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. . � <br /> �heEvergreen '— ^��C��QUCT1ON � /"'. <br /> CITV OF ` V � � <br /> everett PERMI� pERM1T NO. O�T541 <br /> CITY HALL 259�87a5 � COMBINATION � BUlLDIN(i ❑ MECHANICAL ❑ PLUMBIN(i <br /> EVERETf,WA 98201 <br /> ' OWNER MAIL�OORE55 CIiY ZIP VNONE <br /> Robert Wilson <br /> �FLHITELtONOESi:nER AIAILAppPE55 LITY 21P PHONE <br /> GENERAICANTRACTOR MMLRDORESS CITY 21P PHONE IICENSE� <br /> $�lE <br /> MECHRNICALCONTMCTOR • MAILADDRESS CITY .IP PHOME IICENSE� <br /> PLUMBING CANTR�CTOR MAII AODRESS CITY 21V FNONE UCENSE� <br /> CLASS OF WORK <br /> ❑NEW ❑AD01T10N ❑AITERATION ❑REPAI7 �bEMOUTION ❑FENCE ❑SIGN ❑GPRAGE <br /> VALUATION�r•NORN <br /> 3 <br /> �ESCRIBE WONIt <br /> demoliah single family qaraqe <br /> PROPJSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LECa�LDESCRIPTIONOFfPOPERTY�SHOWAEIOWOHATiACNFOUNCAPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. , <br /> 5-6 222 Heiqhte Add ALL PROVIStUNS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or e�mc or TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF N PERMIT DOES NOT <br /> PRESU ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br /> — VISIONS OF ANY OTHER STATE OF LOCAL LAW REGULATING <br /> CONS UCTION OR THE PEFFORMANCE OF CONSTRUCTION. <br /> � � LIGN UR OF ONT CTOR OR RUTMORIZLD AGENi �ATE <br /> .qB AGDRE55 <br /> 1123 Rucker X 5/2/80 <br /> �LUMlINO MEC AkICAL <br /> . NO. TYPE OF Fl7fTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE � <br /> � j WATER CLOSET OIL AIH CANG.UNITS—M P.EA �i <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> � I�VATOBY ASH BASIN BOILERS—H.P.EA. <br /> � �.. ���R GAS FIRED AC.UNITS—TONNAGE EA. <br /> Y.ITCHEN SINK 6 DISP. FORCEO AIR SYSTEMS—B T.U. M EA. <br /> DISHWASHER WALLHEATERS—BT.U. M <br /> � UUNDRY TMV UNIT MEATEflS—B.T.U. M <br /> , , C:OTHES WhSHER EVAPORATNE COOLERS <br /> � � W�'iFR MEATER CLOTHES DRYERS <br /> URINA: VENIILAT ON FAN <br /> } � DRINKINF.F�....TAIN RANGE I'JOD <br /> � FLOOR DFUII! AIR HANDUNG UNIT— QF.M. <br /> �� . VACUUM BREIKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FiP[PLO.CE 8 CHIMNEV <br /> . SINK(SERVICE—BNR.ETG) <br /> 8UB TOTAL SUC TO7AL t <br /> PERMIT f PERMIT f <br /> TOTnL FEE t TOTAL FEE • <br /> SIDE YARD SETBACK STREt7 SETBACK REAR YARD SEiBACK PLAN CHECK NUMBEI PLAN CHECK FEE <br /> FE_ RECEIPT NO. <br /> � JSE ZON[ LOT AFEA VACANT C,ITE — — <br /> ❑YES ❑NO FEES VAIUATION FEE <br /> TVPE OF CONST. OCCUPANGY GROUP NO.OF DWELLING UI:ITS <br /> �) BUILDING S 00 00 <br /> �� SIZE OF BLDG. N0.OF STORIES MAX.OCG.LOAD <br /> PLUMBING <br /> FIRE ZOt�E BASEMENT REOU RED KLERS MECHpNICAI <br /> �YES ❑NO <br /> APPROVALB !Y DATE OTHER <br /> 1. ENVIRONMENTALCMECKIIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2 BUILDINC PUNS <br /> � — TOTAL 00 00 <br /> 3. Fl9i HVURANT <br /> a. I�IRE PROTECTION SYST[M PERMIT VALIDATON <br /> _ _ WHEN PROPERLV VALIDATED(IN THIS Sf'ACE)THIS IS YOUR PERMIT <br /> 5. GIL'�DING ( � 9 O �,O O O. O O '_ � <br /> 6. DHAiNFGE �� <br /> 7. ENVIROI:MENTAL IIAPACT STATEM[NT � <br /> B. MEALTHDSTRICT YO`l)��. RECEIPT o <br /> APPLICATION ACC.BV PLANS CIiECKED 9Y APP0.FOR ISSUANCE BV � � <br /> 71-i;�P�!K YDU <br />