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� <br /> the ErerRreen ��NSTR U CTI O N � <br /> CITY OF <br /> everett PERMIT pERMIT NO. O9OH7 <br /> CITY HALL 259�8745 <br /> EVERETT.WA sozoi ❑ CQMBIMATION C�BUII_DING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILAOORE55 CR�' 'IP PHONE <br /> George Kurschner 566 Walnut Everett 98201 <br /> ARCHITECiORDESIGNER AIAILAD�RE55 CITY 21P PMON[ <br /> GENEHnLfANiRPCTOR . M11AI�AODRE55 CITY ZIP PHONE �IGENSEI <br /> Snohomish County Home Improvement Lake Stevens <br /> MELHANICALCONiPACtOR MFILADDRE55 CIT1 21P PNONE LICENSEI <br /> PLUMdINGGONTRACTOR MAILA�ORE55 CITY ZIP � PHONE LICENSE� <br /> C1A550F WORN <br /> ❑NEW ❑ADDITION ❑ALTERA710N �i[PAIR ❑DEMOLITION C�fENCE ❑SIGN ❑GARAGE <br /> VPWATION OF WORK <br /> t 3Z00. 00 — <br /> DE:�C�IOE WORK <br /> Re-side-vinyl siding <br /> {!lO1CSED USE OF�111LDING <br /> . single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGAL DESGPIPiION OF PPOPERTY i5H0Vl�ELOW OR ATiACH FOUR COPiES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 8-9 D Brid ewa ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior BLOCK_OF 9 Y TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFI[D `� <br /> HEREIN OR NOT. THE GRANTIN6 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 THE PE ORMA E OF CONSTRUCTION. <br /> J0�AD�RESS ��G l E OF; 11 Gi OR AU 0 i2 �AGEt D�TE <br /> 566 Walnut ��y�f ` Q 4/7/81 <br /> s <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIF;.�ENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H P.EA. <br /> BATHTUB REFHIGERATION UNITS—HP.EA <br /> LAVATORY�NASH BASIN) BOILERS— fi.P.EA. <br /> SHOWER i.AS fIRED A.C. UNITS—TONMAGE EA. <br /> KIiCHEN SINK 8 DISP. FC�CE�AIR SYSTEh15—B.T.U. M EA. <br /> DISHWASHER WALL HLATERS—B T.U. M , <br /> LAUNDPY TRAY UNIT HEATERS—�T.U. M <br /> CLOTHES WASHER EVAPORATIVL COOLERS <br /> WATER HEATER CLOTHES DRYERS _ <br /> URINAL - VENTILATION FAN �'' <br /> DRINKING FOUNTAIN HANGE HOOD <br /> F.00H DRt.IN AIR HANDLING UNIT— QF.M. <br /> � VACUUM 6R[AKERS STWE � j <br /> ROOF DflAINS—RAWLEADERS �AETAL FIREPLqCE 8 CHIMNEY <br /> SINK�SGPVIC[—�AR.ETC.) �j�, <br /> _ 1 <br /> SUBTOTAL SUB70TAL 5 __ <br /> PEHMIT S PERMIT S ._ <br /> 70TALFEE 5 TOTALFEE S <br /> SIDE YARD SETfiACK STREET SETF3ACK REM YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> F[� FECEIPT NO. I <br /> USE ZONE l0T AI7EA VACNNT SITE <br /> ❑YES ❑NO FEF.S VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF�WELLING UNI7S <br /> `I:=OFBLCG. NO.CFSTORIES MA%.00C.LOAD BUILDING b3200. 49 5� I �' <br /> PLUMBING � <br /> FIRE ZONE BASEh1ENT FIRE SPRINKLERS MECNANICAL <br /> REOUIRED <br /> ❑YES ❑NO � <br /> APPROVALS BV DATE OTHER <br /> 1. ENVIRONMENTAL CHECF LIST PENALTY U BC <br /> SEC.3031a) <br /> 2. BUILDING PL1N5 <br /> 3. FIRE MYDRANT T�TA� 4 4 $0 <br /> 4. FIRC PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPFRLY VALIDATED QN THIS SPALE)THIS IS YOUR PEflM1T <br /> 5. GRADING � � c 2 P !1 I, !I � O __ � <br /> 6. DRAINAGE L y <br /> 7. ENVIRONMENTAL IMPACT STATEMENT 0 <br /> 8. HEALTH DISTRICT . �. '�., i �j I O <br /> APPLICATION ACC.BY PLANS CHECNED BY PPPF.FOfl ISSUANCE BY <br /> : , . 'J <br /> : . � ". � <br /> - ] ,,i; � I <br /> AGDRESS FILE <br />