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'���� ` ����.���,���,� � �O N ST R U CT I O I� � <br /> everett PERMIT PERMIT NO. ��-�. I�� <br /> CITY HALI 259�P745 <br /> EVENETT.WA98201 }�] COMBINATION Q� BUILDING Gt MECHANICAL � PLUMBING <br /> OWlIER MFILA�C9E55 CITY ZIP PnONE <br /> Antoinette Bochofer 3930 Tulalip .Avenue Everett 252-1339 <br /> ARLHtTECT OR OESIGNER MAIL A�DRE55 CITY ZIP PHONE <br /> GENERFL CONTFAGTOF MAIL AD�RE55 GITV ZIP PMONE UGENS[� <br /> Three Lakes Construction P.O. Box 303 Snohomish 98290 568-4310 <br /> MECHANICAL CONTRACTOR MAIL F�ORES$ CITY 21P PHONE LICENSE� <br /> THREELC201P4 <br /> PWMB�NG CONTPACTOR MRIL AO�RE55 CIiV ZiP PMOt:E LIGENSE M <br /> C1F55 OF WORK <br /> ❑NEW ❑ ADOITION ❑ ALTERATION �7EPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD SiOVE1FIREPLACE INSERT <br /> vAWAT10N OF WORN <br /> s i�,000.00 <br /> DESCRiBE\VORN <br /> Chip Re-Hab <br /> PPOPOSEO USE OF BUILOING <br /> Sin le Famil Residence I H6REBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> 9 Y APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGFL OESGPIPTION OF PROPERiY�5N0\N OELOW OR ATTACM FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �o*27=z��ocK 831 oF Replat of Everett Div. H GOVERNING THIS TYPE OF WORK W�LL BE COMPLIED WITH <br /> -I3lucks-83D-and-831 WHETHER 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 STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB A�DRE55 SiGNAT F CON RACTOR OR AUTI RiZEO FGENi �ATE <br /> 3930 Tulalip Avenue X � � � 2/26/86 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> % WATERCLOSET(TOILEi) AIR COND. UNITS — N.P. EA. <br /> 1 BATHTUB REFRIGEHATION UNITS— H.P.EA. <br /> LAVATORV(WASH BASIN) 001!ERS— H.P. EA. <br /> 1 SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> 1 KITCHEN SINK&DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> DISHWASHER INALL HEATERS— B.T.U. M <br /> 1 LAUNDRYTRAV UNIT HEATERS— B.T.U. M <br /> 1 CLOTHES WASHER EVAPORATNE COOLERS <br /> 1 WATER HEATER CLOTMES DRYERS <br /> URINAI VENTILATION FAtJ <br /> OFINKING FOUNTAIN F7ANGE HOOU <br /> PLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM OREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR,ETC.) FIREPLACEINSERT <br /> HEAT PUMP <br /> SUBTOTAI i 1( QQ SUBTOTAL S <br /> PERMIT S PEPMIT S <br /> TOTAL FEE S ZG OO TOTAL FEE b <br /> SIOE YARD SETBACK STREETSETBACK REAR YAFD SET�nCK PLAN CHECK NUMBER PLAN CNECFFEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACAIJT SITE FEES VALUATION FEE <br /> YES NO <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELUNG UNITS <br /> BUILDING �(�����. 116 SO <br /> SIZE O('BLOG. NO.OF STORIES MAX.OCQ LOAI7 <br /> PLUMBING �.6 OO <br /> FIRE ZO�IE �ASEMENT FIRE SPFINKLERS MECHANICAL <br /> REOUIRED <br /> "FS NO <br /> APPflOVALS BY OATE OTHLR <br /> 1.ENVIRONMEN7AL CHECK UST PENALTY U.B.C. <br /> SEC.303 lal <br /> 2.dUILDINGPLANS 13Z SO <br /> TOTAL <br /> J.FIRE MYDRANT <br /> d.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> S.GRADING \YHEN PROPERIY VALIDATED pN TH�S SPAiE)THIS ISIYOUF PERMIT — (fl <br /> 7 �l �W <br /> 6.DRAINAGE � <br /> 7.ENVIRONMENTAL IMPACT STATEMENT (� <br /> B.HEALTHDISTRIGT � � � , � � � c—� <br /> APPLICATION ACC.�Y PLANS CHECKED B\' APPR.FOR ISSUANCE BY �� I <br /> � <br /> _ ', , . .� <br /> i�DDkFSS I I�E <br />