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i �-- <br /> �he Evergreen <br /> t <br /> CITYOF CONSTRUCTIO�" <br /> everett PERMIT PERMIT NO. 1O7Z3 <br /> CITY HALL 259�B745 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING C�NNECHANICAL ❑ pLUMBING <br /> QWNER MnILADORE55 CI�V ZIP PHONE I <br /> Marion R. Bonneywell 2310 Maple Everett 98201 259-4478 I <br /> � � ARCMITECTORDESiGNER MAIIADOPE55 CIiY 21P PMONE � <br /> � �. <br /> G[NERAL CONTPnCTOR MAIL AppflE55 GiY 21P PHONE �ICENSE� <br /> Same <br /> IdECMAIlIGALCANTpAC10R MF4ADDP[55 CITY ZIV PHONE <br /> IICENSE I <br /> PLUMpING WNiRACTOP MAIL ApDRE55 CIiY ZIP VHONE �ICENSE� � <br /> CLASS OF 1YORK �_� <br /> ❑NEW ❑ADDITION ❑ALTERAiION ❑REPAIR ❑DEMOUTION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WOFH <br /> b <br /> DESGRIBE WJRK ' <br /> install wood stove <br /> PROPOSED US[OP BUILDING � <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• . <br /> �ecn�oescRicnoNOFar�oaearvtsNowee�owoennncNFouewaiesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECi, <br /> ALL PROVISIONS OF LAWS AND ORCINANCES GOVERNING THIS <br /> �or B�OC1�_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NC�T. THE GRANi�ING 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 /> CONSTFUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JU3FDOPE55 SIGNAiURC9O�CONTRACTOROR�10R12ED�/GENT q7p <br /> 2310 Maple X /( (��q' ZLIc:C.G �9Z�� 6/28/82 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOS[T�TOILET) PIR COND.UNITS—H.P.EA. <br /> BATHTU� qEFRIGERATION UNITS—H.P.EA <br /> L4VATOPY(WASH�ASIN) BOILERS—H P EA. <br /> SHOWER GAS FIRED AL.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISR FONCED AIR SYST[MS—B.T.U. M EA. <br /> DISHWASHER VlALL HEAT[RS—B T.U. M <br /> LAUNDFiY TRAY _ UNIT HBAiERS—B.T.U. M <br /> CLOTHES WASHEfl EVAPOHATIVE COOLERS <br /> WATER HEATER CLOTHES DRVERS <br /> UP.INAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAW NR HANDLING UNIi— GF.M. <br /> VACUUM�REAKERS j STOVE WOOD � rj0 <br /> ROOF DRAINS—PAINLEADERS AIETAL FIREPLACE 8 CHIA7iJEY <br /> SINK�SERVICE—BAR ETCJ <br /> SUB TOTAL SUB TOTAL S <br /> PERMIT 5 pERM1T S <br /> TOTAL FEE S 70TAL FEE 5 17 <br /> SIDE VARD SETBACK STREET SET�ACK REAR VARD SETBACK PLAN CHECK NUMBfiR PLAN CHECK Fff <br /> F[E RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> �UILDING S <br /> SIZ[OF BLDG. NO.OF STORIES MA%.O('.C.LOAD <br /> PLUMBING <br /> FlRE ZONE BASEMENT FINE SPRINKLLRS <br /> REOUIRED MECNANICAL <br /> I�IVES l-]NO 1� $0 <br /> APPHOVALS BY DATE OTHER / <br /> 1. ENVIROIJMENTAL CHFCK UST PENALTY U.B.C. � <br /> 2. �UILOING PlANS SEC.3�3(a) <br /> 3. FIRE HYDRANT TOTAL 1� S O <br /> 4. FIRE PROTECTION SYS7EM PEHMIT VAIIDATION <br /> 5. GRADING WHEN PROPERLY VALIDATED(M THIS SPACE)THIS IS VOUR PERMIT <br /> 6. DRAINAGG <br /> 4351 ao � �.50 --- � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT . � � <br /> 8. HEALTHDISTRICT • YO•V R (\ECEIPT O <br /> APPLICATION ACC.BY PlANS CHECKED BV APPR.FOF ISSUANCE OY � <br /> ' • THf�NK Y;pU : <br /> 28 �t 82 <br /> ADDRESS FILE <br />