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�heL•vcrgreen � C1�STRUCTION ^ <br /> CITY OF <br /> everett P�RMIT PERMIT NO. 09114 <br /> CITYHALL259�B745 � COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBItaG <br /> EVERETT.WA 9020t <br /> MRILAOUPESS CIIY 21P PMONE <br /> OWNER <br /> Carol I+IcCord 6527 Tyee Road Everett 98203 355-449 <br /> MAIL AOOPL55 <br /> CITY ZiP PHONE <br /> ARC���iECi OR DESIGNER <br /> GfNERAL W��TRPCiOP <br /> I.IAIL AD��E55 CITY ZIP FIIONE UC(NS[I <br /> Owner <br /> MEO�ANICAI CANiRACLOA <br /> MPIlA0DRE55 CrtY ZiP PNONE UCENSE� <br /> PLUMBING CANiRALTOR <br /> AIAII.PC�RE55 GiY 21P PHONE LICENSE 1 <br /> CLA55 OF WO�N <br /> ❑NEW ❑FDDITION ❑ALTEPATION ❑FEPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VAWAiION OF WORK <br /> S <br /> �ESrRIBE WDAK <br /> Fireplace insert <br /> vaorosEu use oF nunoi�+e <br /> Single family residence I HEREBY C[RTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> PLICATION AND KNOW THE SAME 10 BE TRUE AND CORRECT. <br /> iccA�oescnirno�+oc ruoaearv�s�ow ue�owoannne�rouawoies� ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> i�r o�xK_oF TYPE OF WORK WILL BE COMFLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NO1. THE GRANTING OF A PERMIT DOES NOT <br /> V SEONS OF ANY OTHER 9TA E�OH OCA�LRLAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> — sicnnruF� oFcor+�anci iionnun+o�uzeo�cc�.i onre <br /> 6527 Tyee Road, Everett X ����j ty.�47-9:'�' �D � 4/13/81 <br /> MECHANICAI � <br /> pLUMBING FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE _ NO. TYPE OF E�UIPMENT <br /> nin coNo urairs—i+n[n. <br /> WA1EP CLOSET�TOILEi1 qLfRIGERaTION UNITS—HP.EA <br /> BATHTUB BOILERS—H P.EA <br /> �AVATJRY pYASH BASINI GAS FINED AC.UNITS—TONNAGE EA <br /> SHOWER FOFCEU AIR SYSTLMS—8 T.U. M EA. <br /> NITCN@J SINK 8 DISP. pJALL HEAT[RS—�7T-�� M ' <br /> DISHWASHEq UNITHEATERS—OTU. �� — <br /> �AUNORY TFlAY E��ppp�q7�VE COOLERS — <br /> CLOTH[51'JASHER CLOTHES DRYERS <br /> \"lATLR HEATER yENTILATION FAN <br /> _ UR�NAL RANGE HOOD — <br /> ORINKING�OUNiPIN pIR NANDLING UNIT— C F.M. _ <br /> FLOOR URAIN STOVE <br /> VACUUAI�RLAH[P:1 IAETAI.fIFiEPLACE&CHIMNE� __ <br /> qOOF�FnINS—RFINLEADERS ' e��aC�t — � 'Q— <br /> SINK�SeFVICE—E'.R.ETCJ <br /> SUB TOTAL 5 0-- <br /> SUB TOTAL pEPM1T S �— <br /> PEHMIT s <br /> TOTALFEE s <br /> TOTAL FEE f p�AN CNF.CK FEE <br /> SIOE YARD SETBACK GTPEET SETBACK REAi7 YARD SET�ACR PLAN CHECK NUM�ER qECEIPf NO. <br /> fEE <br /> USE ZONE LOT AHEA VACANT SITE FEES VALUATION FEE _ <br /> ❑VES ❑NO <br /> TYPE OF CANST. OCCUPANCY GROUP N0.OF DWELLING UNITS — <br /> BUILDING S <br /> SIZE OF BLOG. NO.OF STORI[S MAX.OCC.IOAD <br /> PLUMBING <br /> PIRE ZONE BASEMENT FlRE SPPINKLLRS MECHANICAL �4 5O <br /> REOUIREO — <br /> I"'ES [iN0 <br /> pPPpOVALS <br /> gy DATE �THER <br /> U B.0 <br /> t flNVIRONM[NTAL CHECK LIS' P[NALTV SEC.307(a) <br /> ^. BUILDI�G PlANS TpTA� �4 5� <br /> 3. fIRE M��RANT <br /> PERMIT VALIDATION <br /> d. iIRE PROTECTION SYSTEM WHHN PROPLRLY VALI�ATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> G` <br /> 5. GR�DING � <br /> G. DRAINAGE � � ` I � �� j �. �1 �� '—� <br /> L ENVIRONMENTALIMPACTSTATEMENT CI7 <br /> B. HEALTH DISTRICT � <br /> APPLICATION ACC.�Y PLANS CHECKED�Y APPR.FOR ISSUANCE BY <br /> , ii,� <br /> . i� <br /> neoRessFn_r , , . ,, <� , � <br />