUCTI0 • 1 <br /> CRv OF � <br /> everett pERI� �T PERMIT NO. 13?9 $ " <br /> CITY HALL 259�8745 <br /> EVERETT,WA90207 � COMBINATION � BUILDING ❑ MECHANICAL U PLUMBING <br /> , OR'NEF MAILADDRE55 GITY ZIP PMONE °+ <br /> R. B. MedlPr 308 Heather Road Everett 98203 743-3421 <br /> AflCMITECT OP DESIGNEF MAIL ADOFE55 CITV ZIP FHONE <br /> GENERFI CONTRAQOR MAIL ADOflE55 CItY ZIP PHONE LICENSE X <br /> Pacific Pools 13300 S.E. 30th Bellevue 98005 747-7770 <br /> MECNANICAL GONTRACTON MAIL ADORE55 CITY ZIP PHONE LICENSE N <br /> SA CZ FP 372ND <br /> PLUMBING GONTflACTOfl MAIL AOORE55 CITY 21P PHONE LICENSE M � <br /> CLA55 OF W OPK <br /> ❑NEW O ADDI710N ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD S70VFJFIREPLACE INSERT <br /> VqLUAT10N OFy WyOyR�Kyy <br /> _ $�PI�AA�AI� �.����Q•QQ <br /> DESGRIBE WORN <br /> Construct concrete swim ool <br /> PPOPOSED tI5E0F 9UILUING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESLRIPTIONOFPFOPERTY�SHOWBELOWORATfACMFOUflCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GC�VERNING THIS TYPt OF WORK WILL BE COMPLIED WITH <br /> LOi_BLOCK�_dF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCPL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORM CE OF CONSTRUCTION. <br /> JOB AD�RESS 51 T MRACTbfl Ofl A OPIZEP AGENT �ATE <br /> 308 Heather Road X � 4/26/84 _— <br /> PLUMBING M HANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EUUIPMENT FEE <br /> WATER CLOSET(TOILEn A�R COND.UNITS— H.P.EA. <br /> BATM7U8 REFRIGERATION UNITS—H.P. EA. <br /> LAVATORY NJASH BASIN� BOILERS— H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNORYTRAY UNIT MEATERS— 6.T.U. M <br /> CLO7HES WASHER EVAPORA7IVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUTA BFEAKEflS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLAGE 8 CMIMNEY <br /> SINK ISERVICE— BAR, ETC.) FIREPLACE INSER7 <br /> HEAT PUMP <br /> SUBTOTAL 4 SUBTOTAL S <br /> PERMIT S PERMIT f <br /> TOTAL FEE f TOTAL FEE f <br /> SIOE YARD SETBACK SiflEET SETBPCK REAR YARO SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE REGEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> ;iYES l-:NO <br /> 7YPE OF CONST. OCCUPANCY GROUP NO.OF DWEI.LING UNITS <br /> BUI�DING $ 12,000. 50 00 <br /> SIZE OF BL�G. N0.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> � FIREZONE BASEMENT pIEOUSRED KLERS MECHANICAL <br /> '� "�.YES i�.NO <br /> APPHOVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTV U.B.C. <br /> SEC.9031a) <br /> 2.BUILDING PLANS TOTAL SO 00 <br /> 3.FIRE HYDRANT <br /> 4,FiRE PHOTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PFOPERLY VALIDATED(IN THiS SPAGE)THI$I$,YOI�(i BFBMIT ;,�� � <br /> I 5.GRAOING I 1 V .D U V U U V� <br /> 6.DRAINAGE C�J <br /> 7.ENVIRONMENTAL IMPACT STATEMENT (Y} <br /> B.HEALTH DISTRICT . � ,. ��.���� . I I�� r; <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BV , . ,„ \,;. J <br /> , i l <br /> � � <br /> � .i � i <br /> ADDRF55 RL[ <br />