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UieErergreen �`ONSTRUCTION - � � <br /> CITY OF <br /> everett PERMIT PERMIT NO. Og�97 <br /> CITV HALL 259�8745 <br /> ever�err.�vn sezo� ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL X PLUMBING <br /> OWNLH IAAiLAUDPE55 CIiY ZIP GHONE <br /> Michael L. Holbrook 1201 Rucker Everett 98201 252-7460 <br /> FRCnitECi OB DES�GNL� fdAIL/D�R[55 CITY Z�P FnONC <br /> G[NEPAICONiRACiOF MAILFDDRE55 CILT LP PHONF LICCNSC/ <br /> Owner <br /> �EC'/�NICAICQNTRACTOR MnILRDDFESS GIiY ZIP i'HONE LILENSEI <br /> `LLT�JiNGCONiRACTOP MRR ADDRE55 ���� ZIP FHONE LICENSE� <br /> CLP55 OF WORN <br /> ❑NEW ❑ADDIiION XD�IALTEPATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VFIUAi ON OF\90RK <br /> 1�00.00 <br /> oescame woak <br /> Replace and relocate bathroom fixtures and plumbing <br /> PROPOSED USE OF BURDING <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �ecniocsceiviionoFvaoP�arv�sNowee�owoanlTncNFeuacoviesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNIIJG THIS <br /> �or eiocK_oF TYPE OF WORK WILL BE COMFLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOE-S NOT <br /> PRFSUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL iHF FRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW R[CUV;iING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAiUPEOFWNTRACTRO�UtHORREDAGEM DAi[ <br /> �oa aooaess 6/18/81 <br /> 1201 Rucker X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> � WATER CLOSET QOILET) � � AIR CONU.UNITS-H P.EA. <br /> R[FRIGERATION UNIiS-H.P.EA <br /> OATHTUO <br /> BORERS-HP.EA <br /> LAVATORY(WASH PASIIJ) <br /> GAS FIfiED A C.UNITS-TONNAGE EA. <br /> SHOWEA <br /> - FORCED/IP SYSTEMS-B.T U. M EF <br /> KITCHEN SINK 8 OISP. <br /> — WALL N[ATERS-0 T.U. M <br /> DISNWASHER <br /> VNITHEl�.iCRS-BTU. M <br /> LAUNDRVTRAY <br /> EyAPORAiNE CAOLERS <br /> CIOiHES WASHER CLOTHES DRVERS <br /> WhTEH NEATEH VCNTILATION FAN <br /> UPIN4L <br /> DRINKING FOUNTAIN RANGE�i00D <br /> — AIR NANOLING UNIT- C.F.M. <br /> FLOOR fJRAIN STOVE <br /> VACUUM 5REAKEPS <br /> METAL FlREPLACE&CHIMNEY <br /> ROOF DRAINS-RAWLEADCRS <br /> SINK�SERVICE-BAR,ETC.) <br /> SUB TOTAI s <br /> SUB TOTAL <br /> PEPMI7 f PERMIT f <br /> iOTAI FEE f TOTAL FEE f <br /> SIDE YARD SETBACK $TREE i SETOACK REl.F YAPD SETBACK PLAN CHECK NUM�ER PIAN CHECK FE[ <br /> FEE RECEIPT NO. <br /> USE 20NE �OT AREA VACANT SITE FEES VALUATION FEE <br /> 17YE5 I_1N0 <br /> NPE OF CANST. OCCUPANCY GROUP NO.OF�WELLING UNIiS <br /> BUILDING $ <br /> 52E OF BLDG. NO.OF STORIES MAX.OCC.LOAD - <br /> PLUMBING 9 OO <br /> FIflE ZONE BASEMENT FIRE SPRINKLERS MEGHANICAL <br /> REOUIRLD <br /> I 1VE5 I�NO <br /> APPROYALS <br /> BY DATE OTHER <br /> �. ENVIRONMENTALCHECKLIST PENALTV U�C <br /> SEC.303(a) <br /> 2. 9UILDING PLANS 70TAL 9 OO <br /> 3. FIRE HVDNANT <br /> 4. FIRE PROTECTION SYSTEM PEPMIT VALIUATION <br /> WHEN PROPERLY VALIDATED pN TNIS SPACL)THIS IS YOUR PERMIT <br /> 5. GRADING � � , 7 'i r '�' �� - � <br /> . . . /. �. - V/ <br /> G. DRAINAGE <br /> M <br /> 7. ENVIRONNENTALIMPACT STAiEMENT rn <br /> B. MEALTH DISTRtiT � " � � <br /> APPLIGITION GCC.DY PIfiNS CHECKED BY APPR.FOR IFSUANCE BY � • <br /> i <br /> ADDRESS fILG <br />