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`,'ee`.��;eoF � CO�STRUCTION � ` � <br /> everett PERMIT pERMIT NO. O64H5 <br /> CITY HALL 259�8745 <br /> EVERETf.WA 0820t ❑ COMBINATION L�BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> 019NE�i AIAILAUDHE55 CIiT ZIP PHON! <br /> Nels F. Olson 1906 Oakes 98201 252-2711 <br /> ARCIUiECT OR DESIGNER MAIL Ap�RE55 CItY 2i�' PMONC <br /> GfY.ERALJONiRRCTOR MAILAD�PESS CITY l'P PNONE LICE115E/ <br /> Same <br /> MECNANiCALCONiRACTOA AIAILPDDRESS CIiY 211 PHONE VCENSE� <br /> PLUAIBINGWNTRACTOR MARnLLRi55 CITY LIP 'HONE UC2NSEr <br /> G1A550F WORN <br /> ❑NEW ❑ADDI7ION ❑ALTERATION L�7EPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VFLUAt10N OF\YOPK <br /> s 220.�� <br /> DESCRIBE WORK <br /> repair fire damage <br /> PPOPOSED USE OF BUILDING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEG THIS AP� <br /> iecn�oescaianorvoFPaoaennisNoweeio�voanTTncHFouacoa�tsi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 29-30 361 Everett Div. K ALL PROVISIONS OF LAWS AND ORDINANCES GOVERtJING THIS <br /> �or aioc�oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. TI1E GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS UF ANY OTHER STATE OR LOCAL LAW REGI;�ATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> Appq�$$ $IGN4tUREOFCONIRAGiORORAViNOR12EDAGENi DAi[ <br /> JOEl lyUb Od�CES X.. � ,r O _ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OH ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> \NAiER CIOSET(TOILETI N�R COND.��NITS—H.R EA <br /> B.47HTUB REFRIGEFATION 11NIT5—H.F. EA <br /> �AVATORV 1WASM BASIN) �OIIERS—HP EA. <br /> SHOWER GAS FlRED A C.UNITS—TONNAGE EA <br /> KIiCHEN SINK A DISP. PORCED AIR SVSTEA9S—BT.U. M EA. <br /> DISHWASHER WALL H[ATERS—0 T.LL M <br /> LAUNDRV TRAY UNIT HEATERS—B T.U. M <br /> CLOTHF.S WASHER LVAPORAINL COOLERS <br /> WATFR HEATEF CLOTHES ORYERS <br /> URINAL VENTIlA710N FAN <br /> DRINKING FOUNTAIN RANGE HOOG <br /> FLOOR DRAIN AIR HAN�LING UNIT— QF.M <br /> VACUUM �REAKERS STOVE <br /> ROOF DRAINS—RAWLEADERS METAL FIREPLACE 6 CHIMNEY <br /> SINK�SERVICE—BAR.ETC) <br /> SUB TOTAL SUB TO7AL S <br /> PEHMIT S LERMI7 S <br /> TOTAL FEE S TOTAL FEE f <br /> SIDE YARD SETBACK STREET SETBACK PLAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FE[ <br /> FEE RECEIPT NO <br /> USE ZONE LOT AREA VACANT SITE <br /> I-IYES ❑NO FEES VALUATION FEE <br /> iYPE OF CON57. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> eUIIDING S 220.00 5 00 <br /> SIZE OF BLDG. N0.OF STORIES Ml+X.00C.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> IlYES IlNO <br /> APPHOVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALT\' U B C <br /> SEC.303(a) <br /> :!. BUILDING PLANS <br /> TOTAL 5 00 <br /> 3. FIRE HYDRANT <br /> a. FIRE PROTECTION SYSTEM PERMIT VAUDATION .} <br /> 1VHEN PHOPEFLY VALIDATEI)(IN THIS SPACE�THIS IS YOUR PERMIT ' <br /> 5 GRAOING <br /> L.f7 <br /> 6 DRAINAGE C �j <br /> 7 ENVIRONh1ENTAL IMPACT STATEMENT O J � � � O � J• �j � �� <br /> � <br /> l� H[ALiN DISTRICT <br /> � <br /> APPUCATION ACC BY PLANS CHECKED�Y APPR.FOR ISSUANCE�Y � <br /> Y�� Ui: R�CEIPT <br /> MD <br /> il-:'i��„ YOU <br /> ADDRESS FILE '` <br />