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�� <br /> �he Erergrcen Cr�V STR U CTIO N � <br /> CI7Y GF <br /> everett PERMIT PERMIT NO. OH214 <br /> CITY HALL 259�8745 <br /> EVERETT.WA 98201 ❑ COMBINATION ��UILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAIIADURESS QTV ZIP PIIONE <br /> Rodney C. Hermes 3215 Shore Ave. 98203 355-4536 <br /> ARCHITECT ON DESIGNER MAII A�DRE55 CIiV ZIP PMON[ <br /> GENERALCANTR4CTOF MAILADDPESS QL' PP PHONE UCENSE� <br /> �dECHANICAL CANiRACTOP MAIL ADDRE55 CiLY ZiP PNONE UCENSE� <br /> PWM.'NGCANTPAGTOR MAILA�pRE55 LITV ZiP PHONE LICENSE� <br /> ClAS$Of WOPK <br /> ❑NEW L'��FODITION CI.\LTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VRLURTION OF WORK <br /> s 300. 00 <br /> oescaieE woaK <br /> Catwalk to evest of huuse <br /> vAoaoseo use oF eunoir+c <br /> single family residence' I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �mn�ocscnienonoFraorcntris�wweeiowoannnc��Fouacorirsi PLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT. <br /> 7 9 Shore Acres ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior eia:K_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHEFl SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLAT[OR CANCEL THE PRO� <br /> -Vl IONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CO�RUCTION 0 THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRC55 iGNATUf�OF CONi i i P AUiHORiZEO hGENi �nTE <br /> 3215 Shore X `^� � �,�`k� 9/4/80 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—NP. EA. <br /> OATHTUU R[FHIGLRATION UNITS—HP.EA <br /> LAVATORV(WASH BASIN) BOI�ERS—H p,EA. <br /> SHOWER GAS FlR[0 AC UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP FORCED AIR SYSTEMS—B T.U. M EA <br /> OISHWASHER WALL HEATERS� -OTL. M <br /> U+UNDRY TRAV UNIT H[NERS—0 TL. <br /> CLOTHES WASHER EVAPO�ATIVE COOLERS <br /> WATER HEATER CLOTH[S ORYERS <br /> URINAL �ENTILATION FAN <br /> DRINKING FOUNTAIN ��NG[HOOD <br /> FLOOP DRAIN AIR HANDLING UNIT— CF.M. <br /> VACUUM�R[AKERS STOVE <br /> ROOF DRAIIJS—RAWLEA�ERS METAL FlREPLAC[8 CHIMNEY <br /> SINK�5[PVILE—BAR.ETC� <br /> SUBTOTAL SUBTOTAL f <br /> PEflMIT f PERMIT S <br /> TOTAL FEE f TOTAL FFE f <br /> SIDE YARD SEieACH STH[Ei 5[tUACK REAR YAHD SETLiACN PIAN CHECK NUM�ER PLAN CHECK FEE <br /> F@E RECGIPT NO <br /> USE ZONE LOT APLA VACANT SITE <br /> f�YES LNO FEES VALUA710N FEE <br /> TVPE Of CANST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> BUILDING b300 .00 5 00 <br /> 9ZG OF BLDG. N0.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> 1 IHC ZONE 9ASEMENT FIRE SPRINKLERS <br /> REOUIRED b1ECHANICAL <br /> f 1VES C1N0 <br /> APPROVALS BY DA7E OiHER <br /> t [NVIRONMENTALCHECKLIST PENALTY UBC <br /> SEC.303(a� <br /> _ C7UIlDING PLANS <br /> 3 FIREHVDRANT TOTAL S OO <br /> d FlRE PROiEC710N SYSTEM PERMIT VALIOATION <br /> — YMEN PROPFR�V V�LIDPTED GN THIS SPACE)THIS IS VOUP PERMIT <br /> 9 GHADING C <br /> b ORAINAGE I 7 6 T � O O J, O O ���� <br /> 1 LIJVIRONMENTAL iMPACT STATEMENT N <br /> n HEALTH DISiRICT � ' ;� � <br /> ,� P,E:. ;: IPT <br /> nPFUCATION ACC.BY PLANS CMECRED Bv APPR FOR ISSUANCE BY <br /> . ��i �J <br /> �\ �'. <br /> ' " ...i GU <br />