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- <br /> fl <br />( dieEvcrgrecn C(►�ySTRUCTION �� <br /> CITY OF <br />� everett PERMIT pERMIT NO. OHZ9O <br /> CITY HALL 259�87•15 <br /> E`IERETT.WA 982J1 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING <br /> O\4NER <br /> Ml.ILA�DFESS CIiV 21P PHONE <br /> Steve Whitman 1234 Maple Everett 252-7656 <br />( ARCHITF;i OP OESIGNEP <br /> MAILADDRESS CITY ZIP PHONE <br /> GENERALCANiF/CTOR <br /> MAILADDRESS CITV 21P PNONE LICENSE� <br /> M & R Construction 8072 Earl N.W. Seattle 98117 LSU-9-3984MONE IICER5E1 <br /> MEGMANICAILONTRALTOR <br /> MAII ADDRESS CITY <br /> PLUMBING CANTRACTOR <br /> MAILADDRE55 dTY 21P PMONE LICENSCI <br />� <br /> GLASS OF W ORK <br /> I ❑NEW P�ADDI710N ❑ALTERATION ❑FEPAIR ❑OEMOLITION ❑FENCE ❑SIGN GARAGE <br />, VALUATION OF WOFK <br /> s 1,600. 00 <br /> OESCR�BE WORN <br /> 1 Sx10 Addition & Alter roof Bx12 Area <br /> IPROPOSEO USE OF BUIL�ING <br />! Bedroom I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS A - <br /> PLICAfION AND KNOW THE SAME TO 6E TRUE AND CORRECT. <br /> riecaioescemrior+eFPRoveatr�sNowne�owoanrrnc��FouawviEs� ALLPROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS <br />� ioTP2&23o�ocK 23� Everett Div. 1 7YpE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY 70 VIOLATE OR(;ANCEL THE PRO� <br /> VISIONS 7F ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF CANiRACTOR OR AUTHOR:ZLD AGENT DATE <br /> JOB ADDRE55 <br /> 1224 Ma le X 1, 9-2-80 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT <br /> FEE <br /> WATEA CLOSET QOILETI AIR COND.UNITS—H.R EA. <br /> REFRIGERATION UNITS—H P.EA <br /> BAIHTU� <br /> � LAVATOF7Y�WASH�ASIN) OOILERS—HP.LA. <br /> GAS FIRED AL.UNITS--TONNAGE EA. <br /> SHOWFR <br /> KITCHEN SINK 8 DISP. FORCFD�IR SYSTEAIS—B T.U. M�� <br /> \VALL NEATERS—0 T.U. �� <br /> DISIIWASHER M <br /> UNIT HEATERS—O.T.U. <br /> LAUNCRY TRAY <br /> — EyqPOFATIV�'COOLERS <br /> CLO?HES W�SNER CLOTHES DRYERS <br /> YlATER H[ATER <br /> VENTILATION FAN — <br /> URINAL <br /> D!71NK14G FOUNTAIN RANGE HOOD <br /> — PIR HANOLIN7 UNIT— C.EM. <br /> FLOOR DRAIN STOVE — <br /> VACUUM BREAKERS <br /> ROOF DRAINS—AFINLEADERS METAL FlHEPLACE 8 CHIMNEY _ —_ <br /> SWK�SERVICE—BAR.ETCJ <br /> SUB TOTAL S <br /> SUBTOTAL s <br /> — PERMIT 2 PERMIT <br /> � TOTAIFEE S TOTALFEE S <br /> PLAN CHECK FEF <br /> SID�YARp S�TBACK STIiEE3 3E1�ACK �EAN YABRD�ETOACK PLAN CHECK NUM�ER FEE RECEIPT NO. <br /> 5 3 J8 <br /> USE ZONE LOT AREA V�CANi SITE FEES VALUATION FF.E <br /> R_z SOXlOO L7YES ❑NO — <br /> TVPE OF CANST. OCCUPANCY GROUP NO.OF DWELUNG UNITS <br /> Frame V-N R-3 1 BUILDING $ � <br /> SIZE OF OLDG. NO.OF SiORIES MAX.OCC.LOAD <br /> 8 X 10 1 PLUMBING <br /> BASEMENT FIRE SPPINKLERS <br /> FIRE ZONE REOUIREq. MECHANICAL <br /> 3 rnes �1N0 <br /> gY DATE OTHeR <br /> APPROVALS �. <br /> 1. ENVIHONMENTALCHECKLIST PENALTV U�C. <br /> SEG.303(a) <br /> 2. BUILDINGPUNS 70�AL � 16 OO <br /> 3, FIRE HVDRAI.t <br /> PERMIT VALIOATION . <br /> 4. FIRE PROTECTION SYSTEM ,'JHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING [ � <br /> 6. DRAI`IAGE 7 I i 9 � O I V. 0 O ��'�� <br /> Z CNVIRONMENTAL IMPACT STATEMENi � <br /> 8. HFAITH DISTRICT � <br /> AFPLICATION ACC.!3Y PLANS CNECKED BY APPR.FOR ISSUANCE�Y ;��,t,� R R 6 C E I PT <br /> �.�. -� f-i,nnK You <br /> , � �� <br />