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dicErergreen � ONSTRUCTI�N � � <br /> CITY OF i <br /> everett PERMIT PERMI'f NO. O7I.49 ///�''�� <br /> GTY HALL 259�87d5 ( � �� <br /> eveaetr.wn 9azoi ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUPAOING — � <br /> �Ue:t+EP M41lADDHE55 Giiv (�r FnOHc <br /> Jade Development Inc. 1310 Pacific 98201 258-9695 <br /> AAC1111[CT OA OESIGNER MAIL A��RE55 QTY ZIP PMONE <br /> i,LNEA/L CONTRACTOR AIRiL ADDRE55 CIiV 21: PHOHE L��ENSE� <br /> Same <br /> MFCHANIGRLfANLRACTOR N.AILADDR[55 CITY ZIP PIIONE LICENSEI <br /> PW MBMG LONTRAGiOR MAIL FDDRE55 CITY Zi� PNONE LICENSE 1 <br /> CLA55OF WORY <br /> �NEW ❑��DDITION ❑ALTERAiION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> vnwanoN oF woaK <br /> S 3,000.00 <br /> DESCRiOE YlORK <br /> foundation for ���X�Sg���jFXgg��C�ggX Duplex <br /> �'��Ur05[D u5E OF BUILOING <br /> Duplex I HEREBY CERTIFY 7HAT I HAVE READ AMD EXAMINED THIS AP� <br /> i�cn�oEscamnor+ovaaoveetr�sHoweeiowoanrracNFouacoPies� PLICATION AND XNOW THE SAMF TO 3E THUE AND CORRECT. <br /> z �LL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �,�„ o�ocK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFI[D <br /> Short Plat 1202-44 HEREIN OR NOT. THE GRANTItJG OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE�RO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULA7ING <br /> CONSTRUCTION OR THE PERFORMANCE OF CANSTRUCTION. <br /> J00 AD�PE55 SiCt U�L OF,CANiRACTOR 0 L�NORREO AGENi DAl[ <br /> 5206 A & B Seahurst X� , /'%.��`/� 1/18/80 <br /> PLUMBIN6 MEC11 NICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> \NATER CLOSET ROILET) AIR COND.UNITS—H R EA. <br /> 3A7 HTUB REFHIGEPATION UN ITS—H P.[A <br /> LA\'ATpRY(WASH BASIN) f701LERS—HP.EA <br /> SHOWER GAS FIRLD A C.UNITS—TONNAGE EA _ <br /> KITCHEN SINK 8 DISP. fORCLO AIR SVSTEMS—D T.0 M@A _. <br /> 01SHWASHER \^PI L HEATCRS—�.T U. IA _ <br /> LAUNDPYTHAV UNITH[AT[PS—BTL. M <br /> CLOiHES WASHER EVAPOPATNE COO:EFS . <br /> LVATER HEATEP CIOTHES DRY[RS <br /> Uf71NAL _ V[NTIINION FAN __ <br /> DRINNING FOUNTAIH NANGE IIOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C P.M. <br /> VACUUM�REAKERS STOVE <br /> ROOF DPA1115—RAtNLEADERS METAL FIREPLACE 8 CHIMNEv <br /> SINK(5[RVIC[�--BAP.ETC) �— <br /> SUB TOTA1. SUB TOTAI S <br /> PERMIT f PERMIT Z <br /> TOTAL FEE f TOTAI FEE S <br /> SIDF.YARD SR�ACK STR[ET SETBACK HEAR YARC SETOACK PLAN CHECK NUM�ER PLAN CH[CK FEG <br /> FEE PLC[IPi NO. <br /> USL ZONE �OT AREA VACANT SITE FEES VALUATION FEE <br /> I;YES I'NO <br /> TVPE OF CANST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> �UILDING $ 3��p0.0p ZQ �0 <br /> SIZE OF BLDG. ��O.OF STORIES MAX.OCC.LOAD -- — <br /> PLUMBING <br /> FIqEZONE BASEMENT FlRESPRINKLERS MECHANICAL <br /> REOUIFED <br /> I1VE5 f:NO "— <br /> pPPpOVALS BY DATE OTHER <br /> t. ENVIRONMLNiALCHECKIIST pENALTY UBC <br /> SEC.3D31a) <br /> 2. BUILDING PLAtJS <br /> TOTAL . 29 00 <br /> 3. FIRE MVDRANT <br /> n. FlRE PROT6CTION SYSTEM PERMIT VALI�AT�ON <br /> WHEN PROPGRLV VAIIDATEO pN THIS SPACE�THI515 YOUR P[RMIT <br /> `v. GRADING ' I � � � � q �. a O �� � <br /> G DRPINAGE L . <br /> � BJVIRONMENTALIMPACT STATEMENT � <br /> � <br /> o ��eniTHoisra�cr YO!.1R RECEIPT � <br /> �PPLICATION ACC.�Y PLANS CHECKEP BY APPR.FOR ISSUANCE�Y . � <br /> L.c. ; �H,?�NK 1'•O U <br /> , ' <br /> ACDf,�=c: �-�� � <br /> � f g JA!� S O <br />