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� . � <br /> CITV M�LL"t59�Bid5 <br /> eveRerr,�w 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ pLUMBING <br /> OWNER MAILA�DRE55 LITY ZIG FMONE <br /> James 0. Williams 3722 Hoyt Everett WA 98201 259-2633 <br /> ARCMREGi OR DESiGNER MAII ADDRE55 Ciiv ZI4� PHONE <br /> GCNEFAL CCYtRACTOR MFIL ADDRE55 GITY ZIP PHONE UCENSE• <br /> Same <br /> IAECMANIpAL fANTRACTOR A1AIL ADDRESS CITY 21P PHONE UCENSE I <br /> VLUMBING fANTRAGTOB MAIL ADDRE55 CITY ZIP PHONE UCENSE♦ <br /> ClA55OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION X�REPAIR ❑OEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALE ATIg,���8K . _ <br /> oE�R��epair front and rear porch <br /> PAo�os�es i�ence�G <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXP,MINED THIS AP- <br /> �ccnioescairncr+oFPnovean�sNowee�owoannncMFouacoviesi PLICATtON AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> io* e�ocK 69 oF Everett Land Co's �St ALl PROVISION.",OF LAWS AND ORDINANCES GOVERNING THIS <br /> TYPE OF WORK WILL BE COMPLIED WITH WHETHEft SPECIFIED <br /> E �O' Lot 50 & all Lot 51 HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE PRO• <br /> VISIONS OF ANY OTHER STAl'E OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SiCJ1�TURE OF CONiRAGTOR OR FUTHOR12ED RGENL 04E <br /> JOBADZ7�� Pacific X ' , ��,� ' 8/17/81 <br /> PLUMBIN� CHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF£OUIPMENT FEE <br /> WN ER CLOSET(TOILET) AIR CAND.UNITS—N P.EA <br /> 6ATHTUB REPRIG[RATION UNITS—H.R EA <br /> LFVAtORY(WASH BASIN) BOILEPS—HP.EA. <br /> SHOWER GAS FlRED AC.UNITS—TONNAGE EA. <br /> KITCHEN SINK b DISP. FORCED HIR SYSTEMS—B.T.U. M EA. <br /> DISHWhSHER WALL HEA?E95—B.T.U. M _ <br /> LAUNORY TRAY UIJIT HEATER:—B.TL. M <br /> CLOTHES WASHER EVAPORFTIVG COOLEPS <br /> WATER HEATER CLOTHES�RVERS <br /> URINAL VENTIU+TION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UWT— GF.M. <br /> VACUUM OREAKERS SiOVE <br /> ROOF DRAINS—RAINLEADERS IdETAL FlREPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR.ETC.) <br /> SUBTOTAL SUeTOTAL t <br /> PERMIT f PFP.MIT f <br /> TOTAI FEE t TOTAL FEE _ <br /> SIDE VARD SETBACK STREET SEiBACK R[AR YARD SET�ACK PLAN CHECK IJUMBEF PLAN CHECK FEE <br /> FEE RECEII'T N0. <br /> USE ZONE LO7 AREA VACANT SITE <br /> ❑VES ❑NO FEES VALUATION FEE <br /> TVPE OF CqNST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING $ Z50.0� �� �� <br /> 5128 OF BLDG. NO.Oi�STORIES MN(.OOC.LOAD — <br /> PLUMBING <br /> FIRE 20NE BASEMENT pE0U1REp KLERS MECMANICAL <br /> OVES ❑NO — <br /> APPNOVALS BY DATE O7HER <br /> L ENVIRONMENTAL CNECK LIST pENALTV U BL. <br /> SEC.3031a1 <br /> 2. BUILDING PLANS TOTAL �O O <br /> 3. PIRE HYDRANT <br /> 4. FIRE PFOTE:TION SYSTEM PERMIT\1LIDIITION <br /> WNFN PRl?ERLY VALIDATE�(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING � , ! � ' I C r '^ --�, <br /> 6. DRAINAGE � <br /> 7. ENVIRONMENTAL IMPACT STATEMENi � <br /> B. HEALTH DISTRICT , n - . ii�� <br /> APPLICATION ACC.BV PlANS CHECKE�BY APPF.FOR ISSUANCE BY � i • • i � <br /> LC �. , �' <br /> � , i <br /> ADDRE55 FILE <br />