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fGcG�'cr,Cn�t�� r'flNSTRUCTION � <br /> CI.Y UF <br /> everett PERMIT pERM1T NO. 11Z22 <br /> CIiY HALL 25407��5 <br /> eveaett.wn eo2o� ❑ COMBINATION �(BUILDING ❑ MECHANICAL PLUMBING <br /> Z�wrvia ninanoovviss cnv zn, vnor�i <br /> Dan McDannald 1025 Grnnd Avenue Everett 98201 252-2228 _ <br /> ARGNIiEC10�����9GNE:R MAILADOHF55 Cli'/ 21P P110NL <br /> GEN[RAL CONtRAQOP MAII AD�R[SS CIIY 21P PNON[ LICENSE� <br /> Everett Builders Inc. 5606 Svergreen Way Everett 98203 35�-7161 <br /> AILp�M11CA:WN1RAGi0A A1NIL AODRE55 CIiY ZIP �HONE UCENSE• <br /> EV ER EB 301PH �; <br /> i'LUhIpINGGONiRACiOF AIAILA��RESS GiY 21P PMONE L�CENSEr <br /> CLA55OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION XXREPAIR ❑DEMOLITION ❑FEN�E ❑SIGN GARAGE <br /> VALU�tiON OF WORK <br /> 5 4523 .00 <br /> oescniaE wonK <br /> re—roof Composition <br /> PROPOSED USE OF BUIIf�ING ' <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMW[D THIS AP� <br /> ieca�oescmm�oN oF rnoPeFrr�s�,orr ouow on nrTncN Foua coPiesi PLICATION AND KNOW THE SAME TO BE TRUE AIJD CORRECT. <br /> N 10 ' —3 Z t¢ Heights ALL PROVISIONS OF LAWS AND ORDI�ANCES GOVERNING THIS <br /> AET�_y�aK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER 3PECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> Ptn 7 PRESUMETOGIVEAUTNORITYTOVIOl.ATEORCANCELTHEPRO� <br /> VISIONS OF ANY OTHER STATE OH LOCAL LAW REGULATING <br /> CONS�CTION OF E PERFORMANCE OF CONSTRUCTION. <br /> sicr+j�ur+ nwN���ac ,r�c. nu��o�az�o,�cer+r onie <br /> �o�+;.uoaess �..y- LC� � 11/8/82 <br /> 1025 Grand Avenue XY <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EdUIPMENT FEE <br /> WATER CLOSET(TOILETI AIR CONO.UNITS—H P.EA. <br /> REFRIGEFiAiION UNITS—HP.EA <br /> BATHTUB <br /> �AVATORV I�VASH BASI�q BOILERS—NP. EA. <br /> GAS FIRED A C UNITS—T�NNAGE EA <br /> SHOWER <br /> KITCHEN SINK 8 DISP. FOPCLU PiR SYSiElAS—B T.U. M EA. <br /> WALL HEATERS—�.T.0 M <br /> OISHWASHER M <br /> UNIT HEATERS—�S.U. <br /> LAUNDRVTRAY <br /> EVAf`OF7ATWE COOLERS <br /> CIOTNE5lVA5HER CLOTNES D(7YERS <br /> WATER HEATER <br /> yE117�LATIC�N FAN <br /> URINAL <br /> PAf:GL HO00 <br /> DRINFING FOl1NTNN C F.M. <br /> 41F HnHDLING UNIT— <br /> FLOOR DRAIN <br /> VACUUM BFEAKERS SiOVL <br /> ROOF DRAINS—RAINLEADERS METAL FIFEPLACE d CHIMNEV <br /> SINK�SERVICE—�AR[iC 1 <br /> SUB TOTAL S <br /> SUBTOTAL s <br /> PERMII t PEHMI7 <br /> TOTALFEE S TOTAL FEE S <br /> PLAN C�{ECY.FEE <br /> SIUE VARD SETEACK STHEET SETBACK REAR VARD SETBACK PLAN CHECk NVM�ER FEE RECEIPT NO <br /> USE ZONE LOT AREA VACANT SITE FEES VAIUAT10N FEE <br /> lIYES ❑NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELUNG UNITS S O S O <br /> BUILDING a 45 2 3 . <br /> 512E OF BLDG. N0.OF STORIES MA%.OCC.LOAD <br /> PLUM1I�ING <br /> FIRE ZONE BASEMENT qEOUIRED KLERS �,�E�HANICAL <br /> J <br /> I.1VE5 C1N0 <br /> . APPpOVALS <br /> BY DATE �7NEft <br /> L ENNRONMEfJTAL CMECK LIST PENALTY U BC. <br /> SEC.303 la) <br /> 2. BUILDINGPLANS TOTAL SO SO <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTION SVSTEM PERMIT VALIDATION <br /> WHEN AROPERLV VALIDATED pN THIS SpPACE)THIS IS�OUR PEPMIT <br /> , 5. GRADING 7 I � I � O J O. J D `��� <br /> lV <br /> 6. DRAINAGE • , (V <br /> 7. ENVIRONMENTAL IMPACT STATEMENT . <br /> B. NEAL7N DIS7RICT � �YO U R REC E i PT.�-� <br /> APPLICATION ACC.9� PLANS CHECKED 0Y APPR.FOR ISSUANCE BV T 1 1 A R!K Y O U <br /> , - $ �oV 82 <br /> ADDRE55 FILE _�_.__.._ _ . . <br />