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',".`",`r`�`.,' CONSTRUCTIC �� <br />ever�tt 1 PERIVIIT PERMIT N0. 123H� <br />GTV HALL 259�87d5 <br />EVERETT.PJA9B201 � COMBINATION � BUILDING C MECHANICAL ❑ PLUMBING <br />OIVNER MAIL Ap�P[55 CRV ZIP PHONE <br />Victor D. Anderson 1308 McDougall Everett 98201 252-8791 <br />ARGHRECT ON DESIGNER MAIL AO�RE55 CITY ZIP PHONE <br />GENERPlCO`liRIGIOR MAILADDRE55 CITY 2iP PMONE LICENSE� <br />Same <br />MECMANICAI CONTRACTOP MAIL ADDRESS CITY 21P FHONE : ICENSE a <br />PWMB�NGCONTRACTOR MAILADDRE55 CITY 21P PHONE UG[NSEM <br />❑ NEW �DC4DDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVEIFIREPLACE INSEP7 <br />z 4.�00.00 <br />fCF18E K'OAN <br />Addition t <br />IPOSED US[ OF OIII�DINI <br />sinqle fami <br />l0T 8 BLOGN 1 <br />existing residence <br />residence <br />fY �SMOI'J pELOW OR ATTACN FOUR COP <br />Temwalt Terrace <br />1308 McDougall <br />PLUMBING <br />NO. TYF E OF FIXTU <br />1 WATERCLOSET�TOILEn <br />BATHTUB <br />� LAVATORY(WASH BASIN) <br />SHOWER <br />KITCMEN SINK 8 DISP. <br />DISMWASHEF <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER MEATEfl <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />flOOP DRAINS — RAINLEADERS <br />SINK �SERVICE — DAR, ETGI <br />ITEM <br />SUB TOTAL <br />PERMI7 <br />TOTAL PEE <br />SIDE VARD SETdAGK SIH <br />5' <br />USEZONE LOT <br />R-2 <br />TYPE OF GONST. OC( <br />V-N <br />S2E OF BLLG. NO. <br />76C❑ �_�'t_.-8 � <br />FIRE ZONE BAE <br />20� <br />i <br />� <br />S <br />s 6 <br />REAH YARO SETB. <br />io� <br />VACHNT SITE <br />YES XTO� <br />R- 3 1 <br />STOfi'ES MAX.00C.LOAD <br />APPROVALS <br />1 ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />9. FIRE MYORANT <br />4. FIRE PROTECTION SYSTEM <br />5. GFADING <br />6. ORAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />ft. HEALTH UISTRICt <br />APPLICATION ACC. BY PLAN3 CME <br />STG STG <br />BV APPF. <br />LC <br />IJO <br />DATE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINAIJCES <br />GOVERNING THIS TYPE OF WORY. WILL BE COMPLIED V�iITH <br />VJHETHER SPECIFIED 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 />PERFORMMd�CE �F CONSTRUCTION. <br />sieNnTuae o(cGNiRACTOR OH AUTHORIZE� AGENi �ATE <br />MECNANICAL <br />NO. TYPE OF E�UIPMENT <br />AIR CONO. UWTS - HP. EA. <br />PEFRIGERATION UNITS - H.P. EA. <br />BOILERS - H.R EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - BT.U. M EA. <br />WALL HEATENS - B.T.U. M <br />UNITHEATERS-BT.U. M <br />EVAPORATIVE COOLERS <br />CIOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT - C.F.M. <br />5(OVE - WOOD <br />METAL FIFiF.PLACE 8 CNIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOiAL <br />PERMI7 <br />TOTAL FEE <br />CHECK NUMBEfi Y� <br />83/12389 FEE 28.93 <br />FEES �AlUAT10N <br />FEE <br />� <br />S <br />S <br />CHLCK FEE <br />RECEIPT NO. <br />9UILDING $4,000. 49 50 <br />PLUMBING (� OO <br />h1ECHANICAL <br />OTHER <br />PENALTY '1.B C. <br />SEC. 3D3 (a) <br />TOTAL S O S O <br />PERMIT VALIDATION <br />1NHEN PROPERLY VALIDATED QN THISISPf�F�� THIS �x�i�P��T_� �� <br />611 U U <br />eY - � n�CEIPT• ' <br />I . . �,..'' `��� I' <br />1 V <br />;li)�7F'C:..� :-11..L <br />� .1 :,; ° u :i <br />