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',"� `,'."r`�", ��CO N STR U CTI O �j � <br />everett PERMIT PERM1z �o. 15���� <br />CITV MALL 259�d745 <br />evEaErr.wnsezoi � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWHEN IAAIL ADDRE55 CITY 21P PHONE <br />George A. Rournier 6024 83rd Place N.E. Marysville 98270 <br />ARGHITECT OR OESIGN[F MAIL AO�RE55 CITY 21P PMONE <br />❑ENEPdL CONiRaG10F MAIL AODRE55 QtY ZIP PMONE L�CENSE M <br />F. W. Al1en Construction 27220 159th S.E. Kent 98032 631-2049 <br />MECMANIGAL GON'NPCTOR MAtL PDORES$ CITY ZIP PMONE UGl.NSE � <br />FWAIIC2030J <br />PLUMBING WNTRACTOR MPIL ADOflES$ GTY ZIP PMONE LIGENSE • <br />❑ NEW O ADDITION �[ALTERATION ❑ R�PAIF ❑ DEMOLITION ❑ FENCE ❑ SIGN <br />s 5500.00 <br />Install MX19YE[HXSS Cabinets, bathtub and re-roof <br />Single L`amily Residence <br />EGAL DESGRIPTiON OF PROPERiY �SM01Y BEL01N OR AiTAGM FOUR COPIES� <br />�or_16 e�oce 1 o` Climax Land Co.' S lst <br />3831 Wetmore <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET'TOILEn <br />1 BATHTUB <br />1 LFVATORY�WASMBASIN) <br />SHOWER <br />1 KITCMENSINKSDISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTMES WASMER <br />1 WATER HEATER <br />URINAL <br />DRINKING POUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DitAINS — flAINLEADERS <br />SINK ISERVICE — BAR, ETC.) <br />SUBTOTAL <br />PENMIT <br />TOTALFEE <br />IEET SETBACK <br />� <br />S <br />5 <br />REAR VARD <br />USE ZONE LOT AREA VACANT SITE <br />YES NO <br />TVPE OF GONST. OCGUPANCY GROUP NO. OF DWELLING UNITS <br />SIZE OF BLOG, NO. OF STORIES �dAX. OGG. LOAD <br />FIRE ZONE BASEMENT FIRE SPHINKLEPS <br />REOUIRED <br />1'ES NO <br />APPROVALS BY OATE <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIHE HYDRANT <br />4. FIRE PROiECTION SYSTEM <br />S.GflADING _ <br />6. DRAINAGE <br />ZENVIRONMENTALIMPACTSiATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC.BV PLANS CHECKED BV APPR.FORISSUANCE BY <br />❑ WOOD STOVEJFIREPLACE INSERT <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TPUE AND <br />CORRECT. ALL PROVISIONS OF LAWS A�D ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATI�JG CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNl.tURE pFC7JNiRAGiOR OR AUTHO&IZEO AGENi DATE <br />� <br />MECHANICAI <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — M.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FOHCED AIR SYSTEMS — B.T.U. M EA. <br />WALI HEATERS — B.T.U. M <br />UNIT HEATEFS — B.T.U. M <br />EVAPOHATIVE COOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDUNG UNIT — C.F.M. <br />StOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />PIREPLACE INSERT <br />HEAT PUMP <br />Sl1B TOTAL S <br />PEPMIT S <br />TOTAL FEE f <br />PLAN CMECK NUMBER PLAN CI <br />FEE <br />FEES VALUATION <br />B�'ILDING S SSOO.00 <br />PLUIdBING <br />MF�HANICAL <br />OTHEH <br />PENALTY UBC. <br />SEC. 909 (al <br />TOTAL <br />7/2/85 <br />HECEIPT ND. <br />FEE <br />56�50 <br />64 I 50 <br />PERMIT VALIDATION <br />WHEN PROPEflLV VALIDATEO �1N TMIS SPACE) THIS IS YOUR PERMIT .� <br />� <br />� <br />lC� <br />�"� <br />PDDRESS FILL <br />