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a <br />�"e£�'CRyCp -- CO�STRUCYION -�� <br />everett PERMIT PERMIT N0. 07513 <br />GTV HALL 259�8745 <br />EVERETf,WA 98201 ❑ COMBINATION I�BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNkFl MFILAOCi'S5 CIiY ZIP PMJNE <br />Eugene Bazish 623 blain #1 EcLaonda 98Q20 778-9304 <br />ARCIIIiECT OR DESIGNEP MAIL ���fIEFS CITY 21P PlIONE <br />CEN[RnLCONiRnCTOR MAILPO�RESS GITY 21P PHONE LICENSEI <br />Same <br />MECIIANICAL GCNTRRCTOR MAI� �DOPE55 CITY ZIP PHONE LICENSE I <br />PLUMBING COHINACTOF MAIL AO�RESS CITV ZIP PNONE UCENSE / <br />C1A55 OF WORN <br />❑NEW ❑ADDITION ❑ALTER-1TION ❑REPAIR �iDEMOLIiION ❑FENCE ❑SIGN ❑GARAGE <br />VALUA710N OF WOFR <br />5 — <br />Dsmolish Sinqle Family Residence <br />PROPOSED USE OF BUIL�ING <br />LEGAL �ESCRIPTION OF PROPERTY �SHOW BELOW OR AiTACH FOUfl CCPIES� <br />6 Zntercity Div. #1 <br />lOi BIUCK_OF <br />SELY 50' of NWLY 140' of 7 and 8 <br />315 Marilyn Avenue <br />PLUMBINO <br />NO. TYPE OF FIXTUNE OR <br />WATER CLOSET (TOILEn <br />BATHTUB <br />IAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />LAUNDRVTRA� <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DPINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKEFS <br />'� ROOP DRAINS — RAINLEADERS <br />�� SINK 1SERVICE — BAR. EfC.) <br />. SIDE VARD SETBACK STREET <br />. USE ZONE LOT AR <br />TYPE OF CANST. OCCI�°� <br />SVF oF OL�G. NO. OF <br />FIREZONE i B.ASEMENT <br />t. ENVIRONMENTALCHECKLIST <br />2. 9UILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. ORAINAGE <br />7. eNVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PIANS CHECKED BY <br />YARD SETBACK <br />VACANT SITE <br />❑YES ❑NO <br />NO.OF DWLL <br />IOAD <br />APPR.FORISSUANCE BV <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />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 STATE OR LOCAL LAN' REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF COYiRACTOR OR ACTN�ORI D AGENT . DATE <br />�J . e_. i -/J n yiiQ __ 4/28/80 <br />AIR COND. UNRS — H.P. EA. <br />flEFRIGERATIOIv UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVS7EM5 — B.T.U. M E� <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. �.1 <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEMOOD <br />AIR HANDUNG UNI7 — QF.I <br />STOVE <br />METAL FIREPLACE 8 CHIMNEV <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />HECK NUMBER PLAN <br />FEE <br />FEES VALUATION <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />E <br />U.B.C. <br />SEC.303(a) <br />RECEIPT N0. <br />� I I 00 I CO <br />� <br />T VALIOATON <br />PROPERLY VALIDATED (IN THIS SPACE) THIS I; YOUR PERMI7 <br />�y�i 5000.00-- � <br />� <br />� <br />YOUR RECEiPT � <br />7HANK YOU <br />ADDRESS FILE <br />2Ra�80 <br />