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d�e L•��orgreen ^.ONSTRUCTION -� <br /> GTY OF <br /> everett PERMIT PERMIT NO. O9Z75 <br /> CITY HALL 259�8745 <br /> EVERE77.WA 9820t ❑ COMBINATION �BUILDING ❑ MECHAIvICAL ❑ PLUMBING <br /> pyyry�q MAILADDPE55 GITY Z�� PMONE <br /> Ardies Carpet 3�102 Smith Everett <br /> hPCHiTEGT OR DES�GNEP MAII ADDPE55 CItY ZiP PHONE <br /> �ENE9Al LONTRACTOR MAIL ADDFE55 CITY ZIP PIIONE LiCENSE� <br /> Newland Construction P.O. Box 958 Everett �� ���/ <br /> M[CNRNICALCANTRACiOR MAILADDRE55 GIiY ZIP PMONE UCENSEI <br /> PLUA1pINGCONTRACiOR - MAIIADORE55 CITY ZIP PHONE UCENSEI <br /> C1h550�N'OPK <br /> ❑NEW ❑ADDITION ❑ALTERAIION ❑REPP!R �F�DEMOUTION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF YtORK <br /> E <br /> �ESCRipE'tiJRK <br /> Demolish single family residence <br /> raorosEo usE oF oui�owc <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> iEcn�oEscai�rioaoFvaoPearvrsr+owaeiowoannncNvouacor�es� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> io* ei�.�_oF TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITI'TO VIOLATE OR CANCEL THE PRO� <br /> VISION OF ANY 0 ER STATE OR LOCAL LAW REGULATING <br /> X NS R =�IZON 0(�'� iE-"yF NCE OF CON�TR�TION. <br /> J013RDDRE55 SiCh U GHiNAQ�,9 4UT�!O 2LDAGhNi GATE <br /> 3521 Paine Avenue � 5 15 81 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILEn AIP CAND.UNITS—N.P.EA. <br /> PATHTUB NEFRIGERATION UNITS—H.P.EA <br /> LAVATOFY�WASH BASIN) BOILERS—H.B EA. <br /> SHOWER GAS FIRED AC.UNITS—TONNAGE EA. <br /> KITCHEN SINK 6 DISP. FORCED 41R SVSTEMS—BT.U. M EA. <br /> DISNWFSH[R WALL HEATERS—B.T.U. M <br /> tAUNDi7VTRAY UNITHEA"ERS—�.T.U. M <br /> CLO7HE5 WASHER EVAPORAINE COOLERS <br /> \4ATER NEATEN CLOTHES JRYEFS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIB HANOLING UNIT— GF M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—FAINLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK�SERVICE—BAR,ETC.) <br /> SUBTOTAL SUB70TAL S ' <br /> PEAMIT S PERMIT S <br /> TOTAL FEE f TOiALFEE f <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑VES ❑NO FEES VALUATION FEE <br /> iYPE OF CANSi. OCCUPANCY GROUP NO.OF DWEILING UNITS <br /> BUILDING $ 00 00 <br /> SIZE OF BLpG. NO.OF STORIES MA%.OCC.LOAD — <br /> PLUMBING <br /> FIHL°ZONE dASEMENT FIRESPRINKL[RS <br /> REOUIRED MECHANICAL <br /> IlVES [7N0 <br /> APPHOVALS BY OATE OTHER <br /> L ENVIHONM[NT�L CHGCK LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2 OUILDING PLANS <br /> 3. FIREHYDRANT TOTAL OO OO <br /> a. FIFE PNOTECTION SYSTEM PERMIT VALIDAiION <br /> WHEN PROPERLV VALIDATED(IN THIS SPAi E)Tf��115IS Y(lU'�Ii O F�MI O O — � <br /> 5. GRADING U U <br /> G. DRAINAGE (� <br /> 7. ENVIRONMENTALIMPACiSTATEMENT N <br /> 8. HEALTH DISTRICT � ` �-'` �� i � <br /> � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.POR ISSUANCE BY � ' \ , �J <br /> i i -1 � � <br />