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��eE°���oF � ^•ONSTRUCTION--� � <br /> everett PERMIT PERMIT NO. lOZ6O <br /> CITY HFLL'[59�8745 <br /> EVERETT.WA 98201 ❑ COMBINATION lE� BUILDING ❑ MECHANICAL ❑ PLUMBINO <br /> OWN[R MAIL�DDRE55 CILT ZIi' PNONE <br /> Stovies Stove Shop 1922 Hewitt Everett 98201 252-9562 <br /> RRGNREGT OR DESIGNE� �A�L NVDRE55 GITY ZIP PMONE <br /> GENEP�LGONiRACiOR MMI�ppRE55 CiTY IIP PHONE UCENSE/ <br /> Melum 6 Smith P.O. Box 592 Lake Stevene 98258 334-6064 <br /> MECHRNI:AL CCNTRAGiOR MAIL AO�FE55 f,ITY 21P PHONE LILEIISE I <br /> PWMBMGCONTMCTOB MARRDpPE55 CrtY ZIP PNONE UCENSEI <br /> CU55 OF WOPK <br /> ❑NEW ❑AODITION ❑ALTERATION �iEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAPAGE <br /> VAW�TION OF WOBN <br /> = 1300.00 <br /> oexniee womc <br /> repair etairway <br /> PPOPOSED USE OF BUILDINO <br /> I HEREBY CERTIFY THAT I HAVE READ AND EKAMINED THIS AP• <br /> LEWLOESGPIPTIONOFPROPERTY�SHOW BEIOWORAtTACNFOURCAVIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior aiacK_or TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL L".W REGULATING <br /> CONSTRUCTION OR?HE PERFORMANCE OF CANSTRUCTION. <br /> ,q0�D�PESS SiGNPTU E OF fANt TOR OR�IITNORRED�GENT O�TE <br /> � 2/23/82 <br /> 1922 Hewitt Avenue X :` �-.�. <br /> PLUMSING MECMANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER ClOSET(fOILET) AIR CAND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> UWTORY ASM BASIN) BOI�ERS—H.P.EA. <br /> SMOWER GAS FIPED AC.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORLED AIR SYSTEMS—B.LU. M EA. <br /> DISMWASHER WALLlIEATEFS—B.T.U. M <br /> LAUNORYTPAV UNITHEATERS—B.T.U. M <br /> CLGTMES WASNER EVAPORATIVE COOLEPS <br /> WATEP HEATER CLOTHES DflYERS <br /> URINAL VENTILATION FAN <br /> �RINKING FOUNTAIN RANGE HOOD <br /> FLOOR�MIN AIR HANDLINCa UNIT— GF.M. <br /> VAGUUM BREAKE7S STOVE <br /> HOOF DRAINS—MINLEADERS METAL FIqEPLACE 6 CHIMNEV <br /> Si ,dERVICE—9AR,ETC.1 <br /> SUlTOTAL SULTOT�L f <br /> PERMIT f PERMI� i <br /> T0TI1L FEE f TOTAL FEE <br /> SIDE YARD SETBACK STFEET SETBACK REAR VARD SETBACK PLAN CHECK NUMBEP PLAN CHECK FEE <br /> FEE F7ECEIPT u� <br /> USE ZONE LOT AREA VACANT SITE <br /> �YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWEILING UNITS <br /> euiioiNc 51300.00 22 00 <br /> SIZE OF BLDG NO.OF STORIES MAX OCC.LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT FIRESPRINKIEFS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO • <br /> APPROVALS sY DI1TE OtHER <br /> 1. ENVIRONMENTAL CHECK LIST �NA�n. U.B.C. <br /> SEC.305(a� <br /> 2. BUILDING PLANS <br /> 3. FIRE HYDRANT TOTAL Z 2 OO <br /> 4. FIRE PROTECTION SYSTEM PEPMIT VIILIDATION <br /> — WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOVF PERMIT <br /> 5. GRADING � <br /> 6. DRAINAGE 9 I I � E O Z�. O O �Y N <br /> 7. ENVIRONMENTAL IMPACT STATEMENT <br /> � <br /> B. HEAITH DISTRICT � <br /> APPLIGTION ACC.BY PIANS CHECKED BY APPfl.FOR ISSUANCE BY ��� ? _� h R�_C G I PT`� <br /> � K.C. <br /> i��i�^��1K YGU <br /> ADDRESS FILE � � FED S2 <br />