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IheErcrgre�n ^.ONSTRUCTION � � � � <br /> GTV OF <br /> everett PERMIT pERMIT N0. 0�331 <br /> c�rvHa��zs9etn, ❑ COMBINATION Q BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> EVE'�.TT,WN 98201 <br /> CIiY ZIP �'HONE <br /> OW NLR MRIL ApDRE55 9 8 Z O 1 2 5 2–3 4 8 9 <br /> Everett <br /> Marcia D. Dawson 1227 Wetmore rY Z,,, vvo�c <br /> qRC��IIECt OR�E9GNER 61AiL AD�RESS <br /> GEN[RAL CAYTRnCtOR MAII ADDFE55 <br /> CITr ZIP PHONE LICENSE� <br /> Same ��T� jIp PMONE UCENSE� <br /> IIECMA�UCAL CONiRAGtOP MAiL ADDPE55 <br /> ��i� Z�p PHONE UCENSE I <br /> CLUMBING CONiPACiOR MAIL A�DP[55 <br /> CLASS Oi W OPK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION �j FENCE ❑SIGN GARAGE <br /> yp�UqiiON OF WOBN <br /> S �.I�0�.�0 <br /> DESCRiBE WOPK <br /> construct 72' fence in rear of property <br /> PRO�SED USE OF BURDING <br /> single family I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS A - <br /> PLICATION AND KNOW THE SAME 'TO BE TRUE AND CORRECT. <br /> �E�n�oescaianor+oFPaovenrr�sMowueioweannncerouecoaies� ALLPROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS <br /> 2-4 230 Churcli and LaMoures TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> LOi BLOCK—oF HEflEIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> CON�STRU�CTION OR THE PERFORMANCOE OF CO S RUCT ONING <br /> DAiE <br /> SIGNATURE OF CANiRACTORQR RUi�12ED RceH* � 6/3/81 <br /> JOB ADDRE55 X�JI.�µ� V �� <br /> 1227 Wetmore <br /> MECHANICAL <br /> PLUMBINQ TYPE OF E�UIPMENT FEE <br /> N0. <br /> NO. TYPE OF FIRTURE OH ITEM FEE qIR COND.UNI�S—HP.EA. <br /> WATEfl CLOSET QOILET� ' qEFRIGERATION UNITS—H P.EA <br /> �ATNTUB pORERS—H P.EA. <br /> LAVATORY�WASH BASINI GAS FIREV A' UNITS—10NNAGE EA. — <br /> SHOWLR FORCED 41R 5Y!'iTEMS—�T U. M EA. . <br /> KITCHEN SINK 8 DISP. WALL HEAiEAS— �TL. M' <br /> DISHWASMER UNIT HEATLRS� 6 T U. M � <br /> LAUNDRVTRAY EyppppqTIVECOOLERS <br /> CLOTHES WASHER CLOTHL:DRYERS <br /> WATER HEATER yENTILATION FAN <br /> URINAL pANGE I:OOD — <br /> DRINKING FOUNTAIN plh MANDLING UNIT— QF M. <br /> FLOOR DflAIN STOVE <br /> VALUUM BREAKERS METAL FlREPLACE&CHIMNEV <br /> ROOF DRAINS—RAINLEADERS <br /> SINK(SERVICE—�AR•ET�.) <br /> SUBTOTAL = <br /> SUB TOTAL PERMIT f <br /> PERMIT s TOTAL FEE s <br /> TOTAL FEE S pLAN CHECK FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE 7.ONE LOT AREA VACA�NT SITE FEES VALUATION _ FEE <br /> ❑YE. L�NC <br /> TYPE OF CANST. OCCUPANCY GFOUP N0.OF DWELLING UNITS bl� OOO. 1� S O <br /> BUILDING <br /> SIZE OF BLDG. NO.OF STORIES MA%.00C.LOAD <br /> PLUMDING <br /> FIRE ZONE BASEAIENT F�NE SPRINKLERS MECHANICAL <br /> PEOUIFED <br /> ❑YES C1N0 <br /> pPPpOYALS <br /> BY DATE OTHER <br /> U.B.C. <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY SEG 303(a) <br /> 17 50 <br /> 2. 9UILDING PlANS 70TAL <br /> 3. FIRE HYDRANT <br /> PERMIT VALIDATION <br /> 4. FIRE PRJTECTION SYSTEM WMEN PfiOPERLY VALIDATEO(IN THIS SPACE�THIS IS VOUR PERMIT� —_ � <br /> 5. GRADING � r � '' . � I �• r I <br /> G. DRAINAGE M <br /> 7. ENVIRONMENTAL IMPACT STATEMENT _ , � _.� � <br /> i i 0 <br /> 8. HEALTM DISTRICT <br /> . . I <br /> APPLICATION ACC.DY PLANS CHECKED BY APFR,FOR ISSUANCE BY <br /> . i <br /> ADDRESS FILE <br />