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1 <br /> �,°�.��.ef����,� ^,ONSTRU CTION <br /> CITY OF <br /> everett PERMIT pERMIT NO. 11379 <br /> CITY HALL 259�87:5 <br /> EVERETT.WA 98201 ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING � <br /> 01YNEii MARADDRE55 GiY Z�P PnONF � <br /> DAROLD TIIODiAS 2129 Diaple Bverett l4A 259-1G73 <br /> APCHIiECT�RDE5IGNER 'INILADDRES$ GTY 21F PnONC <br /> GENEPRLCONTRACTOR AIAILApDPE55 CITY .IP PHONE IICFt:SLi <br /> AI[U�4NICAL WNTRACTOR A�A�L A��AES$ CIiY ZIP GHONE UCENSE I <br /> � <br /> VWl.IpINGC04TPnCTOP MNLhUD�L55 CIiY 21P PHONE IICENSE� <br /> CLASS OF WORK <br /> C�NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAIUFT10N OF WOFN <br /> S <br /> �ESGRIOE wOPK <br /> Fireplace - existin <br /> CPOI'OS[D USE Of OUIIOMG <br /> RCS 1C1�riCC I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> i�ca�oescaiPnonoFaao�earvisnowse�owoannncHFouncoaiEsi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior s�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 AUTHORIT` TO VIOIATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STr+iE OR LOCAL LAW REGULAIING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> $i IL.''.OPCON1RAGtON �UINOP2frUAGENt D:.LE <br /> JOB AD�AC55 <br /> 2129 Dtaple X � 12/29/82 <br /> PLUMBING MECHANICAL , <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE � <br /> VJATER CLOSET ROILE71 A1R CONU.UNITS—HP.EA. <br /> �AT/ITUB RBFRIGERA7�ON UNITS—HP.EA <br /> LAVATORY�WASN�ASIN) BOILERS—H p,EA. <br /> SHO�NER GAS FIPED AC UNITS—TONNAGE EA. <br /> KITCHEN SINK 8�ISP. FORCED AIR SVSTEMS—BT.U. M EA. <br /> DISHWASHER VIALL HEATERS—B T.LL M <br /> LAUNDRY TRAY UNIi HLA7ER5—0?.U. M <br /> CLOTHES WASMER EVAPORATNECOOLERS � <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DPINK!NG FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIIi HPNDLING UNIT— C F.M. <br /> VAWUId�PEAKERS STOVE <br /> ROOF DRAINS—�AWLEADERS METAL FIiiEPLACE 8 C4�MNEV <br /> S!NK�SERVICE—OAR,ETC.1 � <br /> SUBTOTAL SUBTOTAL 5 <br /> PERMIT S PEHMIT s � <br /> TOTALFEE S TOTALFEE S <br /> SIDE VARD SETBACK STREET SET�ACK REAR YARD SET�ACK PLAN CHECK NUMDER PLAN CHECK FEE <br /> FEE RECEIPT NO <br /> USE ZONE LOT AREA VACANT SITE FEES VALUA710N FEE <br /> i!YES f-;NO <br /> TVPE OF WNST. OCCUPANCY GROUP NJ OF DWELLING UNITS <br /> BUILDING 5 <br /> SIZE OF BLDG. NO.OF S70RI[S MA%.OCG LOAD <br /> PLUMBING <br /> FlNE ZONE BASEIdENT F.EOUIRED KLERS MECHANICAL 1] S O � <br /> t� IlYES f:NO <br /> APPHOVALS 8Y DATE �THER <br /> 1. ENVIRJNMENTALCHECKLIST PENALTY U.�C <br /> SEC.303(al <br /> :. BUILDIIJGPLANS TOTAL 1� SO <br /> 3 FIRE HYORANT <br /> a FIRE PROTECTION SYSTEM PERMIT VAlIOATION <br /> WHEN PROPERLY VALIDATED pN THIS SPACE)THIS IS YOUR PEPMIT <br /> ' S. GRADING '] [ � <br /> 6. DRAINAGE _ I S 9 b � O � (. J O �� � <br /> L ENVIRONMENTAL IMPACT STATEMENT �� <br /> B. HEALTH DISTRIC7 � <br /> APPUCATION ACC.B1� PLANS CHECKED OY APPR POR ISSUANCE BY Y�U R R E C E I PT <br /> TNAhK 7'OU <br /> ADDRFSS Fll!_ ? 4 [x'C R1 <br /> 1 <br />