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� <br /> - `," ``"„"„ � CONSTRUCTIO � � <br /> ��„ o� <br /> everett PERI�IT PERMIT NO. �3420 <br /> CITY HALL 259�6745 <br /> EVERETT.VJA9B101 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> CITV ZIP PIIONE <br /> OWNER MAII AODPESS 9��11 483-1170 <br /> Norton Bldg. Parnersnip 810 240th Street S.E. cTBothell ZP pMONE <br /> ARCHITEGT OR OESIGNEfi <br /> MFIL Ap�RE55 <br /> GITY 21P PHO'AE LICENSE� <br /> IApILAD�RESS �800�'j 955-9888 <br /> GENERALCONTPAC70fl 2000 124th Ave. N.E. Bellewe <br /> W, R. Hanson Znc. ��P PHOHe uce�se. <br /> MAIL AODFE55 CITV <br /> MECHANICAL:ONTRACTOR WRI-IANZSZBZ <br /> CITv Z�p PHONE LIGENSE� <br /> PLUMOING GONTNACTOR <br /> MAIL ADPRE55 <br /> CLA55 OF WORK __ <br /> O NEW ❑ AODITION ❑ ALTERATION �AEPAIR }R DEMOLITION ❑ FENCE L� SIGN O WOOD STOVEIFIREPLACE INSE <br /> VAIUATION OF WORK <br /> S <br /> OESCPiBE WOFK <br /> Demolish Sin le Famil Residence <br /> PROPOSEO USEOF BViL01NG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLiCATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGAL OESLPIPTION OF PROPERiV ISMOW 9EL01Y OR ATTFCM FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS ANO ORD�NANCES <br /> 21_Zy 772 Everett Div. H GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �oT__e�o�K_oF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PRQVISIONS OF ANY OTHER STPTE OR <br /> I.00AL LAW REGULATING CONSTRUCTION OR THF <br /> PERFORMANCE OF CON5TRUCTION. oATE <br /> SIGNATURE OF GONTRACTOF OR AUTHORRED AGENT S�ZS�84 <br /> JO�ADORE55 v ��/p <br /> 3222 Norton ^ ��"�� <br /> MECHANICAL <br /> PLUMBING 7ypE OF EOUIPMENT FEE <br /> FEE N0. <br /> N0. TYPE OF FI%TURE OR ITEM plfl CONO.UNITS— H.P. EA. <br /> W ATER CLOSET(TOILEn — <br /> REFRIGERATION UNITS— H.P. EA. <br /> gATHTUB BC�ILERS— H.P. EA. <br /> �qyq7pRY�WASHBASIN) <br /> GAS FIRED A.C. UNITS — TONNAGE EA. <br /> SHOWER FORCED A�R SYSTEMS— B.T._�_ <br /> K1ICHEN SINKB DISP. WAIL HEATERS — B.T.U. M <br /> DISHWASMER M <br /> UNIT HEATERS— B.T.U. <br /> LAUNDRY TRAY EYAPORATIVE COOI.ERS <br /> CLOTHES WASHER CLOTHES DRVERS <br /> WATER NEATER VEN7ILATION FAN — <br /> URINAL RANGE HOOD �'�' <br /> DRINKING FOUNTAIN q�R HANDLING UNIT — C.F.M. _ � <br /> FLOOR ORAIN — ~ <br /> S70VE — H'OOD �j <br /> VACUUM BREAKERS METALFIREPLACE 8 CHIMNEV _ ' <br /> ROOF ORAINS— RAINLEAOERS FIREPLACEINSERT — <br /> SINK(SERVICE— BAR, E7C.) HEA7 PUMP <br /> H � <br /> r F. <br /> H '= <br /> SUB TOTRL = N `- <br /> SUB TOTAL ' PERMIT s � <br /> PEHMIT S 70TAL FEE s <br /> TOTALFEE S PLAN CHECK PEE �� <br /> SIDE YARD SETBACK STREET SETBACK REAR VARD SETBACK PLAN CHECK NUMBER FEE REGEIPT NO. � � <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION <br /> FEE � ` <br /> F- <br /> ' �YES �. NO A .- <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF DSNELUNG UNITS S OO OO � � <br /> BN�OING ~ �� <br /> H (; <br /> SIZE OF BLDG. NO. OF STORIES MP.X.OCQ LOAD K r <br /> PLUMBING <br /> O ` <br /> FIRE ZONE BASEMENT FIRE SPfiINKLERS MECHANICAL <br /> REOUIRED � ' <br /> YES -:NO pTHER � � <br /> APPROVALS 8V DATE U.B.C. <br /> 1.ENVIRONAIENTAL CMECK LIST PENALTV SEC.9031a1 _. � � . <br /> 00 00 � : <br /> 2.BUILDIPIG FLANS TOTAL f'.-� - <br /> 3.FIREHYORANT pERMITVAL�0AT10N � • <br /> 4.FIRE PHOTECTION SYSTEM WMEN PROPERLY VALIDATED�W THI'S�SP,(��E)THIfrIS�Y(�Uji PufjhllT � <br /> C . � � � � �� (\.� <br /> 5.GRt.DING — , <br /> 6.GRAINAGE �.� � <br /> ).ENVIRONMENTALIMPACTSTATEMENT � 1 _, �- � �-� , <br /> B.HEALTH DISTRICT , , �,� . , • � <br /> APPLICA710N ACC. 8Y PLANS CHECKED BY APPR. FOR ISSUANCfl BY <br /> • I . , <br /> ADDRESS i iL�. <br />