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OWNER MAILAODFE55 CIiY 21P PHONE <br /> C. B. Oberholtzer 1406 Grand Everett 98201 252-0775 <br /> ARCMITECi OR�ESIGNER MAIL P�DRE55 CITY ZIP PNONE <br /> GeNEPALLONiRACiOR ��!ILADDPE55 CITY ZIP PHONE UCENSE♦ <br /> Same <br /> MELNANICAI CONiRACTOR MAIL AD�flE55 CIiY ZiP PNONE IIGENSE� <br /> PLUMBINGGONTPACTOR MAILhODRE55 CITY ZIP PNONE UGENSE♦ <br /> C1A550F WORK <br /> ❑NEIY ❑�1DDITION ❑ALTERATION a�[PAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAWATION OF WOPK <br /> S 15�0.�0 <br /> DESCRI�E WORN <br /> Re-roof Shake <br /> PPOPOSED USE OF BUILDING ' <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> IEWLDESCPIPT10NOFPfiOPERTY�5HOW8ELOWORATfACHFOURCOPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 3-4 296 Everett Div. R AL� PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS <br /> ior e�ce«_oc TYPE OF WORK WILL BE COMPI.IED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANIING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO• <br /> VISIONS OF ANY OTHER STATE OF LOCAL LAW REGULATING <br /> C ST U TION R T PERFORMANCE OF CONSTRUCTION. <br /> JOB ADpRE55 SiGNhTU F G Ni R A THORIZc�AGENT 6%19/81 <br /> 1406 Grand X <br /> PLUMBING ME ANICA <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATEP CLOSET(TOILET) ^Iq COND.UNITS—H.P.EA. <br /> BATHTUB 7EFRIGERATION UNITS—H.P.EA <br /> LAVA�ORY(WPiH BASIN) BOILERS—HP.EA. <br /> SHOWER GAS FIRED A.C.11NIT5—TONNAGE FA. <br /> KITCHEN SINK B DISP. FORCED AIR SYSTEMS—B.T,U. M EA, <br /> DISHWASHER WALL HEATERS—B.T.U. M <br /> LAUNDRV TRAY UNIT HEATERS—B.T.U. M <br /> CLOiHES WASHER EVAPOFATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN FP.NGE HOOD <br /> FLOOR DRAIN Alfi HANDLWG UNIT— C.F.M. <br /> VACUUM BRGAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE&CHIMNEY <br /> SINK 15ERVICE—BAR,ETC.) <br /> SUBTOTAL SUBTOTAL f <br /> PERMIT S PENMIT S <br /> TOTAL FEE S TOTALFEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN GHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SI7E FEES �ALUATION FEE <br /> ❑YES ❑NO <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING g1500.00 2S 00 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> ❑VtS ❑NO <br /> APPflOVALS BY DATE O7HER <br /> 1. ENVIRONMENTALCNECKLIST PENALTY U.BC. <br /> SEC.3031a) <br /> 2. BUILDING PLANS <br /> TOTAL 2 5 0 O <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)TNIS IS�OUR PERMIT <br /> 5. GflADING . " I y �� 9 C. ll' � _ � <br /> 6. DRAINAGE L J <br /> 7. ENVIRONMEN7AL IMPACT STA7EMENT � <br /> � <br /> 8. HEALTH DISTRICT � � , ��'j O <br /> APPLICATION ACC.BY PIANS CHECKED BY APPR.FOR ISSUANCE BY � . J <br /> i � I <br /> ADDRESS FILE <br />