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cLn of <br />CO <br />TRUCT10- ` <br />everett <br />ERMIT PERMIT NO.OZ79O <br />CITY HALL WA A 96201 9-8 <br />745 <br />EVERETT, 01 CJ COMBINATION Cj BUILDING ElMECHANICAL [I PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Bob Angeloff 1719 Rainier Everett 98201 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Arnold's Roofing 1112 - 3rd Street, Sedr, Woolley 98284 855-0954 AR -NO - <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LWINSE , 2AB6 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 1 <br />CLASS OF WORK ❑ <br />`!EW ❑ADDITION LYALTERATION CREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />525.00 <br />ne—iVVL 11VUmC <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />Residence <br />CT. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />10 364 Everett Div. <br />BLOCK_OF <br />"U„ <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT <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 OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />JOB ADDRESS <br />SIGNATURE OF CONTR/q/Ci O/R' �p-AUTHORIZED AGEENNT,f�� DATE <br />L� «-J <br />X 1�[/� 6 24 80 <br />C <br />1719 Rainier Everett <br />PLUMBING <br />MECHANICAL <br />N0. <br />TYPE :Ji FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR CONDRIGER UNITS N.P. EA <br />N <br />REFRIGERATION UNITS — H.P. EA <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />BOILERS — H.P EA. <br />GAS FIRED A UNITS — TONNAGE EA <br />I <br />SHOWER <br />. <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />KITCHEN SINK & DISP. <br />WALL HEATERS — B T.U. M <br />DISHWASHER <br />RS — B LU. M <br />LAUNDRY TRAY <br />E COOLERS <br />CLOTHES WASHER <br />WATER HEATER <br />RYERS _ <br />N FANDRINKING <br />URINAL <br />VVENTILATIONFAN <br />DFLOOR <br />FOUNTAIN <br />UNIT — C F MVACUUM <br />DRAINING <br />BREAKERS <br />ROOF DRAIN;; — RAINLEADERS <br />METAL FIREPLACE 8 CMPERMITS <br />SINK (SERVICE — BAR. ETC 1 — <br />SUB TOTAL <br />PERMIT <br />f <br />TOTAL FEE <br />f <br />SIDE YARD SETBACK STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE. RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />TE <br />VAYES TONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />$ 525.00 <br />6 <br />00 <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />MECHANICAL <br />❑YES ONO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC. 3031a1 <br />SEC <br />2, BUILDING PLANS <br />TOTAL <br />6 <br />QQ <br />3. FIRE HYDRANT <br />4, FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />3 8 6 0 I o o �, O O Z �� <br />5. GRADING <br />6. DRAINAGE <br />7, ENVIRONMENTAL IMPACT STATEMENT <br />YO U.RD <br />B. HEALTH DISTRICT <br />,RECEI.Ft <br />THANK YOU <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FIL <br />