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. <br /> lheEve�Rreen .—� CO�'STRUCTION -- <br /> CITY Of � <br /> everett PERMIT pERMIT NO. OH33O <br /> CITY HALL 259�8745 <br /> EVERETf,WA 98201 � COMBINATION � BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNER 1ARIl ADDRE55 CITY 21P PMONE <br /> Bab Bertilson <br /> ARCHITEGi OR DESIGNER MAIL ADDRESS GTY ZIP FHGNE <br /> GENERAL CONI9AGTOR MAIL ADDRE55 qTY ZIP PHONE ULENSE� <br /> Clifton L. Stout 18Z9 3rd Street Maryaville 659-5367 <br /> MECHNNICA�CpNTMCiOR MRI�AODPE55 GITY ZIP PHONE LICENSE� <br /> ST OU TX L315TM <br /> PIUMBINGCAkTMLTOR MRILADDRE55 CITY ZIP PHONE IICENSE/ <br /> CUSS Oi WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION �KEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> V�LUAT�ON OF WORK <br /> f 80�.�� <br /> DESCRIBE WORK <br /> re-roof compasition <br /> PROPoSED USE OF BUILOING <br /> duplex I HEREBY CER7IFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEMLDESCNIPf19NOPPROPERTY(SHOWdELOWORATfRCHFOURCOP1E51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 2 226 Su lemer.ital Plat of ALL PPOVISIONS OF Lr1WS AND ORDINANCES GOVERNING TF!IS <br /> �o� eiocK_oF urcP an a oures 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 /> CONSTRUCTION OR RMANCE OF CANSTRUCTION. <br /> � SIGNATURE OF CA TR4CT ORRED ENT DATE <br /> ���o�� Grand Avenue X 8/23/80 <br /> � PLUM61N0 MECHANI AL <br /> � � ' N0. TYPE OF flXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> �, WATER CLOSET OILETI AIR CAND.UNITS—H.P.EA. ' <br /> BATHTUB REFHIGERAT ON UNITS—H.P.EA <br /> IAVATORV ASH BASIN BOILERS—H.P.EA. <br /> � SFpWER GAS FIRED AA.UNI75—TONNAGE EA. <br /> � KITCHEN SINK 8 DISP. FORCE�AIR SVSTEMS—B.T.U. M EA. <br /> � � DISHWA6HER � WALL NEATERS—B.T.U. M <br /> � UUNDRV TRAY UNIT HEATERS—B.7.U. M <br /> ' , CLOTHES WIISHER EVAPORATIVE COOLERS <br /> � �� WAlER HEATER CLO7HES DRYERS <br /> ; URINAL VENTILATION FAN <br /> , �� DRINKING FOUNTAIN RANGE HOOD <br /> , F100R DMIN AIR HANDLING UNIT— QF.M <br /> �� VACUUM BREANERS STOVE <br /> , Fi00F ORAINS—MINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> � � SINK EPVICE—BAR,EfQ) <br /> W!TOTAL SU!TOTAL t <br /> , PEIIMR { PEHMIT i <br /> , TAL FEE TOGI FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PIAN CHECK FEE <br /> FEE RECEIPT NO. <br /> . USE ZONE LO7 AREA VACANT S�TE <br /> �VES ❑NO FEFS VALUATION FEE <br /> iVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING SBOO. 00 14 SO <br /> � SI2E OF BLDG. N0.OF STORIES MAX.OCC.IOAD <br /> �. PLUMBING <br /> FIRE ZONE 8lSEMENT FIRE SPRINKLERS <br /> � REOUIRED MECHANICAL <br /> OYES ❑NO <br /> APPROVALS er DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST pENALTY U.B.C. <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIRE HYDMNT <br /> — Toi�i 14 5 0 <br /> <. FIFE PROTECTION SYSTEM PEIIMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GNADING 81 � } ( � I a.5 0 •r�T ' <br /> �r <br /> 6. DRAINAGE M <br /> 7. ENVIRONMENTALIMPACTSTATEMENT M <br /> 8. HEALTH DISTRICT Y.� U.R, R G C E I� <br /> APPLICATION ACC.B7 PUNS CHECKED BV APPR.FOR ISSUANCE BY i j�A�¢K Y O U <br />