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����� t�"`.f��,� CONSTRU�TION <br /> ��,��; �_ <br /> everett PERMIT PERMIT N0. �455 `� <br /> Ci7V HALL 259�A7a5 <br /> eveaerr.wn seaoi � COMBINATION � BUILD!NG ❑ MECHANICAL ❑ PLUMBING <br /> 01YNER MAIL ApDRE55 �ITV 21P <br /> PMONE <br /> Phil Smithson 1525 Grand Everett 98201 <br /> ARCH�TECT OR pESIGNEN MA�L qpDiiE55 pTY Z�P PMONE <br /> GENERALCONTRuGiOR MAILqDDRE55 CITY ZiP PHONE UCENSE� <br /> Wm. Blakely P,O. Boa 3085 Everett 98206 WHBLAC 169 CH <br /> MEGMnNICAL CONTRRGTOR MAIL q00RE55 CITY $IP PMONE LICENSE� <br /> PLUMBING CONiPAGi09 MAIL FpDRE55 GifY ZIP PNONE LIGENSE I <br /> CU55 OF WORK <br /> ❑NEW ❑ ADDITION ❑ ALTERATION ❑REPAIfl �DEMOLITION ❑ FENCE � SIGN O WOOD STOVE/FIREPLACE INSERT <br /> VALUr1T10N OF\YORK � <br /> S <br /> OES�NiBE WORN g <br /> 7 <br /> Move Residence to 7129 Upper Rid e Road H <br /> PROPOSED USC OF BUiL01NG - (� <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE REAU AND EY.AMINED THIS � <br /> LEGAL�ESGFIPTIONOFPROPENTYISHOWBELOY10FiATTACHFOURCOPIES� APPLICATION AND KNOW THE SAME 70 BE TRUE AND <br /> CORRECT. ALL PROVISIONS 0= LAWS AND ORDINANCES <br /> lOT_BLOCN__OF eeverlv Acreaq GOVERNING THIS TYPE OF WORK WILI BE COMPLIED WITH <br /> S. 112' of the N 152' of the E 320' of Tract ERMITDOESNOTIPR SUMETOGIVEAUTHORITYTOVIO�TE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR y '� <br /> 54 G 12-28-4 LOCAL LAW RE3ULATING CONSTRUCTION OR THE � � <br /> PERFORMANCE OF CONSTRUCTION. � <br /> JOB ADDRES$ SIGNAiURE OF G NTRACTOR OR LMO 12E0 AGEN DATE }� <br /> 7106 Upper Ridge Road X � - - _ � , y,� 3 12 85 y � <br /> PLUMBING MECHANICAL o <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILET) qIR CONO.UNITS— H.P. EA. Ir <br /> fiATHTUB REFRIGEFATION UNITS— M.P. EA. y <br /> � z <br /> LAVATORY�NASH 9ASIN� BOILERS— M.P. EA. [-� � <br /> �-I H <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. � Ul <br /> KITCMEN SINK 6 DISP. FORCED AIH SYSTEMS— B.T.U. M EA. <br /> DISHWASMER ' WALL HEATERS— 6.T.U. M � � <br /> LAUNDRY TRAY UNIT HEATEF$— B.T.U. M <br /> CIOTHESIN4SHEfl EVAPORATIVE COOLERS � H <br /> WATER YEATER CLOTHES ORVERS ��" <br /> URINAI VENTILATION FAN R] <br /> — V1 <br /> DRINKING FOUNTAIN RANGE HOOD fA <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. . � <br /> VACUUM BREAKERS STOVE—W000 <br /> ROOP DRAINS— RAINLEADERS METAL PIREPLACE 8 CHIMNEY <br /> _ SINK(SERVICE — UOP, ETCJ FIFEPLACE INSERT � <br /> HEAT PUMP <br /> S <br /> H <br /> N <br /> SUB TOTAL S SUB TOTAL S � <br /> PERMIT f PERMIT t H <br /> TOTALFEE f TOTALFEE Y � <br /> SIDE VARD SETBACK STREET SET�ACK REAfl YARD SETBACK PLAN CMECK NUMOER PLAN CHECK FEE <br /> rEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> � YES NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELIING UNITS <br /> BUILOING E 00 00 <br /> SIZE OF BLLG. NO.OF STORIES MAY,OGG LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIFE SPRINKLEFS MECHANICAL <br /> REOUIRED <br /> YES KO <br /> APAROVALS BY DATE OTHEF <br /> 1. ENVIFONMENiAI CMECK LIST U.BC. <br /> PENALTV SEC.30�la� <br /> 2.�UILDING PLANS _ <br /> J.FIPFMY�RANT TOTAL OO 00 <br /> d.FlRE PFOTECiION SVSTEM PERMIT VALIDATION <br /> 5.GRr:DING WMEN PROPEflLY VALIOATED(IN THIS SPACE�THI515 VOUP P[qMIT G''� <br /> 6.ORF1':AGE Residence on Septic Tank �� � - -' ���! <br /> 7.ENVI'�Oh.AENTAL IMPACT STATEMENT <br /> Li1 <br /> B.MEALTH DiSTHtCT �' <br /> i ,� <br /> APPLICATION ACQ BY PLANS CHECKED OV APPR.FOR ISSUANCE BV . , <br /> AD:�^�:.`.2.', '��il: <br />