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r � <br /> the£vergrten . .I♦/1t ����^�'O�. , ' . . <br /> CITY OF �,~ V <br /> everett rERMIT pERMIT NO. 07133 <br /> CITY HALL 259-8745 <br /> EVERETf,WA 98201 ❑ COMBINATIQN ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER M�IUpDRE55 CITY ZIP PHONE <br /> Dennis Milner 2527 East Grand 98201 <br /> ARCHIiECT Oii DESIGNEN AIFIL A�DRE55 qTV ZIP PHONE � <br /> GENENAL CONTMCTOR MAIL ADDRESS pTV 21P PHONE IICENSE♦ <br /> MEGHANICAL CONTR�CTOR 1.1AIL AODRESS CITY ZIP PHONE UCEHSE/ <br /> PLUMBiNG CANTRI�LTOR MAIL F�DRESS LIiY ZIP PHONE LICENSE 1 <br /> same <br /> cuss oF wam <br /> ❑NEW ❑AODITION ❑ALTEMTION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> f <br /> DESCRIBE WORK j <br /> PPOR75ED USE OF BUILDING <br /> I HE�7EBY CERTIFY THAT � HAVE READ AND EXAMINED THIS AP• <br /> LEGAL DESCNIPTION OF PROPERTY ISHOW BELOW OR�TfALN FOUR fAflE51 PLICATION AND KNOW THE SAME TO BE TRUE AND CARRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or e�ocu_oF 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 LAW REGULATING <br /> CANSTRUCTION OR THE PERFORMANCC OF CANSTRUCTION. <br /> SIGNAIURE OF WNTMCTOR 0 UTHOR12ED AGENT OATE <br /> .pB�DURE55 1�15�8� <br /> 2527 Sa�t Graad X <br /> � ' ►LUM�INO MECXA AL �� <br /> ' NO, ?YrE OF FlXTURE OR ITEM FEE NO. TYPP OF EOUIPMENT FEE � <br /> WATER CLOSET OI 2 O O A�R CQND.UNITS-H.P.EA. I <br /> �TMng HEfti1GERAT10N UNITS-H.P.EA � <br /> , Z UV/1TORV ASH BASIN $ OO BOILERS-H.P.EA. <br /> 1 &1pWEH 2 OO GAS FIRE�A.C.UNITS-TONNAGE EA. <br /> KITCMEN SINK 6 DISP. FORCEO AIR SVSTEMS-B.T.U. M EA. <br /> DISHWASHER WALL HEATERS-B T.U. M <br /> � � IAUNDRY Tf1AV UNIT HEATERS-B.7.U. M <br /> � �� CI.OTHES WASHER EVAPoRATIVE COOLERS <br /> � WATER MEA7ER CLOTHES�RYERS . <br /> . � � UPINAL VENTIL4TION FAN �� <br /> . DRINKINO FOUNTAIN RANGE HOOD <br /> � � � FLOOR DRIUN AIR HANDLING UNIT- C.F.M. - <br /> � VACUUM BRFAKERS STOVE � <br /> . - � ii00F DMINS-MINIEADERS METAL PIREPLACE 6 CHIMNEV � <br /> ' . SINK RVICE-BM.ETC. � <br /> tIH TOTAL 8 0 0 W!TOTAL i � <br /> rE11MR i 3 PERMR f � <br /> � � TOTALFEE <br /> &IDE VMD SETBACK STREET SETBACK REhR YARD SEiBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> �. FEE RECEIPT N0. <br /> � USE ZONE l07 AREA VACANT SITE <br /> ❑YES ❑NO FEES VAIU�TION FEE <br /> T'PE OF CONST. OCCUPANCY GROUP NO.OF�WELLING UNITS <br /> � BUILDING E <br /> I� � SIZE OF BLDG. NO.OF STORIES MAX.OCG.LOAD — <br />` PLUMBING 11 OO � <br />'� FIRE ZONE BASEMENT FIRE SPR�NKLERS � <br /> REOUIRED MECHANICAL <br /> OVES ❑NO <br /> APPIIOVALE er DATE OTHER � <br />� 1. ENVIRONMENTAL CHECK LIST PEHALTY U.B.C. <br />� SEC.3031e) <br />� 2, BUILDINGPLANS <br /> 3. FIREHYDMNT TOTAL 11 OO <br /> 4. FIRE PROTECTION SVSTEM PEIIMR VALIDATION <br /> WMEN PFiOPEFiLY VALIDATED�IIN THIS SPACE)THIS IS YOUR PERMIT <br />� 5. GRADING <br /> M <br /> 6. DfiAINAGE �9 S� S O I I,O O ` � � <br /> 7. ENVIRONMENTAL IMPACT SiATEMENT � <br /> 8. HEALTH DISTRICT � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY YU U R R EC E I PT O . <br /> TNANK YOU <br /> ADDRESS FILE I S .IAlI g0 <br />