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. - , <br /> ��eE°��oF � CO�'STRUCTION � . <br /> everet� PERMIT pERM1T NO. 06464 <br /> CITY HALL 259�8745 <br /> EVERETf.WA 9B�0� � CQMBINATION ❑ BUILDINfi ❑ MECHANICAL ❑ PLUMBING <br /> ' OWNER MRILPDDRESS ��T� Z�P R10NE <br /> Neil 6 Pat t�oodsell 11113 Callow Road. Lake Stevens 334-5408 <br /> ARCMITELi OR DESIGNEP I.IAIL ADDRESS CiiY 21P P!IONE <br /> GENERALCObiRACTOR M�ILADDRE55 GITY 21P PHONE LIGENSEI <br /> W. F. Petrowitz Box 188 Richmond Beach 98160 367-2612 WF PE TC 239BD <br /> MECHANIUL CONTRACtOR MRIL ADDRE55 LITY ZIP VMONE IILENSE� <br /> VLUTAEING CONTRACTOfi M�IL�DDRE55 CITY ZiP �'MONE LICENSE� <br /> CUSS Of WORN <br /> ❑NEW ❑ADDITION ❑ALTERATION L�REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAPAGf. <br /> VQl1�TI0N OF WORN <br /> f11,444.00 <br /> DESCPIBE WON1c <br /> Repair Fire damage per orig. const. subject to inspection-code <br /> R+owseo use oF euaoiNc . <br /> Rental Apta. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> IEWlDESUIPTIONOFPR�PEHTYISNOWBELOWOPA7TACHFOURWP�[5� PLICATION AND KNOW THE SAME TO BE TRUE AND CARRECT. <br /> ALL PROVISIONS OF LAWS AND ORD�NANCES GOVERNING THIS <br /> ior eiocac_ov TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFI�D <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOY � <br /> C—OO�LOtB 5-9-10 B10Ck 461 PRESUMETOGIVEAUTHORITYTOVIOLATEORCANCELTHEPRO- � <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ,� <br /> Sverett Pldt CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. i <br /> S�GNATUPE OF fANiRACTOR OR AU ORI 4GENT D�7E <br /> ,o��o�aE�s Everett X � � 8-Z-79 f <br /> i <br /> � ►LUM�INO E HANICAL <br /> � NO. 7Y�E OP FlXTURE OR ITEM fEE N0. TYPE OF EOUIPMENT FEE <br /> . WATER CLOSET OIL AIR CAIID.UNITS—H.P.EA. <br /> BATHTUB REFRIGEHATION UNITS—HA.EA <br /> LAVATORY ASH Bl�SIN BOILERS—H P.EA. <br /> ���R GAS FlRED A C.UN�TS—TONNAGE EA. <br /> � KITCMEN SINK 6 DISR FORGED AIR SVSTEMS—B.T.U. M EA. <br /> DISHWhSHER WALLHEAT[RS—BT.U. M <br /> UUNDRY TFUY UNIT HEATERS—B T U. M <br /> CLOTHES WASHER EVAI'ORPTIVE COOLERS <br /> WATER HEATER CLOTNES DBVERS ' <br /> URINAL VENTILATION FAN <br /> DRINKIHG FOUNTAIN RANGE MOOD <br /> FLOOR DRPiN AIR HANDLING UNIT— C F.M. <br /> VACUUM PRFANFRS STOVE <br /> ROOF DRAfNS--RAMLFADERS METAL FIREPIACE 8 CHINNEV <br /> SINK SERVICE—BAR.E�C.) <br /> SUS iOTAL SUB TOTAL = <br /> PERMIT t PERMIT i <br /> TOTALFEE TOTALFEE <br /> SIDE YARD SETBACN STREEi SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE AECEIPT NO. <br /> USE ZONE LOT AREA VP.CANT SITE �ES VALUATION FEE <br /> ❑YES ❑NO <br /> TYPE OF CONST. OCCUPANCV G(iOUP NO.OF DWELLING UNITS <br /> SIZEOFBLDG. NO.OFSTORIES Mqg p� �ppp eUILDING E 1], 444. � 60 �� <br /> PLUMBING <br /> FIRE ZONE B0.5EAAENT qEOU�D KLERS MECHANICA�_ <br /> ❑YES ❑NO <br /> APPPOVALB er DATE OTMER <br /> 1. ENVIRONMENTA�CHECK L15T PENALTY U.B C <br /> SEC.303�a) <br /> 2. BUILDING PLANS — <br /> rot�� 6 0 <br /> 3. FIRE HVORANT <br /> 4. FIRE PROTECTION SYSTEM PERMIT WILIDATON ' • <br /> WHEN PROPERLV VALIDATEG(IN THIS SPACE)THIS IS VOUR PERMIT <br /> 6. URA NIAGE ,��� �'���•�1�1 wb f �� <br /> L ENVIRONMENTPLIMPACT STATEMENT � <br /> 'R � <br /> B. HEALTH DISTRICT . YO V R R�CEI�/ � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> THANK Y,OU <br /> , <br />