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, . - , <br /> dieEvergreen ^ONSTRUCTION � ��� <br /> CITY OF <br /> everett PERMIT PERMIT NO. 07676 <br /> GTY HALI 259�0745 <br /> EVERETf.WA 98201 LJ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> O\YNER �AAItA��RE55 CITY ZIP PMONE <br /> Gordon B. Davis 9628 Lynnwood Drive Everett 98203 355-5995 <br /> ARCHrtEG7 OR UESiGNEF MAiI qDDPESS CITY ZIP PMONE <br /> GENERAL GONTRACTOR MAILADDHE55 CITY ZIP PMONE LICENSE I <br /> Nor-Craft P.O. Hox 363 Mukilteo 98275 355-4196 <br /> MECMANICALCONTflFCTOR MAILADDRE55 CIiY ZIP PHONE LICENSEI <br /> NO RL RB 2330K <br /> PLUMpMGfANiRALiOR MAILADDPE55 CITY ZIP FHONF LICENSE/ <br /> ClA55OF WORM t�c <br /> t7NEW ❑ADDITION ❑AL7EMTION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> YALUAiION OF WORK <br /> S <br /> DESCRIBE WORK <br /> Demolish Single Family Residence <br /> PROPOSEO USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS AP- <br /> LEGALOESGPIPTIONOFPROPEPTV�SHOWBEIOWORATTACHFOUFCOPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 16-17 722 Everett Div. H ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �oi aia�_or TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED <br /> less N 15 Feet HEREIN OR NOT. THE GRANTING OF A PERMIT DOEu NOT <br /> PRESUME TO GIVc AUTIIORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHE� STATE OR LOCAL LAW REGULfSING _ <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADONESS SIGNAIURE OF Cp i0P R AUiMURI]ED AGENT DATE <br /> 1111 Pacific X ! 6/3 80 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CIOSET(TOILET AIP CONO.UNITS—H.P.FA. <br /> BAiHTUO REFRIGLRAiION UNITS—H.P.EA <br /> LAVATORV(WASH BASIN) BOILERS—H.P.EA. <br /> SHOWF.R GAS FIREO A C.UNITS—70NNAGE EA. <br /> NITCNEN SINK 8 DISP. FORCED A!R 5tSTEMS—B T.U. M EA. <br /> DISHWASHER WALL HEATERS—tl.T.U. M <br /> LAUNDRV TRAV UNIi HEAiERS—B.T.U. M <br /> CLOTHES WASMER EVAPORATNECOOLERS <br /> WATER HEATER CLOTHES DRYEPS <br /> � URINAL VENTILA710N FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIP HANDLING UNIT— C.f M. <br /> VACUUM BREAKERS STOVE <br /> NOOF DRAINS—RAINLBADERS METAL FlREPLACE 8 CHIMNEY <br /> � SINK(SERVICE—BAR.ETC.) <br /> SUBTOTAL SUBTOTAL f <br /> PERMIT f PERMIT f <br /> TOTAIFEE f TOTAI FEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PI.AN CHECK NUMBER PLAN CHECK F[E <br /> F[E RECEIPT NO. <br /> USE ZONE I.OT AREA VACAN7 SIiE <br /> C]YES ❑NO FEES VALUATION FEE <br /> TYPE OF CANST. (xCUPANfY GROUP NO.OF DWELLING UNITS <br /> BUIL�ING S QQ QQ <br /> SIZE OF BLDG. NO.OF S70RIES MA%.00C.10.4D <br /> PLUMBING <br /> fIRE 20NE DASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> ❑YES ❑NO <br /> APPROVALS BY DATE OTHER <br /> L@NVIRONMENTAL CHECK LIST pEryp�ry U B C <br /> SEC.303(a) <br /> 2. 13UILDING PLANS <br /> 3. 1=1RE IIYDRAN7 T�TA� .1 00 00 <br /> 4. fIRE PROTECTION SYSiEM PERMIT VALIDATION <br /> — WMEN PROPERLV VALIDATED(�N THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING <br /> _ (.Q <br /> 6. URAINAGE 19 6 5 s O O �. O O —+�� <br /> 7. 12NVIRONMENTAL IMPACT STATEMENT CD <br /> 8. HEALTH DISTRICi ~ <br /> � <br /> APPLICAiION ACC.BY PUINS CHECKED BV APPR.FOR ISSUANCE BV YO U R REC E i PT <br /> iHANK YUU ; <br /> I <br /> ADDRESS FILE - Z .A�AI RIl <br />