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� <br /> '1 <br /> I ����������i���;, C�NSTRUCTION <br /> � everett PERMIT PERMIT NO. O9SO1 <br /> CITV HALL.S�.N7d5 <br /> evrnerr �•�n �u�:oi ❑ COMBINATION CXbiBUILDING ❑ MECHANICAL ❑ PLUMBING ' <br /> O'J/Nlq I.IAII ALU.�CSS CIIY 111' 1'IpNF <br /> Donald F. Hampton 2417 Maple Everett 98201 252-4956 <br /> ARGu1LQ C�1 DI Si6N;N M�it AUDRC55 GItY 21P P��ON[ <br /> 4ENCFAL GONiRAC� iN MAIL AODPE55 QIY ZIP PMONE U�CNSF� <br /> Same <br /> I� IAECHPNICALCONt(1A�700 MAILADDRE55 CITY 21P FNONE LICENSE/ 7 <br /> PLUId01NGCONLR/•QOR MRILF�ORE55 GI1V ZIP PNON! ULENSEI <br />� C1A55 OF WORK <br /> ❑NEW ❑A�OITION ❑AUEHATION ❑REPAIR Xa4�EMOLIT10N ❑FENCE ❑S�SN ❑GARAGE <br /> k -- <br /> VAWnT10N Of\'IORR <br />� 3 <br /> IDESCRiBE WORn I <br />' demolish single fami.ly residence <br /> PROPOSED USE Oi BU�LDiNO <br /> I I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• I <br /> �eG�t.oe5tmrnot+oc�ROP[�iY�5�i0W�Et01VONATTALNFOUflCAPiFS� f'Li�nTiuN ANu KNOW THE SAME TO BE TRUE AND CORRECT. i <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ic,r oiocK_oF TYPE OF WORK WILL BE COMPUED VJITH WHETHER SPECIFIED <br /> SEC 20, TWN 29 RGE 5 HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATC- OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SWr1FiUPEOFCA!liRAGiORORAVI��ORl1[UAGENi �AfE <br /> JOOADOHE55 X �I'L� . � � � �— 9 <br /> 2415 Maple �/�tii� � <br /> PLUMBING MECHANICAL <br /> NO. TYFE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET ITOILET� AIR COND.UNRS—H P.EA. <br /> BATHTUB REFPIGERPTION UNITS—HP EA <br /> LAVATORY pVASH BASIH) BOILERS—HP.EA. <br /> SHOWER GASFIREDAC UNITS—TONNAGEEA. _ <br /> KITCNEN 511:K S DISP FJRCED AIR SYSTEh15—B T U. M EA. <br /> DISHWASH[R \'lALL HEi�TERS—B T.0 M <br /> LAUNDRY TRAY UNIT MEATERS—�T.0 M I <br /> CLOTHES WASHER EVAPORATIVE COOLERS � <br /> WAiE�7 HEATER CLOTHES DRYERS <br /> URINAL VENTILATIOfJ FAN <br /> DPINKING FOUNTAIN RANGE HOOD <br /> FLOOfl DRAItI AIR HANDLING UNIT— CF.M17. <br /> VACUUM BRF.AKERS STOVE <br /> ROOF DRAINS—RAINLEADEF7S METAL FINEPIACE B CHIMNEY <br /> SINK ISERVICE—BNR.E7C 1 <br /> SUBTOTAL SUBTOTAL S �' <br /> PEHMIT S PERMIT 5 �, <br /> TOTALFEE S TOTALFEE 3 <br /> SIDE YARD SETBFCK STREET SET6ACK FEAR VARD SETBACK PLAN CMELK NUIdBER PIAN CHECK FEL <br /> FEE HECEIP7 N0. <br /> USE ZONE LOT AREA VACAN7 SITE FEES VALUATION FEE <br /> iYES ❑NO <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 5 00 00 <br /> SIZE OF BLDG. NO.OP STORIES MA%.OCC.LOAD <br /> � UMBING <br /> '� FIRE ZONE BASEMENT qEOUIRED h�ERs MECHANICAL J <br /> i YES I";NO <br /> APPROVALS BY DATE O7MER � <br /> L ENVIRONMEIJTAL CMECK UST pENq�Ty U B C. <br /> SEC.303�a) <br /> 2. BUILDING PlANS <br /> TOTAL �)0 00 <br /> 3. FIRE HVDRANT -- <br /> � 4. fIRE PROTECTION SYSTEM PEHMIT VAlIOATION <br /> � WHEN PROPERLY VALIDAIED(IN THIS SPACE�THIS IS YOUR PEfiM1T <br /> 5. GRADING _ ? ` , . � . __— � <br /> G DRAINAGE ' � � <br /> 7. ENVIRONMENTAI IMPACT STA"' ' � <br /> � <br /> 0. NEALTN DISTRICT " � <br /> i I <br /> APPLICATION ACC.BY PIANS CHEt .J BY APPR.FOR ISSUANCE BY <br /> �' . I <br /> ADDRESS FIL[ � <br />