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- , <br /> �,,e�,����r�.�n C�NSTRUCTION - <br /> CITY OF <br /> everett PERMIT pERMIT NO. 07169 <br /> cirrHnuz�9s�as � COMBINATION �tBUILDING ❑ MECHANICAL ❑ PLUMBING <br /> EVERETT,WA. 98207 <br /> OWNEfl MAIL�U�IR55 CIiY ZIP PIIONb <br /> Harold Christensen 2019 Lake Heights, �Si[ Drive Everett <br /> 98204 337-6790 <br /> ARCNITECT OR OESIGNER MRIL AO�FESS CIiY 21P PIIONE <br /> GENERALCONiRAGiOP <br /> MAILADDPESS CITY ZIP PMONE LIGENSE� <br /> $�e pM011E LICENSE 1 <br /> MECNANICALCONiRACTOP MAILADDRESS CRY Z�P <br /> PLUMBING CONifiACTOR <br /> MAIL AU�RE55 CI7Y ZIP PHONE LICENSE I <br /> CLASS OF WOIiK <br /> ❑NEW ❑ADDITION C��{LTERATION ❑REPAIR ❑DEMOLITION ❑FtNCE ❑SIGN GARAGE <br /> VALUATION OF WORK <br /> S 6��00.�� <br /> OESLRIBE WOFK <br /> remodel existing building <br /> PfiOPOSED USE OF BUILDING <br /> Triplex I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS A - <br /> LEGALOESCPIWIONOFPROPERTY�SHOWBELOWORATTACNFOUPCAPIE51 PUCATION AND KNOW THC- SAME TO BE TRUE AMD CORRECT. <br /> 22_23 Bridgeway ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or e�aK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR T PERFORMANCE OF COPJSTRUCTION. <br /> SiG1 iURE Of CA RACTOP TNORI;ED ENi � OATE <br /> JOUPDDRESS �� 5/6/80 <br /> 502 Walcut <br /> PLUMBINO IAECHANICAL <br /> NO. TYPE OF FIXTUREOR ITEM FEE iVO. TYPE OF E�UIPMENT <br /> FEE <br /> WAT�R CLOSET(TOILET) AIR COND.UNITS—H.P.EA. <br /> REFRIGERATION UNITS —H.P.EA <br /> BATHTUB <br /> LAVATORY(YJASH BASIN) BOILERS—HP.EA. <br /> i:AS FIRED AA.UNITS—TONNAGE EA. <br /> SHOWER <br /> FORCED AIR SYSTEMS—B.T.U. M EA. <br /> KITCHEN SINK 8 DISP. �� <br /> WA�L HcATERS—B?.U. <br /> DISHWASHER M <br /> UNIT 4EATERS—B.T.U. <br /> LAUNDPVTRAY <br /> EVAPOE4TIVE COOLERS <br /> Cl0TNE5 WASHER CLOTHES 7RYER5 <br /> WATER HEATER <br /> VENTILATIOi�FAN <br /> URINAL <br /> DRINKING FOUNTAIN RANGE HOOD _ <br /> AIR HANDLING U�9T— C.F.M. <br /> FLOOR ORAIN STOVE <br /> VACUUM BREAKERS — <br /> ROOF DP;.INS—RAINLEAOERS AIETAL FIPEPLACE B CIIB!NEY <br /> SINK(SERVICE—BAR,ETC.1 � <br /> SUBTOTAI SUBTOTAL s <br /> PERMIT S PERMIT s <br /> TOTALFEE S TOTALFEE � 3 <br /> PLAN CHECK FEE <br /> SIDE VARD SE7E3ACK STREET SE7BACK REAR YABD SETBACK PLAN CHECK NUMBER RECEIPT tl0. <br /> FEE <br /> USE 20NE LqLAHF9� �CAS T SI7E� FEES VALUATION FEE <br /> R-Z lOrBu � <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF 3 ELLING UNITS <br /> V-N BUILDING $ 6,000.00 36 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCG.�OAD <br /> 30'x40' 3 PLUMBING <br /> BASEMEN FIRE SPRINKLEFS <br /> FIRE ZONE REOUIR[� MECHANICAL <br /> Y�S ❑YES ONO <br /> APPpOVALS <br /> BY DATE OTHER <br /> 1. ENVIRONMENiALCHECKLIST PENPLTY U.B.C. <br /> � SEC.303(a) <br /> 2. BUILDING PLANS TOTAL 36 00 <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECiION SYSTEM PEHMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)TH1515 YOUR PERMIT <br /> 5. GRADING � <br /> 6. DRAINAGE � � H p S 0 3 6. 0 0 -- �..° <br /> 7. ENVIRONMENTALIMPACTSTATEMENT .. � <br /> � B. HEALTH DISTRICT � � O <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY •YO U R R E C E I PT � <br /> °� THA�IK YOU <br /> ADDRESS FILE � _ / uiv 4f1 <br />