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, <br /> � rheE c� OF �- C�NS7F�UCTION � � <br /> � eVei�►� PERMIT pERMIT N0. 07101 � <br /> I GTY HALL 259�8745 <br /> j EVERETT,WA ?8201 ❑ COMBINATION ❑ BUILDINO ❑ IKECHANICAL ❑ PLUMBINO I <br /> � <br /> I pWNEp MAIL�ODRE55 CITY 21P PHONE <br /> Jeffrey L. Hegland 3409 Bell Everett 98201 252-3752 <br /> ARCMITECTOHOESIGNER MAILADDRE55 CITY ZIP RqNE <br /> GENEMLCONiRACTOq MAILADDPE55 CITY ZIP PNONE IICEN5E1 <br /> Self <br /> MECMANIGLCOMRACTOR MAILADDRESS CITV ZIV PNOXE LICENSEI <br /> � PLUMBING CONTMCTOR MMl ADURESS CITY 21P PHONE LICENSE� <br /> I I <br /> . I Cl/15S Of VNR1l <br /> r ❑NEW ❑ADDITION YIALTEMTION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑Cv�MGE <br /> ' VALUA710N OF M'0111( <br /> � 5��.0� <br /> ' °E�/1BE1"'�"' Remove lattice from existing windows; install new front window F� door; <br /> r o ro k fr ' e wall <br /> . morosEo use ov euaona <br /> 6 rn I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> �E(3�LDEBCRIFTIONOFPiqPEATVISMOM'BELOWOR�iTAC11F0URCOPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL �, <br /> �oT 14-1 �63 oF P1Ht O£ EYeTCtt ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS � <br /> TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED <br /> I HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT � <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• I <br /> VISIONS OF ANY OTHER STATE OR LOCAL lAW REGULATING � <br /> CANSTRUCTION OH THE PERFORMANCE OF CANSTRUCTION. <br /> i ��p�� 510NATURE OF CONTNALTOR OR AUTHONREU ApENT DATE � <br /> 4 � I <br /> ^ �:, �� .,' Kypqpp MECMANICAL �. <br /> '�}� t;. Np. TYrE OF RlITU11E 011 ITEM FEE NO. TYPE OF EGUIPMENT FEE � <br /> � w iVATER CLOBET IL <br /> .,`� .,,:; AIR COND.UNITS—H.P.EA. , <br /> '.� . g�TM7�g REFRIGERATION UNITS—H.P.EA � <br /> < �'�� LAVATORY ASH BA61N BOILERS—H.P.EA. � <br /> � � .�':,�`�,r"y'�' �p GAS FIRED A.C.UNITS—TONNAGE EA. � <br /> ����'•�� KI7CMEN&NK 6 DISP, FORCED AIR SYSTEMS—B.T.U. M EA. <br /> �� , � ��� �� p�ry+�p WALL HEATERS—B.T.U. M <br /> . . ��� �:�'.'.`i.�' UWNORI'1MY UNIT HEATERS—B.T.U. M <br /> ::� �3'J�•,'; CLOiHESWA6HER EVAPOMTIVECOOLERS <br /> � �� ' WA7ER HEATER CLOTHES DRYERS <br /> . . .. .�t:-���'� Uq�� VENTMTIONFAN <br /> �- 4' �� DRINKINO FOUNTAIN MNGE HOOD <br /> " � �¢ . FLOOR ORIUN AIR HANDLING UNIT— ' C.F.M. � <br /> � i VACUUM BREAKERS STOVE � <br /> � � ROOF DMINS—FiMNLEADERS METAL FIREPLACE 8 CHIMNEY <br /> � ' I SINK HVICE—BM.ETC. <br /> Y ! <br /> � � W�TOTAL SU!TOTAL � <br /> �� rE11MR t rE11M1T <br /> �, T � TOT�LFEE � <br /> SIDE VAND SEiBACK STAEEf SEfBACK REAR YARD SETBACK PU1N CHECK NUMBER PLAN CHECK FEE <br /> i <br /> FEE RECEIPT NO. <br /> � USE ZONE LOT AREA VACANT SITE <br /> OVES ❑NO FElS VALUA�ION fEE <br /> i <br /> ; � rypE pF CONST, OCCUPANCY GROUP NO.OF DWELLINO UNITS - <br /> . � BUILDING S <br /> SIZE OF BLDO. N0.OF STORIES MAX.OCC.LOAD <br /> i` �� � PLUMBING <br /> �_ �c:' � �� i FIREZONE BASEMENT fIRESPRINKLERS �, <br /> REOUIRED MECHANIGL <br /> OYES ❑NO <br /> .1 A/rIqYALS . !Y DATE OTHER <br /> . 1. ENVIRONMENTAI CHECK LIST �N��T. U.B.C. <br /> � SEC.303(s) <br /> � 2. BUILDINp PLANS <br /> '�. -•. 3. FIREHVDMNT � �T� <br /> � 4. FIRE PNOTECiION EVSI� PEIIMR VAUDATION <br /> 1 WHEN PROPERLY VALIDATED pN THIS SPACE)THIS IS'lOUR PEHMIT - <br /> r' 'S °pA01� �'i Any glass installed in door shall be .—i <br /> � , o•.PPN� safety type. Also, any glass rdthin O <br /> A/. ENVIH EI IMP TATEMENT 48" of door or less than 18" above � <br /> H� i �s floor shall be safety type. 0 <br /> , , PPLIGilO KA BY NS CHECKEO BY APPfi.FOR ISSUANCE PY ' <br />