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i <br /> rheEvergreen � �ONSTRUCTIO� • <br /> CITY OF <br /> ever�tt PERM IT <br /> GTY HALL 259�8745 PERMIT NO. O��6 H <br /> EVERETf,WA g8201 ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> 014NER h1AIL4U0RE55 CIiY ]IP PH F I <br /> D1DE Partnership 1310 Pacific Everett 98201 252—��00 <br /> AR:.HIiECi OP DESIpryEO MFi�AppRE55 <br /> CiTY ZIP PIIONE <br /> GENEnnLCONiRACTON k:d�A�DRE55 CITY <br /> T & T ConstrucCion 10708 Holly Drive Z'P PMONE uccr,se� <br /> AILCHANICALCONiRACiOR . MAI�ApDRE55 �ITY <br /> Z�P PNONE C.;ENSE r <br /> PIUMBING CONTpACiOR MAIL ApORE55 CItY <br /> Z�P PMONE �ICENSE I <br /> I <br /> C1A550F WUqK I <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR �DEMOLI710N ❑fENCE ❑SIGN C�GARAGE � <br /> VAWATIONOF WOqK I <br /> f <br /> OESCPIBE WORK <br /> Demolish Single Famly Residence <br /> PROPOSED USE 04'BUILD�NG <br /> I HERE9Y CERTIFY THAT I HAVE fiEAD AND EXAMINED THIS AP� <br /> iecnioescaivnoNOFeRoaeatt�sHowee�owoannna�Fouacowes� PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> io�7-18 Bi�K 749 oF Everett Land Co's lst ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> TYPE OF WORK WILL BE COMPLIED WITH WHETHEFi SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY 0 TATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION O THE P RFORM NCE OF CONSTRUCTION. <br /> JOOA�DRESS SiGNAT " ,0�+ : Jl10 'Utr Ri2E�/ .ENi OAtE <br /> 3118 Pine Street X 3/21/80 <br /> PLUMBING MEC NICA� <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET�TOILET� AIR COND.UNITS—HP. EA <br /> BATHTUB REFRIGERATION UNITS—HP.EA <br /> LAVATORY�WASH AASIN) BOILERS—HP.EA. <br /> SHOWER GAS FIi7ED AC. UNITS—TONNAGE EA <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.TL. h1 EA. <br /> DISH WASHER <br /> LAUNDRV TR�V �YA��HEATER$—p T.U. M <br /> UNIT HEAiERS—B.T.U. �,� <br /> _ CLOTHES WASHER EVAPORATNE COOLERS <br /> \YAiER HEATER CLOTHES DRYERS <br /> UFINAL VENTILATION FAN <br /> _ DRINKING FOUNTAIN flANGE HOOD <br /> FLOOfl DRAIN AIR HANDLING UNIT— C F.A1. <br /> VACUUM AREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS FIETAL FIREP�ACE 8 CHIMNEY <br /> SINK 1SERVICE—BAR.ETG) <br /> SUBTOTAL SUBTOTAL = <br /> PERMIT S PERMIT S <br /> TOTALFEE 3 TOTALFEE 3 <br /> SIDE YARD SETBACK STREET 5[TBACK REAR VARD SETBACK PLAN CHECK NUI.!�ER P�AN CHECK FEE <br /> FE[ iiECEIPT NO <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES GNO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELUNG UNI7S <br /> SIZE OF BLDG. N0.OF STORIES MAX.OCC.LOAD BUILDING 5 00 00 <br /> PLUMBING <br /> FiREZONE BASEMENT FIRESPRINKLERS <br /> FEOUIRED MECHANICAL <br /> iIYES i7N0 <br /> APPHOVALS BY DATE OTHER <br /> 1 ENVIfiONMENTAL CHECK LIST <br /> PENALTY U.B.C. <br /> 2 BWLDING PLANS SEC.3031a) <br /> 3 FIRE HVDRANT TOTAL 00 00 <br /> � FIRE PROTECTION SYSTEh1 PENMIT VALIDATION <br /> 5. GRADING N'HEN PROPERLY VALIDATED QN THIS SPACE)THIS IS VOUR PERMIT <br /> G DRAINAGE � o o S � , <br /> 7 ENVIRONMENTAL IMPACT STATEMENT � � � a 0 O" O O �D� <br /> 0 HEALTH DISTRICT M <br /> � <br /> �PPLICATION ACC.BY PU1N5 CMECKED BV AFPR.FOR ISSUANCE BV ��O U R R E C C I PP <br /> T!�l��K YOU <br /> ADDRESS flLt 2 I � 8O <br />