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_ , <br /> the£veryqreen '^ Cr-y�STRUCTION � � <br /> CITY OF <br /> everett PERMIT pERMIT NO. 08366 <br /> CITY HALL 259�B7a5 <br /> EVEHETT,WA 98201 ❑ COMBINATION C�BUILDINO ❑ MECHANICAL ❑ PLUMBINO <br /> , OWNER MRILADDRE55 CITY 21P PHONE <br /> Georqe Vanderbrug 2315 Pine Everett 252-2714 <br /> ARCHITECT OR DESIGNER MAIL A�DRESS CI1Y ZIV PHONE <br /> CENERAL CONTPACTOP MAIL AODRESS CITY ZIP MIONE IICENSE 1 <br /> Everett Buildera 5606 Evergreen Way Everett 353-�161 <br /> MECMANIGL CANTMCTOR MAIL AODRESS CITY 21P PHONE LICENSE� <br /> EV ER EB 301-PH <br /> RUMBINGCONiMCTOR MRIIADDRE55 CITV ZIP PHONE LIGENSEI <br /> CI�55 OF WORK �. <br /> ❑NEW ❑ADDITION �LTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE '. <br /> VALUATION OF WORK . <br /> s 6600.00 <br /> DESCRIBE WORK <br /> remodel kitchen <br /> PROPOSED USE Of BUIl01NG '� <br /> ainqle family reaidence I HEAEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LE(ULDESCRIPfIONOFPpOPEHTV(SMOWBELOWORARACHFOUNCOPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 9-1 502 Mile Land Co. 3rd ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or �xK_ov TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TCl GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTR CTION OR THE PERFORMANC OF CONSTRUCTION. <br /> JOB�DDPESS SIGNATURE CANTMCTON RAU RI2EORGEN7 DATE <br /> 2315 Pine Street X � 10/6/80 <br /> i <br /> � PLUMlINO MECHANICAL I <br /> � NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> - WATER CLOSET OIL AIR CAND.UNITS—H.P.EA. <br /> �� &4THTU8 REFRIGERATION UNITS—H.P.EA <br /> LAVATORY ASH BASIN BOILERS—H.P.EA. <br /> SMOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> ; KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.7.U. M EA. <br /> � DISHWASHER WALL HEATERS—B.7.U. M <br /> LAUNDRYTRAV UNITHEATERS—B.i.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATEfi ClOTHES DRYERS <br /> � � URINAL VENTIIATION FAN �' <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. � <br /> � VACUUM BREAKERS S70VE <br /> � ROOF DMINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> � SINK(SERVICE—BAR,ETC.) <br /> � SUlTOTAL SUBTOTAL t <br /> PENMR t PERMIT t <br /> TOTALFEE i TOTALFEE <br /> SI�E YAFD SETBACK STREET SETBACK REAR YARD SE78ACK PLAN CHECK NUMBER PLAN CHECK fEE <br /> FEE RECEIPT NO. <br /> : USE ZONE LOT AREA VACANT SITE <br /> OYES GNO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DW'cLLING UNITS <br /> BUILDING s 6600. 00 62 50 <br /> StZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT FIRESPRINKLERS <br /> REOUIRED MECHANICAL <br /> � OYES ❑NO <br /> APPROVALS er DATE OTHER <br /> I. ENVIRONMENTAL Cf IECK U5T PENALTY U.U.C. <br /> 2. BUILDING PtANS SEC.303(a) <br /> 3. FIRE HYDRANT TOTAL 6 2 S O <br /> 4. FIRE PROTECTION SYSTEM PERMR VALIDATON <br /> WHEN PpOPERIV VALIDATED(IN THIS SPACE)THIS IS YOUR PEHMIT <br /> 5. GRADING 8 6 4 5 a Q 6 2. 5 O w..�� <br /> 6. DPAINAGE <br /> 7. ENVIRONMENTAL IMPACT STATEMENT m <br /> 8. HEALTH DISTRICT �i�t 'J R R E C C I PTO <br /> APPLICATION ACC.BY PLANS CMECNED BV APPR.FOR ISSUANCE BY <br /> '�i i/aNK YOU <br />