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- - , <br /> � theEveCrR oF ,- Cp�ASTRUCTION �'' <br /> everet� PERMIT pERMl7 N0. 0646� <br /> GTY MALI 25�J�B745 <br /> EV[RETT.WA 9820� ❑ COMBINATION ❑ BUILDIN(i ❑ MECHANICAL ❑ PIUMBING <br /> owHEa Mnn aooiaess cirv ziv aHonE <br /> Neil & Pat Goodsell 11113 Callow Road. Lake Stevens 334-5408 <br /> nRCNILECT OR DESIGNER A1RIL RPfJFES$ CIIY I.IP �O��E <br /> GkNENAL CONiH�CTOR MMl�DDPE55 LiTY i.IP PHONE LICENSE� <br /> W. F. Petrowitz Box 188 Richmond Beach 98160 367-2612 WF PE TC 239BD <br /> MLC�u�NIGAL CCNTPhCTOR M�II RDORE55 LIiY ZIP PNOME UCENSE I <br /> PlUM01NGCA4iPACTOR MRIIADDRE55 CITY 21P PHONE LICENS[� <br /> CLA55 0�'.WAK <br /> C�NEW ❑ADDITION ❑ALTERATION �REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VA�UATION OF W�9K <br /> s11r444.�0 <br /> �ESCRieE WOPK <br /> Repair Fire dama e er ori . const. subject to inspection-code <br /> PROPOSED USE Oi BUILDING . <br /> RE`IItdl AAte. I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> iecn�oeseaiv�roworvaovearvBrwwneiowoantTneNrouecories� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ioT e�cen_ov TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIED <br /> HEREIN OR NUT. THE GRANTING OF A PERMIT DOES NOT <br /> C-00—LOtB 8-9-10 B10Ck 481 PRESUMETOGIVEAUTHORITYTOVIOLATEORCANCELTHEPRO• <br /> VISIONS OF ANY O?HER STATE OR LOCAL LAW REGULATING <br /> �verett Pldt CONSTRUCTIOtI OR THE PEiiFOFMANCE OF CANSTRUCTION. <br /> JOB�DpRE65 SIGNATIIRE OF CONiH�GiOR OR AU O�il � AGFNi DATE <br /> .� <br /> k Ave Everett X 1 � �. �•� 5-2-79 _ <br /> PIUM�INO E HANICAL <br /> NO. TYPE OF FDlTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSEi(TOILET) AIR COND.UNITS—H.R EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> UVATORY ASM BASIN) BOILERS—NP.EA. <br /> SHOWEN GAS FlHE�AC UNITS—TONNAGB EA. <br /> KITCMEN SINK 6 DISP. FORCED AIR SYSTEMS—B T.0 M EA. <br /> DISMWASHER WALL HEATERS—B T.U. U <br /> UUNDRV TR�Y UNIT HEATERS—B T.U. M <br /> CLOTHES WASHEP EVAPoRATNE COOLFRS <br /> WATER HEATER CLOTNES OPYERS i <br /> URINAL VENTILATION FAN _, <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FIOOR DMIN AIR HANDLING UNIT— C.F.M. <br /> . VACUUM BRFI.KERS STO�F i <br /> POOF DMINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEV ' <br /> I <br /> SINK(SERVICE—BAR.ETCJ <br /> . !U�TOTl1l SUE TOTAL <br /> �Mrc t PEIIMIT f <br /> T T� FEE TOTAL FEE f <br /> SIDE VARL SETBAGI( STHEET SETBACK REAR YnflD SEIBACK PV.N CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT N0. <br /> � USE ZONE �0T AREA VACANT SITE <br /> i7VES ❑NO FEES VALUIITION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS . <br /> S12EOFBLDG. NO.OFS70RIES MA>',.00C.LOAD BUILDING E 11 944. � 6� �� <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIHE SPRINKLERS MECMANICAL <br /> REOUIRED <br /> ❑YES ONO <br /> A►PIIOYAL6 !Y DATE OTHER <br /> 1. ENVIRONMENTAL CMECK LIST p`Np�ry U B C <br /> SEC.303�a) <br /> 2. BUILDINGPlANS <br /> TOTAL <br /> 7. FIRE HYDMNT 6 <br /> 4. FIRE PHOTECT�ON SVSTEM PEIIMIT VALID�iION ' • <br /> WHEN PROPERLY VALIDATED QN THIS SPACE)THI515 VUUR f'ERMIT <br /> 5. GRADING ,��� �'����� � � i <br /> 6. DFRINRGE <br /> 7. ENVIRONMENTALIMPhCTSTATEMENT � <br /> y �yQ� <br /> B. HEALTHDISTRICT TO�R ��CEIY� � <br /> APPLICATION ACC.BY PIANS CHECKED BY APPR.FOR ISSUANCE BY ' <br /> THANIC X�U <br /> , <br /> ADDRESS FILE � 2 � 19 : . <br />