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di�L'ri�r�re�w CO�JST R U CTI rJ N <br /> CIt1 OI- <br /> � everett PERMIT <br /> c�r, „n�� z��,;��:�; PERMIT N0. O 6 3 9 H <br /> rve��en, wn ,�9;;,, ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br /> ❑ PLUMBING <br /> ,,;��,_�, <br /> H J RObeYt5011 �•�A��Au�r�Es, nrr <br /> 2326 Rockefeller `'' "1O'd <br /> Everett 98201 259-Z2g5 <br /> ra�:�u,r�oiv r[s..,nEr, <br /> niait noon[ss crtr <br /> zir w�oi�� — , <br /> G`..LRAI CfJNiRACfOR 1,IAll AOURCSS <br /> SdRlf? aiv Lp — <br /> PHONE �IGENS[ � <br /> :.�.i rmwLn��ONiRAC70R MAIL AODRESS <br /> CIiY IIP <br /> PMON[ liCCnSE r <br /> PWM1IBING WNiRACtOq MAILADDNE55 <br /> Ciiv ZiP PMONE <br /> uCiNSE r <br /> CLA55 CF WORh <br /> ❑NEV! ❑ADDITION ❑A�TEHATION ❑REPAIR ,f�EMOLITION LFENCE ❑SIGN ❑I;AMGE <br /> .:.�.enno�+oc wo�K <br /> t`['��R�O[ VORK <br /> c�e�olish single family residence <br /> c'QSCD USE OF 0 W LUiNG <br /> :.�•�ioexaivTioNovaao�enrr,s��o�vEauce:unn�no�vouecor��s PLICATIONCAND KNOW THE SAME TO BE RUE AND CORRECT� <br /> '1 �-22 991 � <br /> . „i��_�� vere tt ALL PROVISIONS OF LAWS AND ORDINANCES GObERNING THIS <br /> TYPE OF WORK WILL BE COMPLIED WITH WHETNER SPEGRED <br /> HFREIN OR NOT. THE GRANTING Of A PERNIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLPTE OR CANCtL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGL'LATING <br /> .�0�3�:�nr:Ess <br /> CONSTRUCTION OR THE PERFORMANCE OF C6NSTRUC7i0N. <br /> 2324 RockefelleY s�caarur�eoFa��nancioNoa<un�o��izeoaccr�i <br /> C41E <br /> PIUMBING X ��23 79 <br /> MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE <br /> N0. TYPE OF EOUIPMENT FEE <br /> WATEF CLOSET�ipLLET� <br /> BATHTUB AI�CONO UNIiS—H P EA <br /> f7EFRIG[RATION UNITS—HP.EA <br /> _ LAVA70RY pYASH BASIN� <br /> SHOWER �n��4R5—H P EA <br /> nITCHEN SINK S OISP. ���5 PIHED A C UNITS—TpNNAGE EA <br /> �ISHWASHER <br /> FORCED AIR SYSLEAIS—B T.0 A7 E4 <br /> CJnLL HEAiERS—B1 U. <br /> U+UNDRV iRAV h1 <br /> CIOtNES SVASMEfi UNiT H[ATEPS—�.T U p� <br /> WATEH HEATEP EVAi'pRq7�VE COOLEPS <br /> URINAL CIOTHES Di7VERS <br /> _ DfiINKING FOUN7AIN VENTitA710N FAN <br /> FLOOR DRAIN RANG[HOOD <br /> AiR iIANDLING UNI�— C F M. <br /> VACUUM l3REA1(ERS <br /> ROOF DRAINS—RA W LEADERS S70VE <br /> __ SINK�SERVICE—pAR,ET�.� WETA� FIREPLACE 5 CHItANEY <br /> SU9 TOTAL <br /> PERMIT SUB TOTAL s <br /> S PERMIT S <br /> . 70TALFEE y <br /> S�nE vdRD SETBHCK STR[E7SFTOACK 10TA1 FEE _ <br /> REAR Y'AR�SET�ACK P�AN CHECK NUA1�ER <br /> PLAry CHECK FEE <br /> USE ZONE L0T AiiEA VACANT SITE FEL RECEIPT NO. <br /> i'VES � 'NO FEES VALUATION <br /> iVPE OF CONSi. FEE <br /> OCCUPANCY GRCUP IJO.OF DWELLING UNITS <br /> SIZE OF BLOG. NO.OF STpqIES M� � ��qp DUILDING b OO OO <br /> PLUAI�ING — <br /> FIRE ZONE �ASEMENT FIRE SPRINKLERS <br /> REOUIRE� MECHANICAL <br /> l YES �]NO <br /> APPROVALS DY OATE OTH[R <br /> . �. LNVIRONMENTAL CHECK LIST <br /> 2. BUILDING PLAryS PENA�TY U B C <br /> SEC 309(a) <br /> 3. HREHYDRANT TOTAL <br /> a. FIRE PROiECTION SVSTEM OO OO <br /> PEqM1T VALIOATION <br /> 5. GRADING WNEN PROPERLY VALIDAT[D(IIJ THIS SPACE�THIS IS VOUR PERMIT <br /> f, DRAINAGB 7[ n <br /> _ ENVIRONMENTAL IMPACT STATEMENi � / J � S.�/ O �J, O�O � � <br /> e HEAITH OISTRICi � , ,. (�")� <br /> • � �� <br /> APPLICATIONACCI3V P�ANSCHLCKEU�V APPR. FORISSUANCCBV l�b'U;�R -R��E1PT�- . <br /> 7HANIC Y�0�) �„ <br /> �'`:c'r=:.s r 'i �_ ? 3 � ]9 <br /> �,. <br />