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, . � <br /> the EveCrgYOF ,� CC'��ISTRUCTION ' ��� <br /> everett PERMIT pERMIT NO. OZ34H <br /> CITY HALL 259�8745 <br /> EVERETT.WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBINO <br /> OWNER MAILApDRE55 CIiY ZIP PMJNE . <br /> [`HRTS NTCSFN SOZ PTT('Hfif K PLTH �'�n.`RFTT QR9M — � <br /> RRCNITECIORDESIGNEN MAILAD�RESS CITY ZIP PMONE <br /> GENERALCONTMCTOR MAILADDflE55 CIiY ZIP PHONE LICENSE� <br /> gun mrnamv unwc� TupAnVFMc'NT . i'id—'ifiAa <br /> MECNANIGLCONTRACTOR MAILADORESS CIiY 21P PHONE LICENSEI <br /> PIUM��NG fANTPALTOR MnIL AODRE55 CITY 21P PMONE LICENSE� <br /> I <br /> Cu550FwonK �NEW ❑ADDITION ❑ALTERATION �IREPAIR ❑DEMOUTION ❑FENCE ❑SIGN ❑GARAGE � � - ' <br /> VA�UATION OF WORK <br /> + 6000.00 , <br /> DESCNIBE WOPK <br /> RESIDE AND REPLACE WINDOWS '�, <br /> PNOPOSEO VSE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP• <br /> IEGAI�ESCFIPTION OF PROPEHTY ISHOW BELOW OR ATTAGN FOUflCOPIE51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL � <br /> ALL PROVISIONS OF LAWS AND ORDII�ANCES GOVEFNING THIS <br /> ior 43 e�a�ov HRIDGEWAY ADD 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 F'RO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION 0 E PERFO MANCE OF CONSTRUCTION <br /> JOB AD�RE55 SIGNAi C R OR UTNO ENT DATE <br /> 503 PILCH <br /> PLUMSINO MECFiANICAL <br /> NO. TYPE OF fll(TUHE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLO:ET(TOILETI AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> � LAVATORV(WASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAf FIRED AL.UNIT$—TONNAGE EA. <br /> � KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—8 T.U. M EA. <br /> � OISHWASHER WALL HEATERS—B.T.U. M <br /> � UUNDRY TRAY UNIT NEATERS—B.T.U. M � <br /> ' CLOTHES WASHER E\'A�RATIVE COOLERS �� <br /> � , � WATER HEATER CLUTHES ORYERS <br /> . � URINAL VE�TILATION FAN <br /> . DRINKING FOUNTAIN RANGE HOOD <br /> " FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> - . VACUUM BREAk d5 STOVE �, <br /> � ROOF DRAINS—RAINIFADERS METAL FIREPLACE 8 CHIMNEY � <br /> SINK(SERVICE—BAR.ETQ) � <br /> �S roTµ SU!TOTAL t <br /> PERMR f PERMIT f <br /> TOTALFEE i TOTALFEE <br /> SIDE VARD SETBACK S7REET SETBALK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE <br /> OYES ❑NG FEES VALUATION FEE <br /> TYPE OF CANSf. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLDG. NO.OF STOHIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE 20NE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> OYES ❑NO <br /> �ppppy�g er DATE � O7MER <br /> 1. ENVIRONMENTALCHECKLIST pENp�Ty U.B.C. <br /> SEC.903(a) <br /> 2. BUIIDING PLANS <br /> 3. FIRE HYDMNT TOTAL 36 <br /> 4. FIRE PROTECTION SYS7EM PERMR VALIDIITION <br /> WHEN PROPERLY VALIDATED pN THIS SPACE)THIS IS VOJR PERMI7 <br /> 5. GRADING 9 7 I 3 S 0 3 6.0:0 ��� � <br /> 6. DRAINP�� . <br /> 7. ENVIfi011MENTAL IMPACT STATEMEI T ' M <br /> 8. HEALTHDISTRICT Y�U�R RE�CEIP'To <br /> APPUGTION ACC.BY PLANS CNECNED BY APPR.FOfl ISSUANCE BY � ' .. <br /> �N�NK YO.W <br /> lo la <br /> _ _1 ��± ,8A <br /> AUDRESSFILE <br />