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\i <br /> _ � <br /> � I � <br /> �he EcerXreen ^p�ST R U CTI O 1� <br /> ��,Y oF �_ <br /> everett PERMIT PERMIT NO. �-2219 <br /> CITV HALL 25987d5 <br /> EVERETT.WA982�� ❑ COMBINATION � SJILDING ❑ RAECHANICAL ❑ PLUMBING <br /> OWNEN <br /> MAILAODRESS LITY ZIV PMONE <br /> . C. CHADWICK 1012 Rucker Avenue Evecett WA 268-40 PHQNE <br /> ARCNITEGT UR OESIGNtV MFII A�ORESS <br /> GENERAL LUNTRAGtOF MAIL�DORESS <br /> CIIY ZIP PNONE LIGENSE� <br /> Bravo Roof Restoration 6025 Rockefeller �verect WA 347-1694 BRAVORRIPOBE ��CENSE� <br /> MECMRNILAL CONTR�CTOR MRIL RDDRE55 <br /> f,1�Y ZIP PHONE IICENSE• <br /> GIUMBING CONTRRCT�F MRIL RDORE55 � <br /> � CU55 OF WORK <br /> ❑NEW ❑ NDJITION O ALTERATION �REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSEPT <br /> VnLUAT10N OF WOPK <br /> s23�0.0� <br /> pF5CR16E WORN <br /> Reroof - shakes <br /> P1iOPOSEDU5E0F BUILOING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�LOESCRIPTIONOFPROPEATY�SHOWBELOWORATTRCHFOUNGOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 5&6 21 5 Bail ey Add GOVERNING THIS iYPE OF WORK WILL BE COMPLIED WITH <br /> LOT__BLOCN_�F �yHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> �OCAI LAW REGU�LATINGSCOONSTRUOCTIONSOR THE <br /> PERFOR E OF CONSTRUCTION. oAtE <br /> 51 TR�GTORORRUTHORI2EDAGENT ���5/83 <br /> JOB R �PE � , i/ � <br /> 1 Rucker `a� <br /> MECHANICAL <br /> PLUMBINO � FEE <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. _ TYPE OF EOUIPMENT <br /> PIP CONO.UNITS— H.P.EA. <br /> WATER CLOSET(TOILET) <br /> '.jEFRIGERATION UNITS— H.P.EA. <br /> BATHTUB <br /> BOILERS— M.P.EA. <br /> LAVATOPY�WASH BASIN) � <br /> _ GAS FIflED A.C.UNITS—TONNAGE EA. _ <br /> SMOWER <br /> KITCHEN SINK d DISP. FORCED AIR SYSTEMS— B.T.U. M EA. _ <br /> WALL HEATERS— B.T.U. M <br /> OISHWASMER <br /> UNIT HEATERS— B.T.U. M <br /> LAUNDRVTRAY <br /> EVAPORATIVE COOLERS <br /> CLOTMESWASMER CLOTMES�RYERS _ <br /> WATER HEATER <br /> VENTILATION FAN . <br /> URINAL <br /> RANGEHOOD <br /> DRINKING FOUNTAIN C.F.M. <br /> AIR MAN�LING UNIT— <br /> FLOOR DRAIN STOVE—WOOD <br /> VACUUM BREAKERS <br /> METAL FIREPLACE d CMIMNEY <br /> ROOF DRAINS— RAIhLEADERS FIREPLACE INSERT <br /> SINK(SERVICE— BAR,ETC,) <br /> HEAT PUMP -- <br /> SUB TOTAL s <br /> SIIB TOTAL = f <br /> s PEflMIT <br /> PERMIT 70TAL FEE s <br /> TOTAL FEE s pLAN CHECK FEE <br /> SIOE YARD SETBACK STHEET SETBACK REAR YAFD SEfBACK PLAN GHECK NUMBER FEE RECEIPT N0. <br /> USE ZONE LOT ARcA VACANT SITF FEES VRLUATION FEE <br /> YES : NO <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF OW cLLING UtIITS 'yL3�O.00 38 5O <br /> BUILDING <br /> SIZE OF BLGG. NO.OF STORIES MA%.OCG.I.OA� p�UMBING ___ <br /> FIRE ZONE BASEMENT FIRE SFRINKLERS MECFIANICAL <br /> REOUIRED <br /> �]YES I�.NO pTMER <br /> APPROV�LS BV DATE U.B.C. <br /> 1.ENVIRONMENTAL CMECK LIST PENALTV SEC.303(a) <br /> 2.BUILDINGPLANS TOTAL 38 5� <br /> 3.FIRE HYDRANT <br /> PERMIT VAIIDATION <br /> �.FIRE PROTECTION SYSTEM W HEN PROPERLV VALIDATED pN TM19 t g I I THIS jSOYQjIq P�71�1T_—� <br /> , 5.GRRDING � � � O �u <br /> N <br /> � 8.DRAINAGE N <br /> 7.ENVIRONMENTAL IMPACT STATEMENT <br /> B.HEALTHDISTRICT YOUR FECEIPT� <br /> APPLICATION ACC.BY PLANS CHEGKED BY APpR.FOR ISSUANCE BV T i 1 Alv�r. Y O U <br /> I 5 ,�u- 8 3 <br /> A.DDRESS �II.[ , <br /> �_. <br />