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<br />everett � PERMIT � PERM,T No. �;;- �,:� �
<br />���,,,,,�� ��,,,,,�
<br />c: , ��, : L� COMBINATION ❑ BUILDING C� MECHANICAL I� PLUMSING
<br />c^::�,.,,, �•:.��, .:�.,:�;i�� . . ._� �-��or:�
<br />Tom Erickson 607 Olympic Blvd. 98201 � 259-9253
<br />:.nann�,rn�����:.��;� r.�:,iv.00a[ss crtv . :�„ou�
<br />.,_..I:n��(OrylaAGiOa 'AaLneDaE55 CItV Z��r r���ONE t�CLG>i •
<br />C& t9 Builders Inc. 9809 Chapel Nill Road 98205 334-4981
<br />... ....a�cn�rorar.,ru, v.,n wuarss crtr zir r-�,ome ucv._: �
<br />�i�.�•i�ipGCONi[pUan MaILAGDaE55 OTY ZiP ���ONE UGEb'.1 •
<br />ii+�cS� W00.6
<br />❑NEIV X3i+DDITION ❑ALTERATION ❑HEPAIR ❑DEMOLIiION ❑PENCE C�SIGN C�GAHAGE
<br />. , �:d10N OF Wp��:
<br />5�4��.��
<br />m _�.: �,ine wau
<br />�_.._�"'_' '_� _ti_i� ,__�..
<br />- o�t.o u^,e er euar,n+c
<br />Single family residence
<br />.,,�., oiscaivnnr+or � �o�tu:� ,s�o:: ouow ora.�
<br />- 17 A�a„_�F View Ri
<br />� ,i�;r�
<br />607 olympic Blvd.
<br />PLUMOING
<br />NO. TYPE OF FIXTURE OR ITEM FEE
<br />:;ai-n c�oser iioi�en
<br />UNHiUU
<br />IAV��TORY IWASH 6ASIW
<br />KI7CHH! SINK 8
<br />UPINAL
<br />DRINKWG FOUIJTAIN
<br />FLOOR DRAIN
<br />VACW61 �REAKERS
<br />ROOF �HAlIJS — RAINLEAL
<br />SMK �SERVICE — 9AR ETC
<br />�
<br />nnt. vARD 56TBACk
<br />6'
<br />UJ! ZONE
<br />R-1
<br />l � PL OP CONST
<br />V-N
<br />�; i,'C OF BLDG
<br />10'X30'
<br />��,.� �i1NL
<br />3
<br />SU6
<br />51REU SLT�ACN ��FAR VARD SEi�3ACK
<br />20' 20'
<br />�oT AR�A vncnNr siTE
<br />1VE5 XNO
<br />OCCUPANCY GaOUP
<br />R-3
<br />No ov sTo�ies
<br />1
<br />n�mirneni
<br />none
<br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMWED THIS AP-
<br />PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
<br />ALL PROVISIONS OF LAWS AND ORDINANCES GGV[RNMG TH!S
<br />TYPE OF WORK WILL PE COMPUED WITH WHETHER SPECIFlED
<br />HEREIN OR JOT. THE GRANTING OF A PERMIT DOES NOT
<br />PRESUME TO GNE ��UTHORITY TO VIOLATE OR CANCEL THE PRO�
<br />VISIONS Of ANY OTHER STATL OR LOCAL LAW REGULATWG
<br />COUSff]UCl IUN OR ih fRFOP�,^.ANCE Oh CONSTRUCTION
<br />.. .7JV/,�" �: . � �..� ,�:.�C �
<br />X ,?,•u s�%,•� � , 8/16/79 —
<br />�
<br />MECHANICAL
<br />NO. TYPE OF EQUIPMENT FEE
<br />niacor�o uvits-i+e[n � ___
<br />NEFRIGEHAIIOtJ UNITS — H P EA .
<br />UOIL[RS — N.P EA. __
<br />G45 FIREU AC UNIT$ — TONNAG6 L� _
<br />(-G�CED AIR SYSTEMS — B T.0 M EA. _
<br />P/ALl NEATEFiS — f3.T U M ___
<br />UNIT H6AiER5 — B T U M __
<br />VEN7ILAilON FAN _ .
<br />RANGE HOOD _ _
<br />AIR HANDLMG UNIT — C F M __
<br />S70VL _
<br />�,�ETA� FIREPLACE d CHIMNEV __
<br />SUB TOTAL S
<br />PERMIT f
<br />TOTALFEE S
<br />HEGK NUMBtH P1qN CHECK �[E
<br />79/502 Ft:E 36.00 rat.cr���t rao
<br />41832
<br />FEES VALUATION FEE
<br />NO OF OWEILING UNITS
<br />1 [3UILDING b 5�40�.�� %2 00
<br />rdnx occ.ionn --
<br />APPROVALS BY
<br />'� ENVIRONMENiALCHECKLIST
<br />' iSURDING PLANS
<br />i, I I14E NYDRANT
<br />: I niG PROTECTION SVSTEM
<br />�, ��f7ADING
<br />G I%PAINAGE
<br />!HVIRONMENTAIIMPACTSTAT[MENT
<br />H HLA�TH DISTRIGT
<br />PWMBING
<br />MECHANICAL
<br />OTHER
<br />PFNALTv U B C.
<br />SEG.303�a)
<br />TOTAL 72 ��
<br />PEflMIT VALIDATION -
<br />�:'HCN PFOPFNLv VPI.iDni[D rtN THI:: SP�CE�THIS �5 YOU�7 PERMIT
<br />0359 s0%Z.fl�«+�_`.;{
<br />—_ _
<br />— :c?i!R RECCt;�? �
<br />APPLICATIOIJ ACC. OV I P�-4N5 CHECKED BV APPR. FOR ISSUANCI b�� � �
<br />`� 1 EJ
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