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1 1 <br /> thcEvergmn� � Cr NSTRUC'TION � � � <br /> GTY OF <br /> �verett P�RnAIT PERMIT NO. O6H26 <br /> CITY FIALL 259�87a5 � COMBINATION � BUILDING � MECHANICAL � PLUMBING <br /> EVEPETT.IVA 98201 � <br /> cnr ziP rnone <br /> � NEq rann nouerss 98115 524-8961 <br /> Seattle <br /> Sam Matsen 4412 N.E. 60th Street ziv PNONE <br /> MAIL PDDRE55 <br /> qRCMIiECi OF OLSIGNCP <br /> MAIL AVOPE55 <br /> CIiY ZIP PNONE UCENSE� <br /> GENERALCONTRRCiOP <br /> SAA1E cirv zm rHor+[ uc[ns[r <br /> MECNANiCAL CONiFACiOR AIAIL AOORE55 <br /> AIAIL RDDPC55 <br /> CIiY ZIP PHONE LiCENSE� <br /> PlUM01NG CONiRAQOR <br /> CtAS50G WORK <br /> �ryE�y ❑AODITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARA6� <br /> vn�uATiorv oF woarc <br /> s 50,000.00 <br /> oESCni�E woPrc <br /> Construct Single Family Residence <br /> aaoaosEo usE oF ouaoiNc <br /> Single Family Residence pLICAT ON AND KNOW THE SAMEETO BE�TRUE AND�CORRECT. <br /> iees�o[uniano�+oF��ntt is��ow oe�ow oa nrtnce Fou�uo�i�s� ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> Everett Div. li TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> LOi °10CN 83°� HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> Lot 32 and the t9 95' of 33, 34, and 35 and all PRESUMETOGIVEAUTFIORITYTOVIOLATEORCANCELTHEPRO� <br /> _o� VISIONS OF ANY OTHER STATE OR LOCAL W PEGULATING <br /> L 30-29-5 CONSTRUCTIO OR THE PE M. CE ONSTR�UiCTION. <br /> <�aanrmieo� .,r+rnnaononnu �� 10/12/79 <br /> JpBACDPC55 7 � �� <br /> 3912 Tulalip Avenue <br /> � M CHANICAL <br /> PLUMBING TYPE OF EQUIPMENT FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. <br /> G AIR COND.UNiTF—HA.EA. <br /> 3 VlpTER CLOSET fTOILET) 4 Op pEFRIGERAT�ON UNIiS—HP.EA <br /> Z BATHTUB 6 OO f30REH5—NP.EA. <br /> 3 LAVATORY IWASN OASINI GAS FlRED A C UNIiS—TONNAGE EA. <br /> s�+owea 1 Foaceo nin srsrenis—a T.u. r.�en 5 00 <br /> 2 00 �, <br /> 1 KITCHEN SINK 8 DISP. z Op �yp��ry[ATERS—0 T.U. <br /> ]. DISM\YASHER z Qp UNITHEATERS—�T.U. A� <br /> ]. IAUNDRY TRAY Z Op EyqppqATIVE COOL[RS � <br /> 1 CLOiHLS WPSMER � OO <br /> Y OO 1 CLOTHLS D�YERS Z OO <br /> WAiER HEATER 1 V[NiILAT10N FAN 3 OO <br /> URINAL .L RANGE HOOD <br /> ORINKING FOUNTAIN z 00 qIR HANOLING UNIT— C F M. <br /> .L FLOOR ORAIN STOVE <br /> VACUUAI�AEANERS 3 �� <br /> 1 METAL FIREPIACE 8 CHIRINEY <br /> qppF DRAINS—�7AINLEADERS . <br /> SINKISERYICE—�AR.ETC] <br /> SUBTOTAL S ].6 00 <br /> SUBTOTAL 28 00 PERMIT f <br /> PEPMIT = 70TA1 FEE f S6 00 <br /> TOTAL FEE f ZB OO PLAN CHECK FEE <br /> SIDE YARD SETBACK STREET SET�ACK REAR YARZOS;TOACK PIAN CNEGK NUMBEP FEE 93.SO RECEIPT N0. <br /> 6, 20' 79/501 91830 <br /> I.OT nREA VACANT SITE FEES VALUATION FEE <br /> USE ZONE �XVES ❑NO <br /> R-1 <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DW iLING UNITS 1B] OO <br /> V-N R-3 eui�ou+c a 50,000. <br /> SIZE OF OLDG. NO.OF STORIES MAX.OCC.LOAD Z 0 OO <br /> PLUMBING <br /> 33'x36' Z FIRE SPRINNLERS �'6 �� <br /> FIREZONE OASEMENi RWUIFED MECHANICAL <br /> 3 Yes nrEs o <br /> APPROVALS <br /> BY DATE OT4ER <br /> 1. ENVIRONMENTALCHECKLIST PENA�T� SECC903�a) <br /> z. ovaomcav�r+s rora� 231 00 <br /> 3. FIRL HYDRANi pEqM�T yp��DAlION <br /> a. FIREPROTECTIONSYSTEM WHENPROPERLYVALIDATED(INTHISSPALE)TMISISYOIIRPERMIT <br /> � <br /> 5. GRAOING (v <br /> 6. DPAINPGE � <br /> 7. ENVIFONMENTALIMPACT STATEMENT � <br /> � <br /> 0. HEALTN�ISTPICT <br /> APPUCATION AGC.�Y PLANS CHECKED�Y APPR.FOR ISSUANCE�Y <br /> V.C. <br /> ADDRESS FIL[ <br />