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dic Ecrrgrren /���1 V��1 1� '�I O� <br /> CITY OF � �v V <br /> everett PERMIT pERMIT NO. 09576 <br /> QTY HALL 25P�F17A5 <br /> eveaerl wti 9szo� ❑ COMBINATION � BUILDING ❑ MECHANICAI ❑ PLUMBING <br /> n1vNER �dmLaUDaE55 CItY LP PHprvE <br /> Helen M. I�ills 8586 Old Military Rd Bremerton 98310 206-692-2405 <br /> -nr�cnrtecroao�s�crvcrv �eni�aooa�ss cirv zie v��ou[ <br /> GCNERnLCONiRAPOR IdAqqpDRE55 CIIY 21F PIIONE LICEIISEI <br /> Rcoert Johnson 617 - 156tti NE Arlington 98223 652-7240 JO fiN SE 277KC <br /> IALCHNN�CALC011LRACiOR 1/aLA0DPE55 CIIY ZIP PMONE IICENSE� <br /> �1UM01NGCONiFALiOR MAqR�DnE55 pLY ZIP PHONE LICENS[� <br /> CL455OF WORK <br /> ❑NEW ❑ADOITION ❑ALTERATION X}(REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUAiION OF KJpK <br /> s 3600.00 <br /> DESCRiB[WORK <br /> Foundation and skirting on existing structure <br /> PROPOS[D USE Of BURDiNG <br /> Resi dence I HEREBY CeRTIFY THAT I HAb'E HEAD AND EKAMINED THIS AP� <br /> iccnioeswiPrionoFraoFcarr�s�owoeiowonnrrncHFouncoriesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> �2 0�4��-�0 Ready Land Co 1 Add ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THiS <br /> �or e�ocK_or TYPE OF WORK V/1LL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEHEIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTIOIJ OR THE PERFO MANCE OF CONSTRUCTION. <br /> JJBAODR GIGNA1Ut �G. WNl ACtOR �RAUI Dai]ED ➢ENI DATE <br /> �b15 Victor Pl X � • wj �_ �x 7/.Z9/81 <br /> PLUMBING MECH ICAL U� <br /> a <br /> hi0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQ�IPMENT FEE <br /> WNCR f,LOSET(TOI�cTi AIR WND UtJ175—H.R EA. <br /> DATHTUB REFRIGERAT�ON UNI7S—n.P.EA <br /> I.AVATORY(WASH PASIN� UOILCRS—N.V.EA <br /> SHOWER GAu FlRED A.G UNITS—TONNAGE EP. <br /> NITCHEN SINK Z DISP_ FORJED AIR SVSiEMS—�S.U. M EA. <br /> DISNWASHER V.'ALLHLAT[FS—BT.U. M <br /> llWNDRVTRAV UNITHEATERS—�.T.U. M <br /> CLOTH[5 WASHER EVAPOPATIVE CAOLERS <br /> WAT[R HEAT[R CLOTHES DRYERS <br /> UFdJAL V[NiILATION FAN <br /> OPINKING FOUNTAIN HANGE HOOD <br /> PIOOR DRAIN /�A HANDIING UNIT— GF.M. <br /> VACUUM DHEAKERS STOVE <br /> RC�OP DRAINS—PAINLEAOERS METAL FlREPLACE 8 CHIMNEY <br /> SIIJK(SERVICE—BAR.ETC.� <br /> SUB 70TAL SUB TOTAL S <br /> PERMIT S PERMIT S <br /> TOTAL FEE S TOTAL FEE S <br /> SIUE YAfiO SETBhCK Si��C!i GCiUt.f.K REAR YARD SEi�ACK PLAN CHECK NUM�GR PLAN CNECK FCE <br /> 81/9576 FEr�g 93 Rece�Pr r,o <br /> USE ZONE l0T AREA VACANT SITE 54555 <br /> C]YES ❑NO FEES VAWATION FEE <br /> TVPE OF CONST. G:CUPANCY GPOU� NO.OF DWELLING UNITS <br /> BUILOING '',600.00 44 50 <br /> ,IZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> fLUMBING <br /> FIRE ZONE BASEMFNT FlRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> I1VE5 f'�NO <br /> APPNOVALS BY DATE OTHEF <br /> L [NVIRONMLNTAL CHECK LI$T U B.0 <br /> PCNALIV SEC.303(a) <br /> 2 BUIL�ING PtANS — <br /> 3. fIRE HVDRANT TOTAL 4 5n <br /> 4. FlRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIGA7CD��W THIS SPACE)THIS IS VOUR PGRMII <br /> 5 GRADING <br /> � <br /> G DRAINAGE , . . , � _ _� <br /> 7. ENVIRONMENiAL 161PACT STATEMENT �� <br /> 9. HCPLTH DISTRICT � <br /> — � <br />