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,,,,. r ,�,�„�.�,,, �O N ST R f� CT l0 � ' <br /> everett PERMIT PERMiT N0. l�' � <br /> p1V riALL 253-F17e5 <br /> cvevveTr, c:n 9azo+ �� COMBINATION SX BUILDING C MECHANICAL IJ PLUMBING <br /> 01aHER <br /> Ma�cGDAE55 LiiV ,-�v vHJNC <br /> Everet� 98201 '152-8 <br /> Wallace Peper 3027 Tyl�a7iq Aven +P -- cirr —�ziv rHx+e <br /> hRCNITEGi OR DESiGNlR !AAiI R��RE55 <br /> G[HERhLGONTRPGiOR MPILRDDRE55 CITY ZIP FN]NE ���E'`�'� ^ <br /> Same <br /> MEGMANIGALGONTA:CTOA MnILADDRE55 QTY 2iP PMONE LICPe.f • <br /> 4LUMBING GONTRAGTOR MRIL AODRE55 CITV ZIP P-IONE U�F'�'�� � <br /> r.1n55 OF WORK <br /> ❑NEW ❑ ADDITION �Y.ALTERATION ❑REPAIR ❑ DEMOLITION O FENCE ❑ SIGN O 'NOOD STDVEIFIREPLACE INSC _ <br /> `(Rt uAtIOH Of WORK <br /> 1 11 n�0.�� � _ <br /> IiCSGn�AE WORN <br /> Construct new roof structure ___ <br /> rncrosEo use oF euaowc I HEREBY CERTIFY THAI� I H4VE READ AND EXAMINED THIS <br /> Single family residence APPLICATION AND KNON' THE SAME TO BE Tr7UE AND <br /> ��caioeseainnoNocvaoveaTvisnowee�owon�rr�cNFouneowesr CORRECT. ALL PROVISICNS OF LAWS AtID ORDINANCES <br /> GOVERNWG THIS TYP[ OF �VOPK WIU_ BE COMPLIED V✓!TH <br /> io*1 e�ocK_ov WHETHER SPECIFIED HEREIN OR NQT.THE GRANTIPlu OF A <br /> 30 29 5 PERMIT DOES NOT PRESUM�TG GIVE AUTH<1RITY TO VIOLATE <br /> OR C4NCEL THE PRnVISIONS OF ANY CTHER STAT[ OR <br /> LOCAL LAW NEGULATING CONSTRU�:TION OR THE <br /> PERFORMANCE OF CONST C ON. _ <br /> JOH 4DORE55 S�iGNAt�UF 06�(,QJ�!'RACt�OR R01 C �V <GFui <br /> 3027 '!'ulalip E1ti[KRNat Avenue k �(-/�� � � � C <br /> —7q <br /> PWMBINC MF.CHAII AL _ __ <br /> 1_-- <br /> NO. TYPE OF FIXTURE OR ITEM FEE YO. TYP,':OF [OUIPMENT _ FEE <br /> WATEqCLOSET�TOILETI _ AIP COND.UNIT:t- N.P. EA. <br /> �ATHI'UB REFRIGERATION UNIT$— M.P.EA. __ <br /> LAVATOHY(N�ASMBASW) BOILERS— H.r' EA. _ <br /> SMOWER GAS FIRED A.C.UNITS—TONNAGE EA. _ __ <br /> KITCNEH SINK 8 DISP. FORCED AIR SVSTCMS— B.T.U. M EA. <br /> DISfiWASHER 'NALL MEATERS— B.T.LL M <br /> LAUNDRY iRAY UNIT MEATEPS— B.T.U. M <br /> CLOiMESWASMER EVAPORATIVECOOIERS <br /> WATER HEATER CLnTHES DRYERS _ <br /> URINAL VENTILATION FAN — ,Z <br /> DRINKING FOUNTAIN RANGE HO00 L <br /> FIOOR DRAIN AIR HANDLING UNI1— C.F.M. <br /> (. <br /> VACUUM BHEANERS STOVE —WOOD - �� <br /> ROOF DRAINS— RAINLEAOERS METAL FIREPLACE 8 CMIMNEV _ _ <br /> SINK(SERVICE—BAR,EiC.) FIREPLACE ItlSERT _ <br /> HEAT PUMP <br /> __ ti : <br /> _ — �- <br /> _ 'r '_ <br /> SUBTOTAL i SUBTOTAL Y _ <br /> � PERMIT PEPMIT = _ - <br /> TpTAI FEE f tOTAL FEE : �� - <br /> PLAN GHECK FEE . . <br /> ;.�pEVAF�SETBAGK STRfET5E78ACK REAP YARD SETBACK PLAN GMECK NUMBER - , <br /> 84/12966 FEE 5G.23. NECEiPT rvo ,_ <br /> �— — �D---- - � , <br /> �i��ZONE I LOT AREA VACANT SITE FEES VALURTION FEE _ <br /> .YES XI�{O � ' <br /> TYPC OF CONSI. OCCUPANCY GROL'P NO.OF DWELLIIJG UNITS — C� � <br /> V-N R-3 BUILDING S 11�000. __ 86 � 50 � ; <br /> ';CE OF BIDG. NO.OF STORIES MA% OGC. LOAD � � <br /> 3�XSG 1 — FIUMBING _ <br /> ?i�EZONE BASEME�T pEOUSRED,KLERS MECHANICAL � <br /> VES NO <br /> . OTHEH <br /> APPROVAIS BY DATE — — -- . <br /> -- U.B G <br /> � FIJVIRONMENTFL CHECK LIST _ PLNFLTi SEC.3031ai . <br /> :' [3UILDINGPLAtJS ___ TOTAL I--� ��--� E�i ISO . <br /> ��. RREMYDRANT - <br /> .�. �iREPFiOTECT10N5YSTEM PERMIiVFLIDATION � . <br /> 14MLN PROF`cRl V VAL�DATED IIN TH6 SPf�CII L115 S YCLR PERIdIT � <br /> i.. 119A�ING — - ,. ,� ' — <br /> � DRAINAGE . . � . . rn <br /> � ENVIRONMENTALIMPACTSTATEMENT N <br /> ��.fPITNDISTRIC� �.. �� t['�'� � <br /> r.cf'�.�(-�? C'� nCC.8Y PLANS CMECKED BY APPR.FOR ISSUAHCE GV <br /> iCD JEF u . , .� ,.) <br /> . _�.,'RL_; � � <br />