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`''��`'�T�`oF -;ONSTRUCTIOI� � <br /> everett PERMIT pERMIT N0. OS826 <br /> GTY HALL 259�8745 <br /> EVERETi,WA 98207 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MNiIAD�RE55 CILY 21P FMONE <br /> Voth Bros. Const. 12301 N.E. lOth Place Bellevue 98005 453-9414 <br /> ARCMREGT OR DESIGNEB MAIL ADDR[55 CITY 21P PNJNE <br /> GENERALCANTPACiOR MRILAO�RESS CILY ZIP PIIONE UCENS[I <br /> Master Pools 20031 Ballinger Road N.E. Seattle 98155 365-3337 <br /> A�ECNANiCALCONiRAGiOR MRILADDPE55 �ITY 21P FNONE UCENSE� <br /> MA ST EP W265K7 <br /> PLUM�ING CANTRACTOR MNII ADDRE55 LItY ZIP PHONE UCENSE� i <br /> C1A55 OF WORK <br /> ❑NEW �ADDITION ❑ALTERATION ❑REPNR �DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAWAtiON OF WORK <br /> S �.7�0��.00 <br /> DESCNIOE\YOPK � <br /> construct Swim Pool <br /> vaorosco use oF ouaoir+c <br /> commercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> IEGAL�ESCqipiIONOFPq01'EPtt�SNOWBELOWORAI 'r,NFOURCAPiES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> � 1-30 750 Everett Land Co. ' s lst ALLPROVISIONSOFIAWS.4NDORDINANCESGOVERNINGTHIS <br /> ior a�oc�oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OF NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY?O VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORM NCE OF CONSTRUCTION. <br /> JOB PO�RE55 SiGN U!i[OF CONLRACiOR OR ApiHOR12E0 AGENt DATE <br /> 8�X 3105 Pine Street � C 3/6/81 <br /> PLUMBINO MECHANIC 1L <br /> NO. TYPE OF FIXTURE OR ITEM FEE RO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET QOILET) AIR COND.UNITS—H.P.EA. � I <br /> 3ATIITU9 REFRIGERATION UNITS—H.P.EA <br /> LAVATORYIWASH BASIN) BOILERS—HP.EA. <br /> SHOWER GASPIPEDA.0 UNITS—TONNAGEEA. <br /> KITCHEN SINK 8 DISP. PORCED AIR SYSTEMS—B T.U. M EA. <br /> DISHWASHER WALL HEATERS—B T.U. M <br /> �AUNDRY TRAV UNIT HEATERS—B TD. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WFTER HEATER GLOTHES DRYERS <br /> URINAL �ENTILATION FAN <br /> ORINKING FOUYTAIN AANGE MOOD <br /> FLOOR DRAIN A�R MAN�LING UNIT— GF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF�RAINS—RAINLEADERS METAL FIqEPLACE 8 CNIMNEY <br /> SMK�SERVICE—9AR,hTC) <br /> SUBTOTAL SUBTOTAL f <br /> PERMIT f PERMIT f <br /> TUTALFEE S TOTALFEE S <br /> SIDE YARD SETBACK STREET SETBACK PEAR YARD SETBACK PIAN CHECK NUMOER PLAN CHECK FEE <br /> 81�Bfl26 FEE RECEIPTNO. <br /> USE ZONE LOT AREA VACANT SITE <br /> L1YE5 ❑NO FEES VALUATION FEE <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> BUILDING S SO OO ' <br /> SIZE OF BLDG. NO.OF STOPIES MAX.OCC.LOAD <br /> PLUMOING <br /> FIREZONE BASEMENT FIRESPRINKLERS <br /> (iEOUIRED MECMANICAL <br /> ❑YES ONO <br /> APPHOVALS BV �ATE OTHER <br /> 1. ENVIRONMENTALCHECKUST PENAITY U.B.C. <br /> 2. DUILDING PLANS SEQ 703(a) <br /> 3, FIRE HYDRANT <br /> TOTAL S O O O I <br /> a. FIRE PROTECIION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED�1N THIS SPACE)TNIS IS YOUR PERMIT <br /> G. DRA N'AGE '� G '� I v U J O. O �1 �� � <br /> 7. ENVIRONMENTAL IMPACT STATEMENT � <br /> 1 8. HEALTH DISTflICT � <br /> APPUCATION ACC.DY PU+NS CHECKED BY APPR.FOR ISSUANCE BY � R ,�:. '��T O <br /> . V.C. � � .� �,� ,i ', U <br /> ADDRESS FILE - '� � � � I <br />