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, _ , <br /> theEvcg oF - C�'NSTRUCTION -- � <br /> everett PERMIT PERMIT NO. O8Z43 <br /> GTY HALL 259�8745 i <br /> EVERETT.WA 98201 ❑ COMBINATION � BUILDINO ❑ MECHANICAL ❑ PLUMBIN(i <br /> ' OWNEP MRIUDLFESS CITY 21P �'MONE <br /> Voth Bros. Const. Inc. 1310 116th Bellevue 980J4 453-9414 <br /> ARCHITECT OR DESIfiNER MAIL ADDRESS CITY ZIP PMONE <br /> GENERAL CANTR�CTOR MAI�ADL'RE55 CITY ZIP PHONE �ICENSE• <br /> Same <br /> Mc'HANICAL CONTRAGTOR MAIL/DDRESS CITY 21P PHONE LICENSE/ <br /> PLUAIBINGCONTRACT4P MFILAD�RESS diY 21P PHONF UCENSE� <br /> CUSS DF WORK <br /> ❑NEW ❑ADDITION ❑ALTEHATION OREPAIR �OEMOlIT10N ❑FENCE ❑SIGN ❑CaARAGE <br /> VAIUATION OF WORK <br /> f <br /> DESCflIBE WORK <br /> Demolieh einqlefamily residence <br /> PROPOSED USE OF BUILDING <br /> einqle family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> IEC.Q DESCNIPrION OF M#IPERTY�SHOW BELOW OR ATT�CM FOUR CAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 9-10 75� Everett Land Co. e lst ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or a�xK_ TYPE OF WORK WILL BE COMPLIED NITH WHETHER SPECIFIED <br /> F�EREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CANSTRUCTION. <br /> SIGNPTURE NiRRCTORORAU ORII IT �RTE <br /> �����1 Pine Street X 9 9 80 <br /> �� PLUMlINfi MECHANICAL <br /> �� NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> �. WATER CLOSET OILEq AIR COND.U!41TS—H.P.EA. <br /> BATHTUB RF.FRIGERATION UNITS—H.P.EA <br /> . IAVATORY ASH BASIN BOILERS—H.P.EA. <br /> . SHOWER GF�S FIRED A,C.UNI75—TONNAGE EA. ' <br /> � KITCHEN SINK 6 DISP. FOR(:ED AIP SYSTEMS—B.T.U. M EA. <br /> DISHWA6HER WALL HEATERS—B.T.U. M <br /> UUN�RY 7MY UNIT HEATERS—B.T.U. M . <br /> CLOTHES W0.SHER EVAPORATNE COOLEHS � <br /> y�rq�p H��p CLOTHES DRYERS � <br /> URINAL VENTILATION FAN <br /> DFINKING FOUNTAIN �NGE HOOD <br /> �� FLOOR DRAIN AIR HANDLING UNIT— QF.M. <br /> . VACUUM BNEAKERS STOVE <br /> . ROOF DRAINS—RAW LEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SEPV�CE—BAR,ETC.) <br /> SUlTOTAL SUBTOTAL f <br /> PERMR t PENMIT t <br /> TOTAL FEE i TOTALFEE <br /> SIDE YARD SETBACn , STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> ' FEE REGEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> � ❑YES ❑NO fEES VIILUATION FEE <br /> NPE OF CONST. OCCUPANGY GROUP N0.OF DWELLING U�ITS <br /> � BUILDING S 00 O <br /> 512E OF BLDG. NO.OF STORIES MA%.OCC.IOAD <br /> PLUMBINCa <br /> FIRE ZONE BASEMENT pEOUIREp KLERS MECHANICAL <br /> ❑YES ❑NO <br /> APPROVALS !Y DATE OTHER <br /> t. ENVIRONMENTAL CHECK LIST pENpL7y U.B.0 <br /> SEC.303(a) <br /> 2. BUILOING PLANS <br /> TOTAL O O O <br /> 3. FIRE HYDMNT <br /> 4. FIFE PROTECTION SVSTEM PERMIT VALIDIITON <br /> WHEN PROPERLY VALIDA7ED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 6. DRAINAGE 1 5 � I � O O 0• O O �- � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT N <br /> 8. HEALTH DISTPICT YO U R k E C E 1 PT Q � <br /> APPLICATION ACC.BV PLANS CHECKED BV APPR.FOR ISSUANCE BY <br /> i'i-IANK YOU <br />