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♦ L <br /> � <br /> (hcEvergreen ' -- CrySTRUCTION - ���� <br /> CITV OF <br /> everett PERMIT pERM1T NO. OH455 <br /> GTY HALL 259�8745 <br /> EVERETT.WA 98:0� ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ pLUMBING <br /> OWNCR MAI.AUUR[55 GITY Zlc PMONk <br /> John Finney 1220 S9etmure Everett 98201 252-3531 <br /> nPCHrtECt OR DESIGNCR MAIL AUpRE55 CITY 21P i'NONC <br /> GENERAL CANTHACTOR MAII ADDFE55 CITY ZIP PNONE IICENSE/ <br /> J. Cross Design 423 Tamarack Everett 98203 353-8010 <br /> MECHAWCAI CqNiNFQOR MAII ADDRC55 CRY ZIP J L H O S DE *2 2 Z llCFNS[I <br /> d <br /> PLU4IBMG CONTRACTOR MAIL ADfJRC55 GTY +.�p PMONE LICENSE I <br /> Cuss oF wonK � <br /> ❑NEW ❑ADDITION �LTERATION ❑RBPAIR ❑DEMOLITION ❑FENCE OSIGN ❑GARAGE <br /> VPWAT�ON Of WORK <br /> f 800�. 00 <br /> DESCPIBE WOHN <br /> X7i3[HYNi! re-aide and interior remodel <br /> ❑AOPCSED VSE OF BWLDING <br /> sin le famil residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �ecuoeseeivnor+oFPaovr:nrv,sHowociowo�,:nnnc�FouacoriEsi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 26-2 229 Church 6 LaMause ' s ALLPROVISIONSOfLAWSANDORDINANCESGOVERNINGTHIS <br /> tot ��ocK_or TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GAAIJTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORIT'Y TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHEN STATE OR LOCAL LAW REGULATING <br /> CO UC ON O THE EPFORMANCE OF CONSTRUCTION. <br /> J09ADDRE55 SIC Alp EOf NiRACI R R H qIZ T DAiE <br /> 122C Wetmore X �� 10/20/80 <br /> PLUMBINO MEC NICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO TYPE OF EOUIPMENT FEE <br /> WAT[H CLOSET(TOIIEn AIR COND.UNITS-H.R[A <br /> BATMTUB RLFRIGERA7�ON UNITS-HP.[A <br /> IAVATORY(WASH�ASIN) �OIL[R$-H P EA. <br /> SHOWER GAS FIR[D AC.UNITS-TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYS7EMS-B.T.U. M EA. <br /> DISHWASHER VJALL MGATEI75-�T.U. M <br /> LAUN�RV TRAV UNIT HLATFRS-B.T U. M <br /> CLOTHEu WASHER [VAPORATNECOOlEHS <br /> N'ATER HEATEH CLOIHES DR�[RS <br /> UflINAI V[NTILA7ION FAN <br /> �RINNING FOUI:TAIN RANGE Ii00D <br /> FLOOR DRAIN AI�HANDLINCo UIJIT- C F.M. <br /> VACUUM BREAKERS STOVE <br /> flOOF DFAINS-RAINLEADERS M[TAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE-BAR,ETC.) <br /> SUB70TAL SUBTOTAL f _ <br /> PERMIT t PERMIT f <br /> TOTIIL FEE f TOTRI FEE f <br /> SIDE VARD SETBACK STREET SETBACN I7EAR YARD SETBACK PLAN CHECK NUMOER PLAN CHf.CK FEE <br /> FEE FECEIPT NO. <br /> USE ZONE LOT AFEA VACANT SIiE <br /> ❑VES CiNO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> SIZEOF 7LDG. NO.OPSTOPIES MA%.00C.LOAD BUILDING tBBOO. 00 �I4 SO <br /> PLUMDiNG <br /> FIRE ZONE BASEMENT FlRE SPRINHLERS - <br /> REOUIRED MECHANICAL <br /> ❑YES f7N0 <br /> APPROVALS BY DATE O7HER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTV U B.C. <br /> 2. BUILDIN6 PLANS SEC.303(a� <br /> 3. FIREHVDRANT TOTAL �4 SO <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALID�TION <br /> WHEN PROPERLY VALIDATED pN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING � O � y. S O �� � <br /> G. DRAINAGE 9 3 2 2 <br /> 7. ENVIPONMENTAL IMPACT STATEMENT �' <br /> B. HEALTH DISTRICT � <br /> APPLICATION ACC.0Y PLANS CHECKED BY APPR.FOR ISSUANCE BY � ' -� R R:�C E I PT � <br /> . ; ,,�v�; ��b u <br /> ADDRESS FILE l O OCT EO <br />