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"". `,"""„ - �pNSTRUCTIOP � <br /> ��,Y oF � <br />� everett PERMIT PERMIT N0. ��321 <br />. GTY HALL 259�8745 <br /> EVERETT,WA 90201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> i <br />' OWNER MAIL A�DRE55 CITV ZIP PMONE - <br /> JANICE IVESTLAND 2324 DIAPLE EVERETT <br />� ARCMITECT OR DESIGNER MAIL ApORE55 GITY ZIP PMONE <br /> IGENERALCONTRACTOR MAILADOPE55 CITV 21P PNONE LICENSEM <br /> GROTE ENTERPRISES 1428 - 108th Sl4 Everett 1VA 98204 353-7879 <br /> MECHANICAL GCNTRACTOR MAIL AODPE55 CITY 21P PMONE LICENSE� <br /> GROTEE258JI <br /> � PLIIMBING CONTRACTOR MAIL AP�RE55 GITY 21P PHONE UCENSE� <br /> CLASS OF 1YORK <br /> ❑NEW ❑ ADDITION ❑ ALTERATION �XREPAIR ❑ DEMOLI710N ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OpF WORI( <br /> f 20�0. 0� <br /> �ESCFIBE 140RK <br /> Reroof <br /> PROPOSED USE OF BUILDING <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESGFIPTIONOFPROPERTY�SHOWBELOWORATTAGHFOURGOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT__BIOLK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIEO HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PER�ORMANCEOFCONS UCTION. <br /> JOB/D�NESS SIGNATUHE OF CONTRACiO OF A ORI2ED AGENT UAiE <br /> 2324 Maple X ��- � . 8/11/83 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND. UNITS— H.P.EA. <br /> BATHTUB REFRIGERATION UNITS— N.P.EA. <br /> LAVATORY(WASH BASIN) BOILERS — H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK fl DISP. FORCED AIR SYSTEMS— B.7.U. M EA. <br /> DISHVJASHER WALL HEATERS— B.T.U. M <br /> LAUNDRY TRAY UNIT MEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORA7IVE COOLERS <br /> WA7ER HEATER CLOTHES ORYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREANERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS MEiAL FIREPLACE S CHIMNEY <br /> SINK(SERVICE— BAR, ETC.) PIREPIACEINSERT <br /> NEAT PUMP <br /> SUB TOTAL f SUB TOTAL S <br /> PERMIT f PEHMIT S <br /> iOTAL FEE S TOTAL FEE S <br /> SIDE YA J SETBACK STREET SETBACK REAR YARD SETBAGK PLAN CMF.CK NUMBER PLAN CHEGK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SI7E fEES VALUA710N FEE <br /> YES ::NO <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING $ z800. 3$ 5� <br /> SIZE OF BLDG. NO.OF STORIES h1A%.OCC. LOAD <br /> PIUMDING <br /> FIRE ZONE BASEMENT RIEOUSRED KLERS MECHANICAL I <br /> : �.YES :.NO <br /> APPPOVALS BY DATE O7HER � <br /> U.B.C. <br /> 1.ENVIRONMENTAL CHECK LIST PENALTV SEC.903(a) I <br /> 2.BUILOINGPLANS TOTAL 3H SO <br /> 9.FIREHVDRANT I 1 <br /> a.FIRE PROTECTION SYSTEM PERMIT VALIDATION � <br /> S.GRADING WHEN PROPERLY VALIOATED�1N THIS�SPAoE�THIS I$`��RE�.1�T �1� <br /> 9 V U b 7 �� � <br /> 6.DRAINAGE () <br /> 7.ENVIRONMENTALIMPACTSTATEMENT . <br /> B.HEALTH DISTNICT yC) �f R R E C E I PT ' ! <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> 74i�1NY. Y�JU � <br /> � <br /> il �,uc83 ' <br /> ADDh[SS FlfE <br /> � � <br />