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-� <br /> �heEvcneOF � `�ONSTRI�CTION����`.. �� <br /> everett � � PERMIT p�RMlT NO: 08319 <br /> CITY HAIL 259�0745 <br /> EVERETf, "JA 9320t ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLSlMBING <br /> OWNER MAILRDDRl55 LIT\ ZIP PHONE <br /> Gary Waldahl 1014 N.E, 61st Seattle 9fi115 LA4-8695 <br /> Aq,-.MIiECi0RCE5ifYER MRILADORESS Cliv IIV PHONE <br /> GCNERA�('pNiRACTOR MRIL�DDR[SS CITY ZIP PHG'!G IICENSE♦ <br /> Same <br /> MEGNANiCA��NTPACNR MALL qDDRE55 Q'Y 21P PMONE UCENSE I <br /> PLUMBINGCOtlTRnLTOR MFiLADDRCSS CItY ZIP PMONE lIC[NSEI '. <br /> CUSSOF WOPn <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑qEPAIR ❑DEMOiITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAW�iION OF WORH � <br /> 3 12 ����. �0 <br /> DESCPIBE WORK <br /> Re—place foundation—interior remodel <br /> rrovoseo use or aw�oiN� <br /> single family reaidence I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> iecn�uescamrior+or veorearr�sNoweeiowoanttncHrouacerres PLICA710N AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PI?OVISIONS OF LAWS AND ORDINANCES GOVEANING THIS <br /> wr oiac�or TYPE OF WORK WILL BE COMPUED WITH WHETHER SPEGFIED <br /> 21-29-5 HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOWTE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERfOFMANCE OF CONSTRUCTION. <br /> JOB AODPE55 SIGNAtU��[Of�pNiRFC10R OR AUiMORREO FG[NT DPiE <br /> 2115 East Grand Zj/'� 9/17/81 <br /> PLUMBINO MECHA <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> N'ATER CLOSEI (TORET) AIR(;pND.UNITS—HP EA <br /> BATHTUB RF.FRIGERATION UNITS--HP. EA <br /> LAVATORV(WASH�A514� OOIlERS—H P.EA. <br /> SHOWER GAS FIRED A C UNITS—TONNAGE EA. <br /> KITI,HEN SINK 6 DISfl FOiiCFD AIR SVSTEMS—B7.U. M[A. <br /> DISHWASHER yJALL I IEATERS—0 T.U. M <br /> LAUNDRV TRAY U1�R HEATERS—�7 U M <br /> CLOiHES WASH[F EVAPORATItl[COOLERS <br /> Y/ATER HEATEH CLOTHES UP1ER5 <br /> URINAL V[N'ILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOC i DRAIN AIR HANULING UNIT— C f M. <br /> VAfUUM BREAKERS STOVE <br /> iIOOF DRAINS—RAWLEADERS METAL FIRtPLACE 3 CHIMNEV <br /> SINk�SERVIC[ —9AR,EiC� <br /> SUE fOTAL SUB 70TAL S <br /> _ PERMIT S PERMIT f <br /> TOTALFEE f TOTALFEE f <br /> SIOE YFRD SEiBACN SiREET$CT�ACK REAR YARD.`.cT6ACK PLAN CHECK NUMBER P�AN CN[CK FEE <br /> FEE R[CEIPT NO. <br /> USE ZONF. LOT AREA VACANT S�iE <br /> C�YES CNO PEES VpLUATION FEE <br /> TYPE UF CONST OCCUPANCV GRGUC NO.OP 7WELUNG UNITS <br /> BUILDING g � �p <br /> SIZE OF BLDG. NO.Of'STORIES MAX.OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIHE SPRINKLERS <br /> RFOUIPE� MECHANICAL <br /> ❑VES []NO <br /> __ APPHOVALS OY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTV U.B.C. <br /> 2. BUILDINu'P'ANS SEC.3n31a1 <br /> 3. PIREHYDRANT TOfAL 30 00 <br /> 4. FIRE PP,OTECTION SYSTEN PERMIT VALIDATIOh �— <br /> — WHEN PROPERLV VAUDATED�1N THIS SPACE)THIS IS YOUR PERM�T <br /> 5. GRADING re—new permit #'7668 8/4/8U�'� " � <br /> 6. DRAINAGE ' � � " ' � <br /> 7 ENVIP.ONMENThL IMPACT STATEMENT � <br /> B. HEALiH DISTRICT . � <br /> APPIICAT10N ACC.BY PLA1J5 CNECKED BY APPR POR ISSUANCE BY ' ' � <br /> ADDRE55 FILF <br />