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-1 <br />r <br />the `'`Tl.yD l <br />r- CONSTRUCTION' <br />everett <br />PERMIT <br />PERMIT NO. <br />125 70 <br />CITY MALL 25"745 <br />EVERETT, WA 98201 ❑ <br />COMBINATION Ri BUILDING L . MECHANICAL <br />❑ PLUMBING <br />r <br />OWNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />ESKIL JUNGARO <br />4124 South Third Avenue Evrt <br />353-2291 <br />21P <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />GENERAL CONTRACTOR <br />PHONE LICENSE <br />ZIP <br />MAIL ADD 3S Cl" <br />R. Yepez <br />PO Box 721G Fverett WA 98201 <br />258-3089 DOVERC181D5 <br />Jose <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />21P <br />PHONE LICENSE A <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSED <br />L. <br />L <br />CLASS OF WORK <br />❑ NEW ❑AUDITION ❑ALTERATION HB REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑ W000 STOVEIFIREPLACE INSERT <br />OF <br />f 7 <br />rmm,ncitinn <br />PROPOSED USE OF BUILDING <br />CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Residence <br />I HEREBY <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY (SNOW BELOW OR ATTACH FOUR COPIES$ <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT_BLOCK_OF <br />WHETHE. . SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORLIANCE OF CONSTRUCTION. <br />JOB ADDRESS <br />SIGNATUR OF CONTRACTO9 OR UT ORIZEO AGENT 10� ATE <br />8/83 <br />4124 South Third Avenue <br />X <br />PLUMBING <br />MEC NICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER AOSET(TOILET) <br />COND. UNITS — M.P. EA. <br />TION UNITS — N.P. EA. <br />BATHTUB <br />LAVATORY GNASH BASIN) <br />H.P. EA.SHOWER <br />A.C. UNITS — TONNAGE EA. <br />IREPMR11GERATION <br />R SYSTEMS — B.T.U. IT EA. <br />KITCHEN SINKS DISP. <br />DISHWASHER <br />TERS—B.T.U. M <br />ERS — B.TU. M <br />LAUNDRYTRAY <br />CLOTHESWASHER <br />IVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE d CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUBTOTAL S <br />SUB TOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE S <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />!;YES C,NO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f 734.00 <br />14 <br />50 <br />_ <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />REOUIREDIKLERB <br />MECHANICAL <br />OTHER <br />YES NO <br />APPROVALS <br />BY <br />DATE <br />U.B.C. <br />1. CNVIRONMENTAL CHECK LIST <br />_ <br />PENALTY <br />SFC. 303 (al <br />2. BUILDING PLANS <br />TOTAL <br />14 <br />50 <br />3. FIRE HYDRANT <br />_ <br />d. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS Sl SPACE) THIS PE VTR <br />5. GRADING <br />f ffy ti <br />J UU U-. <br />C\ <br />YOUR RECEIPTT <br />THANK YOU <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8, HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />1 9 OCT 83 <br />J <br />ADDRESS FILE <br />L J <br />