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�. _ <br /> � <br /> �hc£�rrFrecn CON�TRUC �•IO�"i <br /> CITY OF / <br /> 1 <br /> everett P�RM�� PERMIT NO. 1Od47 , <br /> cirv rin��;s�-s»s <br /> eventrt wc �ozo, ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING � <br /> ��wN6B MAiLnDORlss ciiv Z�P rMonL '. <br /> Ediaard 8orchgrevink 5710 West Drive Everett 98203 353-2179 i <br /> MC�niEQ OR OLS�.R+CR MAi�tiODnESS Gllv ZiP PnONE � <br /> GCkCRAICONiRACiOR IAAILApDPE55 CIiY 21P PIIONE LICEKS[� I <br /> Same <br /> M6NPNIChLCAN1PaCi0R MRILADORf55 CITV ZIP PNONE JCENS[I <br /> CLUf.!F3RIGCONTRACiOR MAtI ADORE55 CIiY ZIP pHONE IICENS[r <br /> C1A55 OF V/ORN � <br /> ❑NEW ❑ADDITION ❑ALTEPAi10N XS77CPAIR ❑DEMOLITION ❑PENCE ❑SIGN ❑GARAGF. <br /> VAIUALION OF WOPN <br /> s 1600. 00 <br /> DESCRIpL wOFK <br /> re—roof composition <br /> vaoaosEo use or ounoirvc <br /> single family residence ' HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> .mn�oeseaivr�^roFrHorcArr�sHowouev:oa�,r�ncNrounecnrs PLICATION AND KNOW THE SAME TO BE T9UE AND CORRECT. <br /> ��t 45 Ni l�land Acres ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> e�otK_ov 4 TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIFD <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REC'JLATING <br /> CONSTRUCTION OR THE PERFOAMANGE OF CONSTRi TION. <br /> JOBF[:URFS:i S�GNAlU�EO�-COHiRALtOROPAl1iNORiT[DAGElIi D41. <br /> 5710 West Drive X ' 4/15/82 <br /> PLUMBING MECHNNICAL <br /> NO. TYPE OF FIXTURE Ofl ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> wnrcr�ciosET Ra�Eri qia coNo uNirs—H r [�. <br /> BATHTUB REFRIGERATIOIJ UNITS—N.P EA <br /> LAVATORV M'FSN BASIN) BOILERS—HP.EA <br /> SHOWER GAS FlRED AC.UNITS—TOVNAG[EA. <br /> KITCHEN SINN 8 OISP. FORCED AIR SVSTEMS—BSL. M EA <br /> �ISHVJASHER VJAI L HEATERS--�T U. M <br /> LAUNDRYIRAY UNITHEATERS—�T.0 N <br /> CLOTHES wASH[R LVAPORATIV[COOLERS <br /> WATEH NLAT[R CLOTHES DRVERS <br /> URINAL V[NTILATION FAN <br /> DHItJKING rOUNTAIN RANGE HOOD <br /> i LOCP DHAIN AIR HANDLING UNIT— CF.M. <br /> VACUUM�REAK[RS STOVE <br /> ROOI'DfiAINS—RAINLEADERS METAL FIREPIACE 8 GiIMNEY <br /> SINK(5[R'JIGE—BAR,EiCJ <br /> SUB TOTAL SUB TOTAL S <br /> PEPMIT S PERMIT S <br /> TOTALFEE f TOTALFEE S <br /> SIDE YARD SET�ACK ;TRLE i 5E iE?Af�; R[AR YARD SETBACK PLAIJ CH[CK IJUMD[R P�AN CNECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE �pT AIaEA VACANT SITE <br /> L1YES IlNO FEES VAWATION FEE <br /> TYPE OF CANSi. OCCUPANCY GFOUP NO OF DWftLING UNITS <br /> SIZE OF BLDG. NO.OF STORI[S MAX.p�,��qD BUILDING £1(OO. OO Z 6 S O <br /> PLUMOING <br /> hIHL ZONE BFSEMCM HRE SPRINKlEFS <br /> REOUIRED M[GNANICAL <br /> I1VES I 't:0 - <br /> — `— APPROVALS BY OpTE OTHER <br /> t ENVIRONM[NTAL CHECK LIST <br /> PENALTY U.BC. <br /> 2 BUILDING PLANS <br /> SEC.303(x) <br /> 3. FIRE HVDRANT TOTAL Z 6 S O <br /> 4. FlRE PROTECTION SYSTEM PENMIT VALIOATION <br /> 5. GFADING WHEN PROPERLV VALIDAIED(IN THIS SPACE�THIS IS VOUR PLRMIT <br /> 6. ORAINAG[ q [ ~ <br /> 7. ENVIBONMEN7AL IMPACT STATEMENT � 2 6 6 � O L �. J O � � <br /> e. HE.ILTH DISTRICT O <br /> APPLICATION HCf:.�Y PU+NS CHECKEC BV APPR.FOF ISSUANCE�Y ��Cj;� � R E C[I PT � <br /> i HAi�lK YOU <br /> ADDRESS FILE I �. EPR R1 <br />