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_ � <br /> r <br /> � <br /> ����������«����� ''ONSTRUCTIO�' <br /> C'TV OF 4I <br /> , everett PERMIT pERMIT NO. 11396 � <br /> qTY HALL 2S9�N7�S <br /> eveneTl.e:,� _s�ni ❑ COMBINATION C��UILDING ❑ MECHANICAL PLUM8ING <br /> OWNLN MAIL Appp655 <IlY <br /> Jeiold 0. Smith 7308 228th Street S.W. <br /> Edmond�s r ��776-3332 <br /> hFCHiiLGI^_R C6SGNCR F�AIL ADJGLSG IIiY ZIP PlIONE <br /> Gt FF i�AL COM R4ClOR <br /> AIAILADUN�:ii Lliv 11P VMONE LICENSE� <br /> r Everett Buiiders Znc. 5606 Evergreen Way Everett 98203 35�3NE7161Lcer+se. �1 <br /> 1.RCIInNn:�i CONI�Bx:lO� A�A�L ADDNE55 � <br /> EV ER EB 301PH <br /> fLUI�OING GONiP+.CiI,R <br /> LIAIIApOPE55 CIIY ZIP PHON[ UCENSE� <br /> CU`.50k WONK <br /> ��NEW ❑ADDI710N ❑AITERA110N (�EPAIR ❑DFAIGL1710P1 ❑FENCE ❑SIGN ❑GARAGE <br /> VPILAi�ON OL W�:iF <br /> 53520.00 <br /> ocsc�iec w�PK <br /> repair ioundation � <br /> PROPOSED USE C�BVIlUR1G <br /> Single I'ami.ly ResiAence I HEREBY CERTIFY THAT I NAVE READ AND EXAMINED THIS AP� <br /> iccnioisc:mauor�o�arrov[r,i�is�owee�or:onnnna�rou��cow�s PLICATION AND KNpW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND OADiNANGES GOVERNING THIS <br /> �or i3LaK 1:3�F Heverl Hills Div. N2 7YPE OF WOPK WILL BE COMPLIED WITH WHETHER SPEGFIED <br /> H[REIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRGSUME TO GIVE AUtHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VIS NS F ANY OTHFR STATE OR LOCAL LAW REGULATING <br /> — CO,.STR CTION OK1�iE PERFO�/jN�E OF CONSTRUCTION. <br /> p .cCOp;a�Ci[PbN>IPdORIZE A � � DATE <br /> �oanooaiss X ,�.i Q :� 1/6/83 <br /> G6 30 Olympic Blvd. <br /> PLUMBING NECMANI AL �f � <br /> N0. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WAiER CLOSET�TOLLETI AIR COND UNITS—M C.LA <br /> R[f�IGC94TI01J UNITS —H P E4 <br /> pATHTUB <br /> IAVATORY 1\YASN BASINI �OILLRS— H P LA <br /> G�SFIIILDAC UNII$—TONNAG[CA <br /> SNJ�VEH <br /> KITGMEN SINK 8�ISP __ FU��GC�AIH 5�'STEIAS—B T U M EA <br /> WALL NEA1695—pt U M __ <br /> DISHWASHER <br /> — UNITl1[AiLHS—BT.U. M <br /> LAUNDRYTRAV <br /> CLO7HE5 WASMER CVAi'OR4TNE GOOLERS <br /> t.'.OiHES DRYCRS <br /> WATLR HEATER <br /> VENiRq71UN FAN <br /> URINA� <br /> vvnNc� i+oon <br /> DRINKING FOUNTAIN <br /> AIR MANDLING UNIT— C F M <br /> FLOO�i DRAIN S10VL <br /> VACUUM BREANLRS <br /> ROOF DRAINS—PAMLEADE�iS METAL FlREPLACF d CHIMNEY <br /> $iNK ISEFVICE—AA0.E1C I <br /> SUB T0T11L _ SUB TOTRL = <br /> PERMIT S PEPMIT s <br /> TOTALFEE f TOTALFEE _ <br /> PLAI!CHECN FEE <br /> SIDE VARD SETDACK STREET SE7BACN REAR YARU SET�ACK PLAN CHF.CK NUM�ER F E q[�EIPT NO <br /> USE ZONE LOi AREA VA EPNT SiN� FEES VRLUATION FEE <br /> TVPE OF CANST OCCUPANCV GROUP N0.CF DWELUNG UNITF <br /> KuaoiNc g 3520.00 44 50 <br /> SIZE O��IDG NO OF STORIES MA%.00C.�OAD p1U6113MG <br /> L FIF[IDNE 13A5EMENT FlRG SPRINKL[RS MEGHANICAL � <br /> �eo�ineo <br /> 11YES i ��,NO <br /> APPROVALS BV DRTE O1HEi� <br /> 1. ENVIPONMENTALCMECKLIST P[NFL7Y UBC. <br /> — SEC.303�a) <br /> 2 BUILOING PLnNS TOTAL 4 4 S O <br /> L 3 FlRE HYDRANT <br /> a. FIRE PPOTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATE�I�N TIIIS SPACE)TN�S IS YOUB PERMI7 <br /> 5. GRAUING - � 9 Z� S 0 h k.5 0 --v 1y <br /> 6. DRAINAGE _ (V') <br /> ]. ENVIRONMENTAL IMPACT STAiEMENT �--� <br /> e HE^�TH oiSTRi°T YC U.R R EC E I PT� <br /> APPLICAT�ON ACG.BY �'L�NS CN[CKED BV APPF FOR ISSUANGE 13Y . ' 7j��,N K YO U . <br /> ADDRESS FILE _ , J� 8 j <br /> L <br /> J <br />