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�hrb�i�rrgrecn � CC�ySTRUCTION � <br />Clir oF <br />everett PERMIT PERMIT NO.OH15H <br />��,� .,A« <�3 a„s <br />ev�aerT, wn �szoi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />O14NLR MAR RL`DRfS CpY ZIP i'NONE <br />Shei�ton 1G26 Virginia 252-9629 <br />nnc�rttct ou oes�cr+i u n+aa nooncss ertr zi�� rHoue <br />GENERAICONiRACiOR MARADDRE55 GI1Y ZIP PMpNE UCLNSCI <br />Everett Builiers 5606 Evergreen Way 98203 353-7161 <br />MECNANICAlCONIfihC:JR MAILAD�NC55 CItY ZIP �HONE ULENSEI <br />EV EB 301PH <br />PLUMfiINGCONiPAC�OR MRiUD�RC55 Gir 21P %HONE LICENSEI <br />❑NEW <br />s 1680.00 <br />❑ADDITION C]AITERAT10N .�OEPAIR ❑DEMOLITION ❑FENCE ❑SIGN LGARAGE <br />re-roof composition <br />CROCOSFD USE Of BWI�ING <br />single family residence <br />LF SAL �ESCRiPiION OF FROPEATY ISNpW BEIOW 0Ii ATT+OI V"OUR <br />�or 19-2���K 33�: Everect Div U <br />:oo aooeess <br />1626 Virginia <br />PLUMBING <br />N0. TYPE OF FIXTURE OR <br />WATER CLOSET (�OILET) <br />RATHTUB <br />LAVAIORV (WASN BASIN) <br />SHOWER <br />K1IGIIEN SINH 6 DISP. <br />�ISHWASHER <br />WUNDi7Y TRAV <br />CLOTHES\VASMER <br />WATER �:EATER <br />URINAL <br />DRINKING FOUNTPIN <br />ROOF <br />SIDE YARD <br />USE ZONE <br />TYPE <br />STREET 56T[3ACK <br />LOT AREA <br />OCCUPANCY GR( <br />L ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FlREHYDRANT <br />4. FIRE PROTELTION SVSTEM <br />5. GRAOING <br />6. ORAINAGE <br />Z ENVIRONMENIALIMPACTSTATEMENT <br />8. HEALTH OISTRICT <br />APPLICATION ACC. BY PIANS CNECKED BV <br />FE�i <br />VAR� SET3ACK <br />VACANT SITE <br />L1YE5 I :NO <br />NO.OF DWEL <br />MAx <br />APPR FOR ISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMIfJED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED W!TH WHETHER SPECIPIED <br />HEREIN OR NOT. THf. GRANTING OF A PERMI? DOES N07 <br />PRESUM[ TO GIVE AI�THORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGYnlun�o�CO�NTn/P ip�R.L�*nOFii1D>6'.N/jJ ��f �ATE <br />X�-I I�Ya"• � P A�11R�!/VY -�l 8�25�80 <br />NO. TYPEOFEO[IIPMEN7 ree <br />�an coNu. uNirs -�+ r en _ <br />FEFFIGERATiON 1NITS — H P.EA <br />�DIL[RS — N.P E4 <br />GAS FIR[D AC UNITS — TONNAGE EA. <br />fORCFD /JR SYSTEMS — B T U �d EA. <br />VJALL H[ATEPS — � T.U. M _ <br />UIJIT HEATERS — dT.U. M <br />EVAPORnTIVE COOLERS _ <br />CL(1"Y[5 DRVERS <br />V[NTILATION FAN <br />P4NGENOOD <br />AIR HANDLING UNIT — C F M. <br />STOVE <br />METAL FlREPIACE 8 CHINHEV <br />SUBTOTAL S <br />PENMIT 5 _ <br />TOTAL FFE f <br />PLAN CHECK NUMBER PLAIJ CHELK F[[ <br />FEE RECEIPT NO <br />FEES VALUATION FEE <br />BL'ILDING 5 1680. 17 00 <br />PLUMBING <br />MLCHANICAL <br />OTHER <br />�'ENALTY U B.0 <br />SEC. 303 (a) <br />TOTAL 1% OO <br />. _. ..._ _ _.. <br />WHEN PFOPERIY VALI�ATED pN THIS SPACE) TMIS IS YOUR PERMIT <br />6gtg $011.00 —o0 1 <br />l"'I <br />�,%;UR R�CCI <br />4 ;.!;.�t,}�; YJ <br />ACDRESS FIL.E <br />?n;Ij;BO <br />