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d�C Et'cr,�rrP�i C 1 N ST R U CT I O N ^ <br /> CITY OF <br /> everett PERMIT PERM,r r�o. 09114 <br /> CITI'HALL 259�8745 <br /> ev�nen,wn sexoi ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLVMBING <br /> Carol fdcCord 6527 TyeeMRoadFEss Everett � 98203 Z 355-4490A�o�E '— <br /> ARGHREC OR DE:IGNER MAIL AD�RE55 CI1Y ZIP PHON[ <br /> GENCRALCONiRRG10R IAAILA��RE55 CI1Y ZIP �IIONE UCENSEI <br /> Owner <br /> MFCHANICALCANT�ACIOR MPILADDRE55 CIiY ZIP PHONE UCENS[� <br /> PLUMBINGCONiPACTOR MAtLA�ORE55 GTY 21P PMONE UCENSEr <br /> CLA55OF WORK <br /> ❑NE\V ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAIURTI�N OF WOFN <br /> S <br /> �ESCPIC°\VORN <br /> Fireplace insert <br /> Nnocoseo use oF am�owc <br /> Singl e fami 1y resi dence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �ecn�uescA�rnorvoFvnovEarv�s�owoeiowoennacHFouaeomes PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAv:S AND ORDINANCES GOVERNING THIS <br /> ior o�a:�ov TYPE OF WORK WILL BE GOMPLIED WITH WHETHER SPECIRED <br /> � HEREIN OR NOT. THE �RANTING OF A PERMIT DOES NOT <br /> PRESUME TO GNG AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> �oononac�ss :;�cv��ur+[occotiinanoivar�nun�omz[c/ne1eHr o.ve <br /> 6527 Tyee Road, Everett X � : C Lt+�2b� 4/13/81 _ <br /> PLUMBING MECHANICAL <br /> N0. TYPE Of FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> wnrea aoser(toi�en nin coNo uNits—r,e en <br /> SATHTUB REFRIG[RATION IINITS—H.P.EA <br /> LPVA'7Rt �WASH�ASIN) �OILERS—H.P.[A <br /> SNOWER GAS FlRED A.0 UNI75—TONNAGE EA _ � <br /> KITCHEN SINK 8 OISP. FORC[�AIR SYSTEAIS—BSL. 1A EA. _ <br /> OISHWASNER INALL HLATEPS—8 T.U. M <br /> IAUIJDRV TRAY UNIi HEATERS—B.T.U. M _ <br /> CLOTHES K'ASHLN EVAPORATIVE COOIERS _ <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DFINKING FOUNiAIN RANGE HOOU <br /> FLOOR DRAIN Alfl HANDLING UtIIT— QP M. <br /> V�CUUM BPEAKERS STOVE <br /> RDOF DRAINS—RAIN'.EADERS METAI FlREPLACE 8 CHIMNEV <br /> SINK(SERVICE—DAR.ETC.1 �p�Cp j Y1C — <br /> SUB TOTAL SUBTOTAL S <br /> PEflMiT S PEFMIT S <br /> TOTAL FEE S TOTAI :'EE S <br /> SIDe YARD SET6ACK oTREET SETBnCK REAR YARD SETUACI: PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEC R[CtIPi NO <br /> USE ZONE LOT AREA VACANT SITE <br /> f IYES ❑NO FEES VALl1ATION FEE <br /> TYPE OF CONSL OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> �UILDING � <br /> S121[OF BLD3. NO.OF STORIES MA%.O:.C.LOAD <br /> PLUM�ING <br /> FIRE ZONE BASE�AENT �EOUIRED KLERS MECHANICAL �4 5O <br /> f1YES 17N0 <br /> APPROVALS bY OATE OTHER <br /> t. [NVIRONMENiAL CHECK LIST PENALTY ��C. <br /> ' SEC.303(al <br /> 2. BUI�DING PlANS — <br /> 9. FIRE HYDRANT TOTAL �4 5O <br /> d. FlRE PROTECTION SYSTEM PEHAIIT VALIOATION <br /> \4N[N PROPE9LV VALIDATED 9N iN15 SPnCE�1HI515 YOUR PERAIIT <br /> 5 GRADING � <br /> G. DRAINAGL r ; � �^ <br /> 7. ENVIRONMENTAL IMPACi STATEMENT � � �' • ': I G. � n —r'I-{ <br /> � <br /> �. HEALTH DISTRICT <br /> � <br /> APPLICATION ACG PY PI.ANS CHECKED BY APPR FOR I$SUANCE BY . <br /> �_ ' <br /> � � <br /> . . �,i <br />