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- . <br /> � � <br /> (IiPEI'C�YeOF �C1NSTRUCTION -- � - <br /> �verett PERMIT pERMIT N0. 07745 <br /> qTY HALL 259�8745 <br /> EVERETT.WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ pLUMBING <br /> OWNER MAILAUORE55 LIIY ZIP PHONE <br /> Ehrler, Gerald M. 3106 Shore Avenue Everett 98203 353-8173 <br /> FRCHILLCT OR D[SIGNER MAII ADpRES$ CITY 21P PHONE <br /> GENEt1At CONTRACiOR MFIL ADpRESS CIiY ZIP PMONE LICENSE 1 <br /> Self <br /> AICCMANICAL CANtMCiC � MRII AD�PE55 CItY ZIP FHONE LICENSE I <br /> PLUMBING CONiPtCTOP MAII A�pRESS dtY Z!P PMONE LICENSE I <br /> C1A55 OF WORN <br /> LANEW ❑ADDITION ❑AUERAiION ❑PEPAIR ❑DEMOUTION �FENCE ❑SIGN ❑GARAGE <br /> VPLUATiON OF WORK � <br /> f 300.00 <br /> DESCRI9E WORN <br /> Fence-Wood <br /> PPOPOSED USE OF BUILOIN� <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> i.ecn�oeuRivrionoFvnovEarr�sNowee�owoannacHFouaeovies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 1 008— 00 Shore Acres Add. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior eioc�_� TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <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 REGULATING <br /> CONST`RUCTION OR THE PERFORMAN OF CONSTRUCTION. <br /> JOB AODf1E55 SiGNATUf�OF:;ONiRnC R R UTNU 2ED � 1 OATE <br /> � t��3106 Shore Avenue X t � � <br /> PLUM81N0 MECHANICAL <br /> N0. TYPE OF FiXTUHE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) AIR CONC.UNITS—HP.EA. <br /> BFTHTUB REFRIGERATION UNITE—M.P.EA <br /> 1AVATORY�WASH BASINI BOILEAS—HP.EA. <br /> $HOWER GA$FIRED A.C.UNITS—iONNAGE EA. <br /> KITCMEN SINK 8 DISP. �ORCED AIR SYSTEMS—BT.U. M EA. <br /> DISHWASHER WALLHEATERS—B.T.U. M <br /> LAUN�RY TRAY UNIT HEATERS—B.T.U. M <br /> CIOTHES WASHER EVAPORATNE COOLERS <br /> WATER HEATER CLOTHES DRVERS <br /> URINAL VENTILATION FAN " <br /> DRINKING FOUNTAIN RANGE IIOpD <br /> FLOOR DRAIN AIR HANDUNG VNIT— CF.ld. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL PIREPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR,ETC.) <br /> SUBTOTAL SUBTOTAL S <br /> PERMIT S PERMIT f <br /> TO7AL FEE ! TO7AL FEE S <br /> SI�E YARD SETBALK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMDER PLAN CHECK FEE <br /> FEE PECEIPT N0. <br /> USE ZONE LOi AREA VACANT SITE <br /> L]YES ❑NO FEES VALUATION FEE <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 8 <br /> SIZE OF BLDG. N0.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT FIflESPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES L7110 <br /> ApPROVALS BY OATE OTHER <br /> L ENVIRONMENTAL CHECK 115T PENALTY U 8 C. <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIRE HVDRANT TOTAL S OO <br /> 4. FIRE PROTECTION SVSTEM PENMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(IN THIS���,1�h11S IS�I�RREpMI� O —+ � <br /> 5. GRADING �f �� u 7 U <br /> � 6. DRAINAGE <br /> _ � <br /> 7. ENVIRONMENiALIMPACT STATEMENT � <br /> B. HEALiHDISTRICT YOUR RECEIPT � <br /> APPLIOATIUN ACC.B'I PLANS CNECKED BY APPR.FOF ISSUANCL BY ; �-i.�' ��j K Y O U O <br />