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thcE�erRrecm CO�STRUCTION � <br /> CITY OF • cCpc <br /> everett PERMIT PEP.nAITNO. � UUUU <br /> 259 -8745 <br /> �7 DEMOLITION O COMBINATION ❑ BUILDING ❑ MECHANICA� Z ❑ PLUMBINoNE ❑ SIGk <br /> MML ADDRESS ❑TY <br /> OWNOi <br /> Everett 98203 355-211 <br /> Associated Sand & Gravel Co. P.O. Box 2037 c r 21„ r„o�c <br /> MnR ADOPE55 <br /> pRCMITECt <br /> MnR PD�PE55 <br /> CIlY ZIP VIIDNE IICENSE� <br /> GENEPA�CONTPACTOR <br /> C Z�p PMONE UCENSE• <br /> MEGM�NICAL CONTRnCTOA hInIL RDOPESS <br /> Ct� Z�p PIIONE IiCENSE� <br /> PIUMOING f,ONTflACiOR <br /> MAIL RODRE55 <br /> aAss ov�+onK BUILDING RELOCATION <br /> ❑ NEW ❑ ADDITION ❑ ALTEflATION ❑ REPAIR ❑ DEMOLITION � <br /> yp�;1pTION Of WORN <br /> $ <br /> pE5CRi0[WOAK <br /> House removed to allow minin of a re ates <br /> �+earsouace ❑ �y00D5TOVE ❑ OTHER <br /> O ELECTRICITY ❑ GAS <br /> PROPOS[UUSEOLOWLDING I HEREBY CEHTIfY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> iEenioescnivnoHovvnoaea*risHowoeiowor�nrrnc��vouecovies CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> The South 112' of the NOYt GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> iot _o�ocK _ or WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRcSUME TO GIVE AUTHORITY TO <br /> 152' of the East 320' of Tract 59, Beverl VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCT�ON. <br /> Iacreage Tracts, Exce t the t9est 160' . �ir,r�nrune or cor+Tv�nctor�.nu+�ior+izEo nceHr.on owr+Ee onrc <br /> �oo no�r+ess � 6-13-86 <br /> 710G Upper Rid e Road <br /> Gerald R. Crang_ <br /> MECHANICAL <br /> PLUMBING FEE <br /> FEE NO. TYPE OF EOUIPMENT <br /> NO. TYPE OF FIXTURE OR ITEM �:�_q,HNDLG U�'iT5-� �i P <br /> WATER CLOSET�TOILET� <br /> REFFiIGERAiION UNITS—��P.E� <br /> [1ATHTU� <br /> DOILERS—0 T U'M P <br /> LAVATORY(WASH�ASIN� <br /> GASFlRE�AC UNITS—OTU. <br /> SHOWER <br /> FORCED��R SVSTEMS—B T U <br /> KITGHEN SINK 8 UISP. h1 <br /> WALL HEATERS—[71 U <br /> DISHWASHER M <br /> UNIT HEATERS —�T U <br /> LAUNDRYIAAY <br /> EVAPORN IVE COOlERS <br /> CLOTHES W�SHER CLOTHES DRYERS <br /> URINAL VENTIL�TION FAN <br /> DRINKING 1=0UNTAIN RANGE HOOD — <br /> FLOOR DPAIN <br /> WATER HEATEfl <br /> �ACKFLOW�'�EVLNTERS WpOD STOVE <br /> HOCP Df7AIV5—RA�NLEA�ERS METAL FlREPLACE 8 CHIMNEY <br /> SINK�SE�V�CE—���.ETC.) FIREPLACE INSERT <br /> MEATPUMP <br /> G�5 PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL <br /> SUBTOTAL S <br /> S pERMIT <br /> PERMIT <br /> TOTALFEE <br /> TOTALFEE = FEE RECEIPiNO. <br /> Ri0rvi5Ei0Acrc REnRs[innCrc S�DESET[tACN PLANCHECKNUA7pEN <br /> use zoNe �o*nr�[n yn�nr�t srte FEES VALUATION FEE <br /> ❑YES ❑NO S O OO <br /> TYPEOFCONSf OCCUP�NCVGROIIP NOO�DWEIUNGUNITS <br /> �UILDING <br /> PLUMBING <br /> sizeora�oe rve orsroniEs MP% OCC LOAO <br /> MECHANICAL <br /> INVESTIGATION FEE Sec.304�e) <br /> FIRE SPRINRLERS REOUIRED ❑VES ❑NO STATE OUILDING SURCHARGE <br /> STATEENERGYSURCNARGE Q6�S�I�BF1 Z�O �QM OOUaHOSJ4 ��'��' <br /> nrrucr.nor�ncr. n� v�ar+SCNecKEoor narnrarus.=unr�rc��r DRIVEWAVPERMIT <br /> TOTAL ELDG 0 00 <br /> ��i • <br /> PERMIT VALIDATION <br /> WHLN PROPEPLV\'ALIDATE�IIN THIS SPACE�THIS IS YOUR PERMIT � <br /> � <br /> �� <br /> �� <br /> r� <br />