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`'"E'��T;aF rONSTRUCTION <br /> eve�ett PERMIT pEAM1T N0. �9633 <br /> CITY HALL 259�8745 <br /> EVERETf,WA 9B20t J� COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ pLUMBING <br /> �`��FR KENNETH & BETTY ORVE �AAIIAUD��32 Rockefeller Everett 98201 Z�P252-573S `��NE <br /> ARLHIiECTOPDE51GhER MAILADURE55 CIiY ZIP PHONE <br /> GCNERALCANiRAC OP MAIL qOpRESS CIiY IIP PHON[ UCENSE� <br /> bwner <br /> MECMANICRL CpNiRACTOR Alqll ADORE55 CItY ZIP PHONE LICENSE I <br /> PLUAIBINGCU�?�iACiOR MAILADDRE55 diY _IP PHONE LICENSEI <br /> CLA55 OF\VORK ,µv <br /> 'LHHEW LIADDITION ❑ALTERATION ❑PEfAIR ❑�EMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALU.4TION OF WO <br /> f �ew chimney and wood stove 2100.00 <br /> DESGRIBE WORK <br /> Above <br /> PR01'OSED USE OF BWLDiN <br /> Resic�ence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> i�cn�oescaivnor+oFraoaearr�s�wwae�owonanneNFouecoviesi - PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> �or�7&�8 oia 3�oF P1 at of Everett 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 /> D1V. L PRESUMETOGIVEAUTHORITYTOVIOLATEORCANCELTHEPRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB rI�URE55 SILVATURE OF WNTRACTOR OR AUiHORIZED AGEN1 OATE <br /> 1532 Rockefeller X . �� 8/11/81 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURF OR ITEM FEE N0. TY?E OF EOUIPMENT FEE <br /> \NATER CLOSET ITOILET) AIH COND UNITS—HP.EA. <br /> BATHTUB qEFRIGERATION UNITS—H.P E. <br /> IAVATORI'(WASH BASIN� BOIIERS—HP. EA. <br /> SHOWER GAS FIRED A C. U�ITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—B T.U. M EA. <br /> DISHWASHER VJALL H[ATEflS—B T.U. M <br /> LAUNDRY TRAY UNIi HEATERS—B.LU. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VLNTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOfl DRAIN AIR HANC!ING UNIT— CF.M. <br /> VACUUM BREAN[RS STOVE <br /> ROOf DRAMS—RAINLEADERS METAL FIR[PLACE 8 CHIMNEY <br /> SINK�SERVICE—BAR,ETC.) f? WO ({ <br /> 4 50 <br /> SUBTOTAL SUBTOTAL f � <br /> PERMIT S PERMIT S <br /> TOTAL'EE S TOTALFEE S <br /> SIDE YARD SETBACK STREEI SET�ACK CEAR YAR�SET�ACK PLAN CHEGK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OG:UPANCV GHOUP NO.OF DWELUNG UNITS <br /> BUILDING ?Z�QQ.QQ 38 rj0 <br /> SIZE OF BIDG, NO.OF STORIES MAx.OCC LOAD <br /> PLUMBING <br /> FIRE ZONE BASEM2NT FIR[SPRINKLERS <br /> R�OSIREDN� MECHANICAL �4 5O <br /> APPROVALS BY �ATE OTHER � <br /> 1. @NVIRONMENTAL CHECK LIST PENALN U.O.C. <br /> 2. BUILDIN6 PLANS SEC.303��) <br /> 3. FIRE HYDRANT �-- T�TA� 53 OO <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIOATIOH <br /> WHEN PROPF.RLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING � , . � .. , � I ' ,' ' "— .M <br /> f>. DRAINAGE � ' � � <br /> C� <br /> ___7. ENVIRONMENTALIMPACTSTATEMENT (,� <br /> � 8. HEALTH DISTRICT - ' � <br /> 4�.VPPLICATION ACC.BY ���LANS CHECKED BY APPR.FOR ISSUANCE BY . � <br /> � t <br /> —� DAD <br />