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. <br /> rheEvcrvcoF ^.ONSTRUCTION � <br /> everett PERMIT pERMIT N0. O926H <br /> CI?Y HALL 259�8745 <br /> EVERETf.WA sezo� ❑ COMBINATION �XI BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> 01YNER MFILADORE55 CITY ZiP PMONF <br /> Raymond Gray 6804 Olympic Dr Everett 98203 353-3384 <br /> ARCMIiEGT OP pE51GNER MAIL ADORE55 CRY ZiP PHONE <br /> GENERALCONTPACTOR MI.IlA0DRE55 pTY 21P PHONE LiCENSE� <br /> H & G Glass Co 6502} Evergreen tJay Everett 98203 353-8484 or 355-5443 <br /> MECNANIfA��ONiRACtOR MAILAD�HE55 CITV ZIP PNONE UCCNSEI <br /> PWAIBINGCANTRACTOR MARq�ORESS CiIY ZIP PHONE LI:;ENSEI <br /> C1A550F WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ��JREPAIH ❑DEMOLI710N ❑FENCE ❑SIGN ❑GARAGE <br /> VFWpAiION OF WOFK <br /> 50500.00 <br /> �ESCRI�E WORK <br /> Siding, gutters, Insulation <br /> PnoP05Eo USE oF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> iean�oescnirnoNOFPaocearr�sNowoe�owoAnrracHFouncoaicsi PLICATION AND KNOW THE SAME TO BE TRUE .4�D CORRECT. <br /> 1 3 Beverl H1��S D7V � ALL PROVISIONS OF U1W5 AND ORDINANCES GOVERNING THIS <br /> ior__eiac�_oF Y . TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN Ola 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 THE P[RFORMANCE OF CONSTRUCTIO�. <br /> JOBPpDP[55 SIGNAIUHEOFCONiIACTCBORAUi110RIZEDAGENi OAi[ <br /> 6804 Ol m ic Drive x�� �, -,,,- r., �—�\ .�\���,,,,-�,�: 5/14/81 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIFMENT FEE <br /> WAIER C105[T(TOILGT) AIR COND.UNITS—H P.EA. <br /> BAiHTJB REFPIGERATION UN!i5—M.P.EA <br /> LAJATORY(WASH BASIN) BOILERS—HP EA. <br /> SHOY�ER GAS FIPED hC UNRS—TONNAGE EF. <br /> KITCVIEN SINK 8 DISP. FORCED Alfi SYSTLMS—B.7.U. M EA. <br /> �pISHWASHER VJALL HGATC.`75—07 U. M <br /> LAUNDRY TRA1' UNIT HEATERS—B.T.1. M <br /> CLOTH[S WASHER EVAPORATNE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENiI�TION FAN <br /> DRINKING FOUNTAIN R�NGc HOOD <br /> FLOOR DRAIN AIR HANOUNG UNIT— GP.M. <br /> VACUUM dFEAKEHS STOVE _ <br /> , ROOF DRAINS—RAW�EADERS METAL FIREPLACE&CHIMNEY <br /> SINK(SERVICE—�AR.ETC! <br /> SUBTOTAL SUB TOTAL 5 <br /> PERMIT S PENMIT S <br /> TOTALFEE S ! TOTALFEE S <br /> SIDE YARD StTBACK STR[ET SETBACK PEAR YARD SETBACK PLAN CHECK NUtd�[R PIAN CHECK FEE <br /> FE[ RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE _ — <br /> L1VE5 f.-:NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUFANCY GROUP NO.OF DWELUNG UNI1S <br /> BUILDING s8500.00 74 50 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASFMENT FIRE SPRINKLERS <br /> REOUIRED MECNANIGAL <br /> IlY[S i1H0 <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTALGHECKLIST pENALTY UBC. <br /> — SEC.303(a) <br /> 2. BUILDING Pl��NS <br /> 3. ➢IRE NYDRnNT TOTAL �4 5� <br /> d. FlRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHCN PHOPERLV VALIDATED(W THIS SPFCE)TH�£IS YOUR PLRNIT <br /> 5 GRAOING <br /> �/ <br /> G. DRAM��GE p (,.,,QJ, <br /> Z ENVIRONMENTAL IMPACT 5T.4TEMENT � � �� � �" ? �• S �"� —`v <br /> 8. HEALTH DISTRICT � <br /> 0 <br /> APpLICA' ION ACC.BY PLANS CHECKED BY AF�'.�..FOR ISSUANCE BY . <br /> , . . ., . li-'T <br /> LC . . .� U <br /> ��" . <br />