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. . , <br /> theEvagYeoF CrNSTRV V I,I01\ J� <br /> �evere�t PER�'��Y PERMIT h0. OH�r1� <br /> CITY NALL 259�8745 <br /> EVERETT.WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAI ❑ PLUMBING <br /> � OWNER MARqODRE55 CIiY 21P PMONE <br /> Gail M. Younker 1918 Rockefeller 98201 259-4804 <br /> A{ICHITECT OR DESIGNER MAIL ADORE55 QTY ZIP PRONE <br /> GENERAL CANTRACTOII MAIL AODPESS CRY ZIP PHONE LICENSE I <br /> Same <br /> MECNANICAICANTRAC70R MAILAO�FESS CITY ZIP PHONE LICENSEI <br /> PLUM6INGCONTRACTOR MAILAODRESS CIiY ZIP %IONE LICENSEI <br /> CU55 OF WOAK <br /> ❑NEW rIADDITION ❑ALTERATION �NEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WONK � <br /> s 1600.00 � <br /> DESCFIBE WORN � <br /> remove exiating roof and replace <br /> PROPOSEO USE OF BUILDINu <br /> sinyle family r.esi.dence IHEREBYCERTIFYTHATIHAVEREADA�!G �XAMINEDTHISAP- <br /> LEOALDESCP.IPTIONOFPROPERN�SHON BELOWOFATTRC�1'OU9fAPIES) PUCATION AND KNOW THE SAME TO PE TRUE AND CORRECT. <br /> 3-24 38 Everett Div. H ALL PROVISIONS OF LAWS AND ORDIVANCES GOVERNING THIS <br /> �o� e�a�_8F TYPE OF WORK WILL BE COMPLIED VIITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING UF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br /> — VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTI�". <br /> SIGN4iuRFOFCpNTRnCTORORAUiNORIZEDnGFNT DPTE <br /> .aa�o��ss� Rockefeller X � " � v7 10/13/80 <br /> PLUM61N0 MECHA ICAL <br /> - NO. TYPE OF FlXTURE OR ITEM FEE NO. TVpE�?! EQUIPMENT FEE <br /> � WATER CLOSET OILE 4�F7 COND.�'IJRS—H.P.EA. <br /> BATHTUB i1EF,--.;�[RATION UPPTS—H.F.EA <br /> UYATORV(WASH 9ASIN) POILERS—H,P.EA. <br /> � SHOWER GAS FIRED AC.UNITS—TONNAGE EA. <br /> . KITCHEN SINK 8 OISP. FORCEO AIR SYSTGMS—B.1.U. M EA. <br /> � DISHWASHER WALLHEATERS—B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> � CLOTHES WASHER EVAFORA7WE COOLERS <br /> WAT[R HEATER CLOTHFS DRYERS <br /> • URINAL VENTILATION FAN � <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANUUNG UNIT— C.F.M. <br /> � VACUUM bAEAKERS STOVE <br /> ROOF GPAINS—RAINLEADEFS METAL f117EPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR,EfC.) <br /> SUBTOTAL SUBTO'Al f <br /> PERM�T f PERMIT S <br /> TOTALFEE t TOTALFEE S <br /> SIDE YARD SETBACK STREE7 SETBACK REAR VARD S4TBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LCT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP � N0.OF DWELLING UNITS <br /> BUILDING 3 1800 .0 29 SO <br /> SIZE OF BLC3. NO.OF Si0R1ES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKt'RS —� <br /> REOUIREO MECHANICAL <br /> ❑YES ❑NO _—_ <br /> APPROVALS er U11TE ' OTHER <br /> 1. ENVIRONMENTALCHECKLIST pENq�Ty U,BC. <br /> SEC.lG31a1 � <br /> 2. BUILDING PIANS <br /> 3. FIRE NYDRHNT TOTAL 2 9 S O <br /> l � <br /> a. FIRE PROTECTION SYSTEM PFRMIT VALIDqTION <br /> 5. GRADING — W��EN PROPERLY VALIDATED(IN iHIS^�f�FJ j�i1S IS��71jFAM� O ���� <br /> UIU UL9 <br /> F. DRAINAGE �--� <br /> 7. ENVIRONMENTALIMPACTSTATEMENT p r- � ' <br /> B. HEALTH DISTRICT � . ' .1 IZ �\r C C I PT� <br /> APPLICATION AC('�.BY PU1NS CHECKED BY APPR.FOR ISSUANCE�Y � � ;�\;J k Y O U Q <br />