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f <br /> the Errrgree�i r0 N ST R U CTI O N <br /> CITY OF <br /> Q`'�e�ett RERMIT PERMIT NO. 11357 <br /> CIrY HAl'. 'S9�B7a$ <br /> EVF:RETf. `/,. eezo� ❑ COMBINATION �I BUILDING � MECHANICAL � PLUMBING <br /> OWNEP MAIL NUORE55 CITY ZIV PNONE ` <br /> Willinm Richardson 7124 20th S.E. Everett 98205 334-4920 <br /> APCMII=CTOROCSIGNER hIAILA0DRE55 CIiY ZIP PHONE <br /> 3ENERALCONiFACiOR M�4ADDRC55 CIiV ZIP PHONE UCENSC� <br /> Same <br /> � MECMAWCALGONiRACiOR MRILApW�ESS GITV 21P PHONE UCENSE� <br /> PWhIBINGCONiP.ACiOfl hS\IIPDORE55 CITY ZIP PHONE IICENSE� <br /> ClA$5Of WORN <br /> ❑NEN' LIADDITION C.`��(TERATION ❑AEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORN <br /> S Z �OOO. 00 <br /> oESCRIBE woRrc <br /> Insulate—drywall, Plumbing, and Mechani ,al <br /> PROPoSEO USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �ec�i oesea�vnon oF raovenrv�snow oeiaw oe nrTner�roua eociEs PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> A1 686 Everett ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or eiocK_oF TYPF OF WORK WIIL BE COMPUED WITH WHETHER SPECIFIED <br /> Except East 48 Feet There oi HERtIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR TI1E PERFORMANCE OF CONSTRUCTION. <br /> SiGNalURL CCNiRALIJRORFU �Of11c' AG'_NT OFiE <br /> JOB AD�P[55 <br /> 2919-2921 U (.� = X i� � 12 22 82 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> z WATER CWSE1�TOILET� A�R COND.UNIiS—HP.EA. <br /> BATMiUB REFRIGERATION UNI75—HP.EA <br /> Z IAVATORY�WASH BASIN� BOIIER$—NP EA. <br /> SHOWER GAS RRED A.0 UNITS—TONNAGE EA. <br /> 1 KI�CHE4 SINK 3 DISP. Z OO FORCED AIR SVSTEMS—BS.0 M EA. <br /> DISHWASHER WALL HLATERS—B?.U. b1 <br /> LAUNDRV TRAY UNIT HEATEiiS—B T.U. �� <br /> j CLOTHES WASHE(i EVAF'ORATIVE COOLERS <br /> ]. WATER HEATER 1 CLOTHES DRYERS _ <br /> URINAL VENTILAiION FAN <br /> DRINKIN�fOUNTAIN RANGE HOOD <br /> PLOOR DRAIN AIR NANDLING UNIi— CF.M. <br /> VFCUUM BAEAKiRS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIR[PLACE 8 CHIMNEY <br /> SINK�SLRVICE—OAR ETG) <br /> SUHTOTAL SUBTOTAL S <br /> PERMIT S PEFMIT S <br /> TOTAL FEE f 16 70TAL FEE S 4 5 0 <br /> SIDE 1'ARD SETBACK STPEEi SETBACK REAR YARD SETBACK PLAN CNECK NUM�ER PLAN CHECK FEE <br /> FEE HECEI�'T N0. <br /> USE ZONE LOT AREA VACAN7 SITE <br /> !iYES I.7N0 FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS _ <br /> �UILOING 5 32 rjQ <br /> SIZE OF BLDG. N0.OF STORIES MA%.C:.C.LOAD <br /> PLUMBING 1( OO <br /> I FIRE ZONE BASEMENT pEOUIRED HLERE MECHANICAL <br /> I'YES LiNO 4 5� <br /> APVROVALS BY DATE aTHER <br /> 1. ENVIRONMEKTAL CHE�K LIST pENALTV U.B C. <br /> . � SEC.303(a) <br /> 2. BUILDING PLANS <br /> 3 FIRE HYDRANT � �` TOTAL . 5 3 00 <br /> L4. FIRE P90TE N SVSTEM PEfl 7 ���A �J � <br /> WMEI�F�OPEUI.�IDATEL�QN THIS SPACE)THIS IS YOUR PERMIT <br /> "a.-cR"o'ay •-• 1367 5031.50 -- �y <br /> oaniNr� ,o o � T <br /> . ENVIRC�l.1[�9L IMPA+TATEMENT �U R �EC �1 • • . M <br /> HEALTH I CT � <br /> �PPUCAT@1 .BY LANS CHECNCD BY APPR.FOR ISSUANCE BY ��J� �r�K Y. �� � YO�u�R .REC E I P7 � <br /> � ro I DB ; ; Th,'i�IK Y1qU <br /> �' , 22 �G 82�' ' . <br /> � � ;. ; � 22 � 82 <br /> ADDR�SS FILF i <br />