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!he£rerRreen • 1„�NSTRUCT�ON � • <br /> cin oF <br /> e��rett PERMIT PERMIT NO. OT3O9 <br /> GITY HALL 259�8745 <br /> eveaErT.wn eezo� ❑ COMBINATION �BUILDIN(i ❑ MECHANICAL ❑ PLUMBiNG <br /> OWNta �/iLnUDAESS Glr Zin CNONt <br /> Puget Sound Properties 6916 Evergreen Way Evezett 98203 255-9100 <br /> APCIII1CCi Ci�.DC9GN[P FIPIL nDUPC55 CITY 'IF PNt,NE <br /> GENERALCO4iRPCiOR MRR PDDPLSS U:. 2ic 1`��ONE ULENSE� <br /> Same <br /> NEC��ti��I�A��ONTRACtDA MAILq00RE55 CIiY ZIP PMONE IILFNSE� <br /> t".UMBINGfANiRACTOH IAA�LRD��E55 Giv LP �ONE UCENS[� <br /> CLAFS OF WORY <br /> ❑NHV ❑ADOITICN ❑ALTERAiION ❑REPAIR C�REMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> YALU�110N OF W09K <br /> F — <br /> DESCAi3EvlOFK <br /> Demolish Single Family Residence — <br /> VROi'OSfD USE 0�BUiIDiNG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMWGD THIS AP� <br /> iccnioe:eRivnor+oFaaoaEnTrisNoweeiow �aaTrnc��rouacc^i�s� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS <br /> �or 28 q�a�_p� Everett Del]-s TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIED <br /> HEREIN OR NOT. THE uRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GNE HUTHORITY 10 VIOLATE OR CANCEI THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CO UCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> � �.�ip ( Cr CnNinnOOAGnn i' ,: ,�i tHIE <br /> JC_aDDPC55 <br /> 5502 Seahurs` � � � - <br /> PLUMBING r M HANICAL _ <br /> NO. TYPE OF FIXTURE OR ITEM FEE 0. TYPE OF EQUIPMENT FEE _ <br /> R'ATEF CLO$[T ROI�ET) AIR GONU UNIiS—H P lA <br /> BATNTUB RFFRIGERAT�Ot�UNITS—NP LA <br /> IAVATOFV(VJFSH BASIN) BOIlEHS —H A EA. _ <br /> SHOWER G�SPIR[DAC UNITS—TONNAGEEA. _ <br /> KRCHEN:iINK 8 DISP FORCED AIR SYSTEMS—B T.0 M EA. _ <br /> LISHWASF&R 6VA�l HE�TERS—�T U M <br /> LAUNDRYiRAY UNITH6ATERS—NTU M __ <br /> ClO1HESYJASHER EVAPORATNECOOLERS _ <br /> \YA7[R HEAiER CLOTH[5 DRYEPS <br /> URINAL VCNTILATION FAN ._ <br /> DRINKING fOVNTAIN RAIJGE HOOD — <br /> FLOOR DRAIN AIR HANOLING UNIi— C P.M __ <br /> VA^UUM BAEAKERS STOVE -- <br /> ROOF DHAINS—RAINLEADERS METAL FIREPLACE 8 CMIMNEY ____, <br /> SiNK�5[RVICE--OAR,ETC� - -� - <br /> SUBTOTAL SU9TOiAL S _ <br /> PERMIT S PERMIT S _ <br /> TOiAL FEE f TOTAL FEE f <br /> FIDE VARU SHBACK SiPLi.T S4i�/+CK FLAR VARD SETC�ACK �I.ld.l CNEGK NUMBF 9 PL�N CH[GK F6E <br /> .-FL i�gCCiPT NG <br /> USF ZUNE LOT����EA VACANT SITE <br /> I'�.YES i1N0 PEES VALUATION FEE <br /> i YPE OF CONST. OC�;UPANCY GROUP NO.OF DWELLING UNITS <br /> �WLDING $ OO OO <br /> SI22 OF BLDG NO OF STORIBS MAX.OCG LOAD — <br /> PLUM9ING <br /> I-IFEZO�.E B4SUdEIJT q OUIFEDll<Wi75 MECIIANICAL �� <br /> '�'YES � 'NO <br /> APPflOVAlS BY DATE OTHER <br /> 1 ENVIRONMENiAL CHECK LIST o[NALTY U B C. <br /> SEC JO.ilal <br /> ; BUILDINGPLANS TOTAL <br /> 3 FIRE NYDRANT <br /> a FIR[PROI�CTION SYSTEM PERMIT VALIDATION <br /> 1'!11'tH PROFtCLV VAU�AtED IIN THIS SPFCL�THI515 VOUR PERMI7 <br /> S Gi7ADING 9 i ! 6 ,� O O 0.O O � � <br /> L ORAINAG[ 0 <br /> 7. ENVIRONMENTALIMPACTSiA1ENENT m <br /> B HLALTH DISTRICT YO U R R6C E I PT O <br /> APPLICATION ACC �Y P1k45 Q�[CN[D I3Y APPP FOR ISSUANGE�Y ;��-{q.N K YO U <br /> IC ►�48O <br /> ncoE�i_ss ��i�e <br />