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�► . <br /> fheE��e;�reen " C�,��STRUCTION � <br /> CITY OF I ' <br /> everett PERMIT PERMIT N�. 08034 � <br /> CITY HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATI�N C�,,tBUILDING ❑ MFCHANICAI. ❑ PLUMBING <br /> OWNER MFILFDURE55 CIiY ZIP PHONE <br /> Louis Kennister 1826 Maple Everett 98201 259-1415 <br /> NRCHITECT OR OESIGNER MAIL A00 iE55 CITY ZIP PHONE <br /> GENEfl4L CANiR4CTOR MAII ADCPE55 CITY ZIP PHONE UCENSE I <br /> Same <br /> MECHANICAI CONTRACTOF MAIL RDC PESS CITV 21P PNONE LICENSE� <br /> PlUA1BING CONTflACiOR MAIL 4DDflE55 CITV ZIP FNONE LICENSE/ <br /> CLA uOF WOPK <br /> ❑NEW ❑ADDITION ❑ALTERAfION 7�7EPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> s 600. 00 <br /> DESCPIBE WCRK <br /> replace roof with composition <br /> PROPJSED USE OF BUIIDING <br /> sinqle family I HcR[BY CERTIFY THAT I HAVE fiEAD AND EXAMINED THIS AP- <br /> LEGAL DESCRIPTION OF PROVEHTY�SHOW PEIOW OR ATfAGH FOUR fAP1E5� PLICATION AND KIJOW THE SAME TO BE TFUE AND CORRECT. <br /> 16 8 Victor Addition ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior e�oc�oF 7YPE OF WORK WILL BE COMPLIEU 6 ,TH WHETHER SPECIFIED <br /> HERE�N OR NOT. TfiE 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 FEGULATING <br /> CONSTRUCTION OR THE PEAFORMANCE OF CONSTRUCTION. <br /> JOB DD E S SIGNATUFE OF CONT ACTOR ON AUTHORRED AGENT DATE <br /> �8�2�i Maple X ��, , " ��� 7/30/80 <br /> PLUMBINO MECNANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET AIR COND.UtJITS—H.P.EA. <br /> BATIiTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATOHV(WASH BASINI BOILERS—hi.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS —TONNNGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.7.U. M EA. <br /> DISHWASMER WALL HEATEHS--B.T.U. M <br /> LAUNDflV TRAV� UNIT HEATERS—B.T.U. M <br /> CLO'HES WASHER EVAPORAiNE COOLERS <br /> � WATER HEATER CLOTHES DRYERS _ I <br /> URINRL VENiILATION FAN � <br /> DPINKING FOUNTAIh RANGE NOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— Gl.M <br /> VACUUM BREAKERS STOVE <br /> � ROOF DRAIN3—RAINLEADERS METAL FIhEPLACE 8 CHIMNEV � <br /> SINK('uERVICE—F3AR,ETC.1 <br /> SUBTOTAL SUB TOTAL S <br /> PEPMIT i PERMIT S <br /> TOTALFEE S TOTALFEE f <br /> SIDE VARG SETBACK STREET SEf�ACK REAR YDRD SETBACK PLAN JHECK NUMBER PLAN CHECK FEE <br /> FEE fiECEIPT NO. <br /> USE ZOrIE LOT AREA VACANT�ITt <br /> ❑YES ❑NO FEES VALUATION FEE � <br /> TVPE OP CANST. OCCUPANCY GROUP NO.OF DWELLING UNI'.5 � <br /> BUILDING E 600.00 6 00 1 <br /> SIZE OF BLOG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINiCLERS <br /> REOUIRED MECHANICAL <br /> ❑VES ❑NO _ <br /> APPROVALS EY DATE UTHER <br /> � <br /> 1. ENVIRONMENTAI CHECK LIST _ PENA�Ty U.B.C. <br /> SEC.3Q3 W) <br /> 2. BUILDING PLANS � <br /> 3. FIREHYDRANT TOTAL � G 00 <br /> 1 <br /> a. FIRE PRCTECTION SYSTEM � FERMIT VALIDIITION <br /> WHEN PROPERIY VAL10ATED(IC THIS SPACE)THIS IS VOUR PERMIT <br /> 5. GPADING ? 5 1 S E � O �. O O �� �.�j <br /> 6. �RAINAGE <br /> 7. ENVIRONMENTALIMPACTGTATEMENT � Q I <br /> B. HEAL7H DISTRICT � <br /> APPLICA710N ACC.BY PV.NS CHECKE�dY APPR.FOR ISSUANC[BY ��� � R RE�^,.E I PT � <br /> :HAl�K YC U i <br />