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R theEvergreen �ONSTRUCTION . � <br /> GTY OF <br /> everett PER�OT PERMIT NO. Og11 <br /> cirr r�AIL 259 B7d5 � COMBINAT�ON Gt� BUILDING Gd MECHANICAL c� PLUMBING <br /> EVEFiETT,WA 99��� Z�p anorve <br /> c"Y 355-4536 <br /> Mr,a nooaess 9 8 2 0 3 <br /> QH,H�q E v e r e t t p�,oNE <br /> Rodney C. Hermea 3215 Shore . c�rr Z1 <br /> Mn��nooaess <br /> APCNiIECt OA DEStGN[!1 PHON[ UCENSE! <br /> CITY LP <br /> Mqi�PDDR[55 <br /> GENEHAL CAMrRP�iOp pHONE IICENSE 1 <br /> Same �,TM Z1P <br /> —�--�— una�+ooness <br /> MECMPNIGALCONTMGTCR pHONE UCENSE 1 <br /> LILV 21P <br /> Mq��ADDRE55 <br /> PW MOW G GONiPACtON <br /> CL/.SSOFWOeK ❑NEW �A��ITION P�.�TERATION ❑FEPAIR ❑DEMOLIT�ON ❑FENCE ❑SIGN ❑GARAGE _ <br /> vnwnnor+ov woeK . <br /> s 1200.00 <br /> DESCRIBE <br /> Finish existin4 basement area <br /> raoaoseouscor uuiiou+c I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> sin le famil residence pLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> �ecni oeswirnor+or raooeerr isHow ee�ow oR AnAc��oua mvies ALl PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> ior oio;,K�o' IIEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUM O�ANY OTHERRSTATE�OR OCAOLRLAN' REGULATN� <br /> V ' <br /> ONSTR CTION O THE PERFORMANCE OF CONSTR�UCTI . <br /> si'Kntua� rwr�rn � o� or�nuu�on¢eon�u+r 4�13�81 <br /> X � \�sp�" a <br /> �oo nnoness - <br /> 3215 Shore Avenue MECHANICAL <br /> FEE <br /> PLUMBING FEE NO. TYPE OF E�UIPMENT <br /> NO. TYPE OF FIX7URE OR ITEM nin coNo.uN�Ts—H r.k-.n <br /> VJATER CLOSET(TOILETI REFHIGEPATION UNITS—HP.EA <br /> �ATHTU� BORERS—H P EA. <br /> �AyATORY�WASH FIASIN� _ GAS FIRED A C.UNITS—TONNA�t�A�EA <br /> SHpWER — FOPCED NR SYSTEMS—B T U. ^^ — <br /> KI1CHLtJ 51NK&UISP. WALL HFAI ER5—i1 T. �� � M <br /> D�SHWFSHER UNIT HEATERS—B,T.U. <br /> 1 LAUNUPYT�AY EVAPORpTIVECOCI[NS <br /> CLOTHES\VASNER CIOTHES UPYERS <br /> \VATE�7��L�T[R VEN7IL�T�ON FAN <br /> UFINAI RANGE HOOD pp.M. <br /> DRINKING FOUNTAIN pIR MANDLING UNIT— <br /> FLOOR DRMN STOVE p <br /> VAWUM OR[A!�ERS METAL FIREPU�CE 8 CHIMNEV <br /> POOF DRAINS—RAlNLEADERS 2 OO <br /> 1 SINK(SERVIGE—��R�tTC'� <br /> SUB TOTAL S SD_ <br /> SUB TOTAL pERM1T S <br /> S - 70TAL FEE S 4 S�" <br /> PERMI7 q 00 <br /> TOTAL FEE s PLAN CHECK FEE <br /> p[�R YARD SEIBACK PLAN CHECK NUMBER RECEIPT N0. <br /> SIDE YARD SETPAGK STREE7 SETB�4CK FEE <br /> �OT AREA VACANT SITE FEES <br /> ypLUATION FEE _ <br /> UbE 20NE L]YES 1'NO <br /> TYPEOFCONST. OCCUPANCYGROUP NO.OFDWELLINGUNILS g12OO.00 20 SO <br /> DUILGING <br /> NO.OF STOA�ES AIAX.OCC_�DAD ^. O O <br /> SIZE OF BIOG. PLUMBING <br /> fIRE SPRINKLERS ¢ S O <br /> FIHE ZONE <br /> BASEMENT HEOUIRED MECHANICAL <br /> I'.YES i iN0 <br /> DATE OTHER <br /> pPPROVALS eY UBC. <br /> pENAUY SEC.303(a) <br /> L ENVIRON�LIST ZB OO <br /> 2 BUILOM� TOTAi. <br /> 3. FIRE HYDRANT �� pERMIT VALIDATION � <br /> 4 F{RE PROTECTION SYSTEM JJ�1F�N PFiOPEBLYyALIiS,7ED(M THIS S�ACE�T91515 Y�UP P�f�1�' ^ __� <br /> N I' L I� <br /> � . <br /> C� <br /> __ 5. GF7ADING � � <br /> '- 6. DRAIIJAGE _ . . .� I���� <br /> "' 7. EN\'�PONMENTALIMPACTSTATEMENT � • � " ' 1, Q <br /> ��" 0. NEf�_�HDISTFICT� ^� � � � <br /> qpp��,^,4TION ACC.BY I <br /> � p�AN�CNECNED BY PPPR.fOR ISSUANCE 0`: <br /> K.C. <br /> � � � �.,n <br /> i�l� � I ;�.t i( U I <br /> 1 <br /> ADDR[SS Fll.f. <br />