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- rhe'�reo . •' . V�,ISTRiJCTlO�I � � . .�� .!�� <br /> . .�+Ve�� PERMI� PERINR NO. �8295 . n `-`� <br /> GTY HALL 25BET�5 . . . . - <br /> eve�rr,w� sezo� ❑ COMBINATItIN GLltSU1LbINO ❑ MECHANICAL CO PLdMBINa � <br /> ��JWNEH MRILADDRESS CITY ZIP PMONE <br /> Gregory Oatee 2111 Rockefeiler Everett 98201 258-3112 <br /> ARCNRECT OR pE51GNER AIRIL RDDR?55 CITY '+ PMONE <br /> GENER�L CONTMGTOR MAIL ADDRESS ��TM 9 B Z O 3 '2 5 NErj''�,j 7 ��CENSE 1 <br /> Snohomish County Builders 5606 Evergreen Way <br /> MECHANICRLCONTPACTOR AMILADURESS UTY ZIP VMONE LICENSE• <br /> PIUI.'BIkGCANTRACTOR MAILADDRESS LITY 21P PMONE UCENSE� <br /> GLASS OF WORK <br /> ❑NEW ❑ADDITIO'� ❑ALTERATION j�IEPAIR ❑OEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> V�IU�T10N OF WORK <br /> S 4380.�0 <br /> DESCRIBE WORK <br /> concrete block foundation <br /> PIiOPO5E0 USE OF BUII�ING <br /> sinqle family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> tEGAL�ESLRIPTIONOiFROPEFTY�SHOW BEIfWpRATTACNFOURCAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> Lesa S l�i '6 437 Everett ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ioT eiocK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO G�VE AU7HORITY TO VIOLATE OR CANCEL THE PRO• <br /> VISIONS OF ANY OTHER STATE nR LOCAL LAW REGULATING <br /> CONSTRUCTION OR?uE PERFO ANCE OF(:ONSTRUCTION. <br /> JOBRDOPESS SIGNAi G OF CONiR G R �UiHORRED NT DATE <br /> 2111 Rockefeller X ^� � 9/lf+/80 <br /> PLUMBINO MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EUUIPMENT FEE <br /> WATER ClOSET(TOILE7) AIR COND.UNITS—HP.EA. <br /> BATHTUB REFRIGERATION UNITS—H,P.EA <br /> LAVATORY(WASH BASIN) BOILEFS—H.P.EA. <br /> SHOWER GAS FIREU AC.UNITS—TONNAGL eA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B T.U. M EA. <br /> OISHWASHER WALL HEATERS—B i.U. M <br /> LAUNDRV TPAY UNIT HEATERS—0 i.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRVERS <br /> URINAL VLNIIV+TION PAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOP DRAIN AIR NAhDiING UNIT— CF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADEPS _ METAL FlREPLACE 6 CHIAINEY <br /> SINK�SERVICE—BAR,ETC.1 <br /> SUB 70TAL SUBTOTAL S <br /> PEHMIT S PERMIT f <br /> TOTALFEE S TOTALFEE S <br /> SIDE VARD SETBALK STNEET SET�ACF REAR YAFD SETBNCK PLAN CHECK NUM�ER PLAN CHECK FEE <br /> FEE RECEIFi NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> 'JYES GNO FEES VALUATION FEE <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUI�DING 54380. 32 00 <br /> SIZE OF BLDG NO.OF STORIES MA%.OCC.LOAD <br /> PLUAIBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> IlVES ❑NO <br /> APPROVALS BY D11TE OTMER <br /> 1. ENVIRONMENTALCMECKLIST pENq�Ty UBC. <br /> SEC.303(a) <br /> 2. BUILDING?LANS <br /> TOTAL 3 2 0 0 <br /> 3. FIRE HY�RANT <br /> a. FIRE PROTECiION SYSTEM PERMIT VALIDATION <br /> WHE4 PROPERLY VALIDAiED(IN THIS SPACE)TMIS IS YOUR PERMIT <br /> 5. GRADING � 8 � 3 a 0 31. 0 0 �� � <br /> 6. DRAINAGE <br /> 7. ENVIRONMENTAL IMPACT STATEMENT N <br /> � <br /> B. HERLTHDISTRICT 'i� J R RECEIPT � <br /> APPLICATION ACC.BY PU1N5 CHECKED 8Y APPR.FOR ISSUANCE BY <br /> iE-fAN� YOU <br /> ADDRESS FILE I 6 SEP SO <br />