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1/ICLI�Ib/(C/! .:� .. � ����•� ■ ■�� I•I�� � <br /> ; CITV OF <br /> � everett ` PERMIT pERMIT N <br /> o. 11431 <br /> cin Hqu zss e�as <br /> EVERETT,WA 98201 ❑ COMBINATION Iz�tBUILDIN(i ❑ MECHANICAL ❑ PLUMBING <br /> O WNER M�IL ADDRE55 <br /> GTY ZIP pHpryE <br /> Robert J�tnaaro 1309 Mukilteo Lane Nuki��eo 98275 35 41q <br /> ARCHIIECT Ofl DESIGNER MAI�ADDPESS pTY ZIP 1`NONE <br /> GENEHAL WNTRAGTOR MMl MDRE55 QiY ZIP FHONE LIGENSE I <br /> NorCzaft P.O. Box 363 Mukilteo 98275 NORCRH2330R <br /> MEGIANIGILCONiMtIOR MAILADDNESS � CITY ZIP %qNE LICENSE/ <br /> GLUMBINO CONTMCTOR MAIL�DORE55 Cltt 21P R10NE LICENSE� <br /> C1A550F WOqI( <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR �OEMOLITION �FENCE ❑SIGN ❑GAMGE <br /> VQUATUN OF WORK � <br /> _ • Da�olish Sinaln Fanilv Reaidanen <br /> � oescnree worm • <br /> �OPUSED USE OF BUILDING <br /> Sin le Fanil Reaidence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �IEA�lDEBCRiVf4JNOFPRpPERTY�SHOWBELOWOR�TTII�HFWRCOPlES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> AL� PROVISIONS OF LAWS AND ORD�NANCES GOVERNING THIS <br /> �or 1 aioc�3� Eoetett Di♦ H TYPE OF WORK�WILL BE COMPLIED WITH WHETNER SPECIFIED <br /> - � . HEREIN OR NOT. THE GRANTING OP A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> f VISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING <br /> f CONSTRUCTION OR THE PERFORMANCE OF CANSTRUCTION. <br /> ` .qB ADDIIESS SIGN�TURE OF CONiRI�GTOR Oq�UiHORIZEO AGENT D�TE <br /> 1110 Peoifi X C�eck A9230 1/21/tl3 <br /> PLUMNNO MECHANICAL -� <br /> .. . NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOU�PMENT FEE <br /> � WATER CIOSET OILET AIF COND.UNIiS—H.P.EA. � <br /> � � BA`HTUB pEFRIGERATION UNITS—H.P.EA <br /> UVATORV ASH BASIN) QOILERS—H.P.EA. <br /> � ���R GAS FIRED AL.UNItS—TONNAGE[A. <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS—B T.U. M EA <br /> � DISNWASHER WALL HEATERS—B T.U. M � <br /> � UUNORY TRRY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPOPATIVE COOLEPS <br /> � WATER HEATER CLOTHES DRVERS ' <br /> URIN/1L yENTILATION FAN <br /> DRINKING FOUNiAIN PqNGE HOOD <br /> FLOOR JMIN AIP HANDLING UNIT— C.f.M. <br /> VACUUM BREAKEPS STOVE <br /> ROOF ORAINS—RAINLEADERS METAL FIREPLACE 6 CHIMNEY <br /> SINK SERVICE—BAR,ETG) <br /> I � <br /> � <br /> i ' fU!TOTAL bUlTOTAL { <br /> PEIIMIT 1 OEIIMIT { <br /> I i T11L FEE TOTAL FEE <br /> SIDE YARD 6EiBAGK STRE.T SEIBACI( REAR YARD SETBACK PLAN CNECK NUMBEH PLAN CHECK FEE <br /> FEE RECEIPf NO. <br /> � USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUIITION FEE <br /> iYPE OF CONST. OCCUPANCY GROUP NO.OF�WELLING UNITS <br /> � BUILDING E <br /> SIZE OF BLDG. NO.OF STORIES MAX.pCC.LOAO <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SVRINKLERS <br /> tiEOUIRED MECHANICAL <br /> ❑VES ONO <br /> APPIIOVALB er DATE �THEH <br /> 1. ENVIRONMENTAL CHECK U5T <br /> PENAITY U B C. <br /> 2. BUILDING PLANS SEG.303(a� <br /> 3. FIRE HYDRANT TO1AL <br /> 1. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPAC[)THIS IS YOUR PERMIT <br /> 5. GRIIDIN� , <br /> 6. DRAINROE , . ' � <br /> 7. ENVIPONMENTAL IMPACT STATEMENT � <br /> B. HEALiH DISTRICT � <br /> APPLICATION ACC.BY PIANS CHECKE�BY APPR.FOR ISSUANCE BY � <br /> APPLICANT'S COPY <br /> ' J` a i'. ' . ..�. , . " "' . �. _ <br />