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`'" `'``""" CONSTRUCTION <br /> an �_ <br /> � everett P E R M IT <br /> cnn�nu:s�u�.:s PERMIT NO. Ob4�� <br /> - �veraen. n�� :�;�:o, ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ pLUMBING <br /> �p1r'NUi �bVLPUUPL55 CIiY DP t11ppL <br /> Ronald �. Harned 308-178 P1 S w Bothell _98011 74 -4� 86 <br /> .i�ruiCU(ROl�Ii�NER AIAIIApL�il[5$ OiY ZIP PHONE <br /> GFI:EHALCONiNAC10R A141LA1)DflE54 CIiY ZIP PHONE LICENSE/ <br /> same <br /> 1.�2C�iANiCAtCONiRAC10R MAILADDR[55 (;ItY bP PHONE <br /> IICENSE� <br /> �';u�!E3MGCONTRACiOR AIAILqDDRESS GTY ZIP PHONE <br /> IICENSE� <br /> Ctn55OP\VORM <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑RCPAIR f�]DEMOLITION ❑FhNCE ❑SIGN ❑GARAGE <br /> I <br /> \'��Ll'AiION Of 1VURR <br /> Dkti�qipE IVOPK <br /> demolisli single family residence <br /> r�o�seo use oF ew�owc <br /> I HEREBY CERTI�Y THAT I HAV'= READ AND EXAMINED THIS AP- <br /> �csn�oescaio;i�NeFar+oFemv�snowee�owoanr.nc��Foun[oP��s� PUCATION AND KNOW THF S�ME TO BE TRUE AND CORRECT. <br /> 230 Pldt of Everett DiV.i.51077 ALL PROVi510NS OF LAWS AiJD ORDINANCES GOVERNINC�THIS <br /> ior e�,ceK_or TYPE OF WORK WILL E4E COMPLIED WITH WHETHER SPECIFIED <br /> ACC. t0 Pldt R2COTd2d i.l'1 VO1t11i7C 7 Of PRESUMEOTOGOEAUTHORITNTOVIOLATEORCANCEL�lHE FOT <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> P1dtS PH e 30 Of SRO. C011rit CONSTRUCTION OR THE PERFORMANCE OP.,0 TRUCTION. � <br /> JO�ADDRESS SiF���il1PEO�ONiPA�7i0RORnUtMOR2 DAGR.i DRiE <br /> 1208 '� Walnut Sverett X , � � ���� _�31-79 <br /> PLUM8ING MEC ANICAL � �� <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> lVA7Efv(:lpSET�TOIL6T� AIH COND. UI.RS—HP. EA. <br /> �ATH7UB REFii1GERAiIOtJ UNITS—HP.EA <br /> LAVATORY�lYASH BASINI p01LERS—H p.EA. <br /> SHOWER GAS FIRED A C.UNI�S—TpNNAGE EA. <br /> KRCHEN SINK 8 OISP. FORCED AIR SYSTE lIS—B T.U. A1 EA. <br /> DISH WASHER \VALL HEATERS—9 T.U. 61 <br /> LAUNDRY TRAY JNIT HEATEFi$— B T.U. M <br /> CLOTFIES WASHER EVAPpRATIVE COOLERS <br /> R'ATER HEATER CIOTHES DRVERS <br /> URINAL VENTILJITION FAN <br /> DRINNING fOUNTAIN RANG[HOO� <br /> FIOOR ORAIN AIR HANDL!NG UNIT— C.F.hI <br /> VACUU610REAKERS STOVE <br /> ROOF ORAINS—RPINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SiN�ISERviCE—BnF.E7C) <br /> SUBTOTAL SUBTO7AL S <br /> PERMIT 5 PEqMIT S <br /> TO7AL FEE f TOTAL FEE S <br /> SiDL vARD fETBnCK SiPELi SETpACK REnR VARD SE7�ACK PLAN CHECK NUAtBER PLAN CHECK(EE <br /> FE6 PECEIPT NO. <br /> USC ZONE LOT AREA VACANT SITE <br /> CiVES L;NO FEES VALUATION FEE <br /> T'!PE OF CONST. OCCUPANCY GROUP NO.OF DWELLWG UNI15 <br /> - OUILDING $ OO OO <br /> SI2E OF BLDG. NO.OF S70RIES MAX.OCC. LOAD <br /> PLUM�ING <br /> FIRE 20NE 9ASEMENT FIRE SPflINKLERS <br /> REOUIRED MECMANICAL <br /> _ ,,. lIYES IlNO <br /> APPqOVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2 BUILDING PLAIJS SEC.903(a� <br /> 3. FIRE HYDRANT TOTAL � OO O <br /> a. FIRE PROTECTION SYSTEM PENMIT VALIOATION <br /> WMEN PROPEHLY yALID.4TED pN THISpSPACB•�THIS IS VO}�UR PERMIT <br /> i GFADING ' Y I 3• �1/o Y.�O � �i . <br /> G. DRAINAGE <br /> /. ENVIRONMENTAL IMPACT STATEMENT � � <br /> � <br /> e HEALTH OISTRICT 1'O U R RECEIPT � <br /> APPLICATION ACC.BY PIANSCHECNED�Y APPp. FOR ISSUANCE�Y . C� <br /> � Tr�AN� r;pu � <br /> _ . : . . <br /> ; <br /> _'�D�<EiS� F;�F <br /> � I �u. 79 ' . <br /> r. <br />