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d�eevciRreoF � CC�ISTRUCTION <br /> �verett PERMIT ~ <br /> PERMIT NO. O?73Z <br /> CI7Y HALL 259�87A5 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> C\VNER AIPq pU�RE55 GItY ZIP PHONE <br /> !1Yiantafelo 2330 Maple Street Everett 252-3583 <br />� ARCHITECi OR DCSIGNEfi AIAIL ADDFESS GiY ZIP PHONE , <br /> G�NERALCONiRACiOR IdAILADDRESS CIiY pIP PHONE UCENSE� I <br /> Brockway Construction 9510 232rd S.W. Edmonds 98020 546-1858 <br /> MECNANiCM WNiRACTOR MAIL ADDRE55 CItY IIP PMONE UCENSE� <br />� BR-CC-KC*201J3 <br />' PIUMpINGCONiRAGtOR 61AILApDRESS CIP ZIP PMONE UCENSE• <br /> CLA55 OF N'ONK <br />� ❑NEW ❑ADDITION ❑ALTERATION ISIIREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAFAGE <br /> VALUFTION O°WORK ��� <br /> E 8�0.�� <br /> �ESCRIDE\4'ORK <br /> i Re air & re lace rotten 'oists & other small ar.eas <br />. vaoroseo use ov oui�oiNc <br /> Sin le famil residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> iecn�ocscaianon oF reorenrv�sNow oewe:un nrrna�roua cuPies� PLICATION AND KNO�V THE SAI�1F TO BE TRUE AND COHRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or 31&320��,�50�,� Milev Land Co. 's TYPE OF WORK WILL BE COMPLICD WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOE� NOT <br /> S 3rd Add. Blk 502 D-00-Lots 31& 32 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFC�$MANCE OF CONSTRUCTION. <br /> . <br /> JO(3 A�DFf 55 9Gf IIL ; CJNIn4G�p�0� M L'E AGCNi ' DAIE <br /> _2330 Pfaole Street Everett iX Uxl� � -16-80 <br /> PIUMBING CHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> C:<QEH CLOSET QOILET) :JR CONU UNI15—HP B� <br /> BATHTU� REPRIG[fb\TIpN UNI1S—HP EA <br /> LAVA70RV(WASH�ASIN) BOILERS—HP.EA <br /> SHOWER GAS RREU A C.UNITS—TONIJAGE EA. <br /> KITCHEN S�NK 8 O�SP. FORCED AIR SVSTEMS—B.T U. M EA. <br /> DISM\VASHER WALL HEATERS—�.T U. M <br />' LAUN�RY TRAY UNIT HEATERS—�S.U. M <br /> CL07HE5 WASHER EVAF'ORATNE COOL[RS <br /> WATER HEATER CLOTH[5 ORYERS <br /> URINAL I�ENiILAT10N PAN <br /> �RINKING FOUNTNN RANGE HOOD <br /> FLOOR DRAIN AIR HqNDLING UNIT— CF.M. <br /> VACUUAI 9REANFi75 STOVE <br /> ROOF CRAINS—RAWL[ADERR � IdETAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE—FAR,ETC� <br /> SUB70TAL SUB TOTAL f <br /> PEHMIT S PEHMIT S <br /> TOTALFEE f TOTAL FEE S <br /> SIOE Vi�RU SEiBACK STIlE61 S[iBACK RGAR VARD SETBACK PLAN CHECK NUh1�[R PLAN CHECK FE[ <br /> FEE HECEIPT NO. <br /> U.�iE ZONE LOT AREA VACANT SITE <br /> I;VES i]NO FEES VAI.UATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> SIZE OF�LDG. N0.OF STORIES MA%.OCC.LOAD dUILDIPIG $ 800.00 8 00 <br /> PLUMBING <br /> PIPE ZONE BASEM@NT PIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> lYES C'NO <br /> APPpOVALS BY DATE OTHER <br /> 1. ENVIRONMEI.iALCHECI<LIST PENALTV UBC. <br /> 2 BUILDINGP�ANS SEC.303�a) <br /> 3. FIRE HYDRANT TOTAL <br /> 8 �0 <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED QN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GFiADING Q (� <br /> 6. DRAINAGE 3 512 ,� O O p. U O �-(1� <br /> L ENVIRONMENTALIMPACTSTATEMENT � � <br /> tl. HEALTH DISTRIGT � r' <br /> APPLICATION ACC. OY PLANS CHECKED�Y APPR.FOR ISSUANCE dV 1'C� U R R E�C 6l PT� <br /> L.c. 'i N/�NK YO.0 <br /> ADDRESS FILC- I 6 �N 8O <br />