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_ _ �r <br /> the ErcrRrecn CONSTRUCTIOP' <br /> CITY OF <br /> everett PERMIT PERMIT NO. 1OZ31 <br /> CITY HALL 259�8745 <br /> EVERETT.WA eezoi ❑ COMBINATION I�BUILDING ❑ MECHANICAL PLUMBING ,� <br /> OWNER MAILADORESS LiLY ZIP PHONE " <br /> Household Finance 1618 Hewitt Avenue Everett 98201 <br /> 4RCHITECT OR 0[SIGNER MAIL RODRESS LITY 21P �HONE <br /> GENERALCONiRACiOR MAILqDORE55 GiiV ZIP PHONE LICENSE� <br /> Campbell Neon 1120 Fairview North Seattle 98109 623-1364 <br /> h1ECMANICALCONiRNCTOR AIAILAOORESS GITY ZIP PHONE UCENSEI � <br /> CA MP BI 222�52 i <br /> PLUMBINGCANTRACIOR MAILAD�PESS CITY ZIP PNONE IICENSEI <br /> C1A550F WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE �SIGN GARAGE <br /> VAIUATION OF WOFK <br /> S 5��. �� <br /> oescaioe woaK <br /> install illuminated sign <br /> aaoaoseo�se ov am�owc <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �ecn�oescair.ior+oFaROPearr�s�wweeiowoannac��Fouacovies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior eiaK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIED <br /> HEREIN OR NOT. TNE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH E PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> $iGNAiUPL Of COFiRnCiOR OR AU���ORIZ[D AGENi �AiE <br /> �oonooRess X Check #6906 2/16/B2 <br /> 1618 Hewitt Avenue <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT <br /> FEE <br /> WATER CLOS[T QOILET) AIR COND UNITS—HP.EA. <br /> �ATHTUB f1EFRIGERATION UNITS—HP.EA <br /> LAVATORI'(WASH BASIN) BOILERS—FlP.EA. — <br /> SHOWER G�S I°IRED AC.UNITS—TONNAGE LA <br /> KITCHEN SINK 8��SP. FORCED AIR SYSTEMS—B7.U. M EA <br /> DISHWASHER <br /> tlJALL HEATEPS—�T.U. M <br /> LAUNDRY TRAY UNR H@ATERS—B T.U. h� <br /> CIOTHES WASHEH EVAPORATNE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> VENiILATION FAN <br /> UflINAI <br /> DRINKING FOUNTAIN RANGE HOOD <br /> AIR HANDLING UNIT— CF.M. <br /> fLOOR DRAIN <br /> VACUUM BREAKEflS SiOVL <br /> ROOF DRAINS—RAINLEADERS METAL FlREPLACE R CHIAWEV <br /> SINK ISERVICE—BAR.ETCJ <br /> SUB TOTAL SUB TOTAL s <br /> PERMIT S PEHMIT f <br /> TOTALFEE S TOTRLFEE s <br /> PLAN CNECK FEL <br /> SIDE YAFD SEiBACK I STRE[T SETBACK REAR YARD S[iBACK PLAN CNFCK NUIdB[R qECEIPi N0. <br /> FEE <br /> USE ZONE LOT FREA VACANT SITE FEE <br /> f?YES !.INO fEES VALUATION <br /> TYPE OF CONST. OCCUPANCY GROUP N0,OF DWELLING UNITS <br /> BUILDING b SOO. OO S OO <br /> SIZE OP BLOG. IJO.OF STORIES IdA%.00C.LOAD <br /> PWIABING <br /> FlREZONE BASEMENT RCOUIRED KLERS MECHANICAL <br /> I'YES C1N0 <br /> APPROVALS BY OATE <br /> OTHEfl <br /> t. ENVIRONMENTALCHECKl15T PENALiY U.BC <br /> SEC.3D31a) <br /> 2. BUILDWGPLANS TO7AL S 00 <br /> J. FIfl[HVDRANT <br /> 4, FIRE PROTECTION SYSTEM PEflMIT V1ILIDATION <br /> � WNEN PROPERLY VPLIDATED(IN THIS SE�E�T6 S IS V�UO O ��TO O �� � 1 <br /> — 5. GRADING <br /> M <br /> 6. DRAINAGE N <br /> Z ENVIRONMENTFLIMPACT STATEMENT <br /> i n n� �- <br /> e. HEALTH DISTRICT _ „ I .'.0�:I F � <br /> , �.� �.�• <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY .� j y;� I l ' U <br /> RF NV <br /> � � rEe 82 <br /> ADDRESS FILE <br /> x <br /> � <br />