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r'���°�,Y�oF CONSTRUCTIOP' - <br /> everett PERMIT pERMIT NO. 09324 <br /> GTV HALL 259-B745 <br /> EVERETf.WA sezo� ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> 01YNFR MFIL ADO�tSS CIIY 21P PNCN[ <br /> � William C. Brockway 2511 Pine Everett 98201 252-6848 <br /> ARCHIIEGTOR0E51GN[R MAILADDRE55 QiY ZIP PHONE <br /> GENERALCONiRAGTOR MRILADDRESS QTY ZIP CIIO�IE LICENSEI <br /> Same <br /> MECHAN�CAL CANTRALiOR MAIL P�DP[55 CITV ZIP PHONE UCENSE 1 <br /> PIUNBINGCANTRACiOR MAILA�ORE55 CIiY 21P PHOHE LICENSEI <br /> LLASS OF WORK <br /> ❑NEW ❑ADDITION C�r�.TERAT10N ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAfiAGE <br /> VAIUAiION OF N'ORK <br /> S rJI���. O� <br /> �ESCRipE WORN <br /> Complete Basement and first floor area <br /> vnoiroseo use oF ouuort+e <br /> Duplex I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> lEG4LDE5CPIPiIONOFPqOFERTY�SNOWBELOWORATTACHFOUHCAPIES) PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> � ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> inr aia�_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> NE�t SE�t 20 29 5 pRESUMETOGIVEAUTHORITYTOVIOLATEORCANCELTHEPRO� <br /> V�SIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTFUCTION OR THE PERFORMANCF OF CONSTRUCTION. <br /> SIGNATUR'OF iRACiOR ON AUDIOFi PGf 04iE <br /> JOB ADORE55 <br /> 2511 Pine Stic�t , i 6/2/81 <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> \4ATER CLOSET QOILET) AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H P.EA <br /> LAVATORY(WASH BASIN) BORERS—H P EA. <br /> SIIOWER G�SFIFEDAC UNITS—TONNAGEEA. <br /> NITCHEN SINK&DISP. PORCED AIR SYSTEMS—d.T.U. M EA. <br /> DISHWASHER NALLNEAiERS—OT.U. M <br /> LAUNDRY TRAV UNIT 1{EATERS—BT.U. M <br /> CLOTHES WASHER EVAPORATNC COOLEflS <br /> WATER HEATEF CLOiH[S DRYERS <br /> UPINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRA�N AIR HANDLING UNIi— GF hl. <br /> VACUUM OREAKERS STOV[ <br /> ROOF ORA�NS—RA�NLGADEPS METAL FIREPLACE 8 CMIMNEV <br /> SiNK�SEHVICE—BAR.ETCJ <br /> SIIB TOTAL SIiB TOTAL 5 <br /> PEflMIT S PEPMIT f <br /> TOTALFEE f TOTALFEE f <br /> SIDE YARD SETBACN STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBLR PU+N CHECK FEE <br /> F[E RECEIPT NO. <br /> USE ZONE lOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF OWELUNG UNITS <br /> BUILDING S 5 , 000. 50 50 <br /> SIZE OF BLDG. NO.OF STOFiIES MAX OCC.LOAD <br /> PLUMDING <br /> FIREZONE BASEMENi pEOUIREDKLERS MECHANICAL <br /> I1YES ❑NO <br /> � APPpOVALS BY UATE OTHER <br /> t. ENVIRONMENTAL CMECK LIST PENALTY U B C <br /> SEC.303(a) <br /> 2. BUILDING PIANS <br /> TOTAL SO SO <br /> 3. FIRE HYDRANT <br /> 4. FIPE PHOTECTION SYSTEM PEFMIT VALIDATION <br /> WHEN PROPEflLY VALIDATEO�IN THIS SPACE)THIS I$YOUF}PGAh�IT� __� <br /> 5. GRADING . , i L. : �.� <br /> G. DRAINAGE N <br /> 7. ENVIRONMENTALIMPACTSTATEMENT M <br /> B. HEALTH DISTI7ICT �,� � O <br /> AFP�ICATION ACC.�Y PLANS CHECKED BY APPR.FOR ISSUANCE BY ., <br /> L.C. <br /> ADDRESS FILE <br />