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�hrE��rrerrrn - � �pNSTRUCTlO�, <br /> o�vo� � <br /> everett PERMIT PERMIT N0. �-� ��� <br /> QTY MALL 259�8745 <br /> EVERETT.WA 98201 ❑ COMBINATION �j BUILDING ❑ MECHANICAL PLUMBING <br /> LITY ZIP PHONE <br /> owN[a MA4 ADDr:c55 258-4981 <br /> 7ames O. Williams P.O. Box 269 Everett 98206 <br /> crtr zm PnONE i <br /> pPGMITEGT OR DESIGNEP MRIL F�DRESS � <br /> GEHEPnL WNTqeGiOR MAIL AODRE55 <br /> diY ZIP PHONE LIGENSE� <br /> SdIIIE =�p VHOHE LIGENSE� <br /> MEGHRNIG/.l WNiHRLTOR <br /> MRR ADDNE55 QTY <br /> VLIIMBING GONTR1�tOR MAIL ADDNE55 <br /> GITY ZIF PNONE LILENSE Y <br /> C1�55 OF WORN <br /> ❑ryEW ❑ ADDITION O ALiERAT10N X�REPAIR ❑ DEMOLITION ❑ FENGE ❑ SIGN ❑ WOOD STOVHfIREPLhGE INS <br /> VALU�TION OF WOR✓. <br /> f ZrJ�.O� <br /> DESCRIBE W�AK <br /> repair rear porch roof <br /> PAOPOSED US[OF BWI�InG I HEREdY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRL OESCAIWION OF PNOPERTY ISHOW BELOW OR RTT�CN FOUP COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOYERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> ' �o*_eiocn_ov VJHETHER SPECIFIED HERE�N OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> — LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> P RFORMANCE OF CONSTRUCTION. onrE <br /> G �TUREOFCONTRn TONO AULn09iZEDPGENT <br /> JOB�DDRE55 10/18/83 <br /> 2711 Pacific Avenue <br /> MECHANICAL <br /> PLUMBIHO FEE <br /> NO. TYPE OF FII(TURE OR ITEM FEE NO. TYPE OF E�UIPMENT <br /> AIR COND.UNITS— H P.EA. <br /> WAiER CLOSET�TOILE� <br /> _ REFRIGEflATION UNIiS—M.P.EA. <br /> BATMTUB <br /> BOILERS— H.P.EA. <br /> �,AVATORY(NIASH DAS�N) <br /> GAS FIRED A.C.UNITS—TONNAGE EA. <br /> SHOWER <br /> FORCED AIR SVSTEMS— B.T.U. M EA. _ <br /> KITCHEN SIN:.d DISP. <br /> WqLL F+E41ER5—B.T.U. M <br /> DISH W ASHE�i <br /> UNIT MEATERS— B.T.U. M <br /> LAUNDRVTRAY <br /> EVAPORATNE COOLERS <br /> CLOTHES WASHER CIOTHES DRYERS <br /> WATER MEATER <br /> VENTILATION FAN <br /> URINAL <br /> _ RANGEMOO� <br /> ORINKING FOUNTAIN C.F.M. <br /> AIR HANDLING UNIi— <br /> FLOOH DRAIN STOVE—WO00 <br /> VACUUM BREANERS <br /> MEiAL FlREPLACE b CHIMNEY <br /> ROOF ORAINS— RAINLEADERS FIREPLACE INuEHT <br /> SINK(SERVICE— BAH.ETQ) HEAT PUMP <br /> SUBTO7AL f <br /> SUBTOTAL f - 5 <br /> FEFMIT <br /> PERMIT f TOTAL FEE f <br /> TOTAIFEE f p�AN CMECK FEE <br /> SIDE YARD SETBACK STREEI SETBACK REAR YARD SETBACK PLAN CMECK NUMBER FEE RECEIPT NO. <br /> USE ZONE LOT 4REA VACANT SITE FEES VALUATION FEE <br /> YES NO <br /> TYPE OF CONST. OCCUPANGY GROUP NO.OF OWELLING UNITS lO OO <br /> BUILDING f LSO.00 <br /> SIZE OF BLUG. NO.OF STORIES MA%.OCC.IOAD p�UMBING _ <br /> FIRE ZONE BASEMENT FIRE SPRINNLERS MECMANICAL <br /> REOUIRED <br /> VES NO <br /> APPROVRLS BV DATE <br /> OTHER <br /> U.B.C. <br /> 1.ENVIFONMENTAL CNECK LIST PENALTY SEC.90318) <br /> 2.BUILDINGPLANS TpTA� LO OO <br /> 3.PIRE HY�RANT <br /> PERMIT V�LIDRTION <br /> �,FIRE PROTECTION SYSTEM WMEN PROPEP.LY VALIDATEO(IN THI$$P(��)THI�.1$'YQUJ�Pftf�11T � � <br /> 5.GPADING '� � � b �� I U „ u <br /> 1 <br /> � 6.DRAINAGE , <br /> ZF.NVIRONMENiALIMPACTSTATEMENT ' }I� R RECEIPT � ' <br /> B.MEALTM OISTPICi ' <br /> APPLICATION ACC.BY PLANS CMECXED 9Y APPR.FOR ISSUANCE BY -' ' i r^��.�V` ��C U <br /> � U :To) <br /> ,•.r�:�A.�;S f tl[ <br />