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,,".`�,`.,`.'.`.,� � � CONSTRUCTI�I � <br /> everett PERMIT �ERM�r �o. �5 � � � <br /> GTV HALL.^iF�B7d5 <br /> EVERETT,WA98201 � COMBINATION �w' BUILDING C� MECHANICAL ❑ PLUMBING <br /> ON'rvER MRI�AODRE55 GTY ZiP PMONE <br /> Bruce Olson 3727 Shore Avenue Everett 98203 <br /> ARCMITECtOFDEi.. P MAILA��RE55 CIiY 21P t'IONt <br /> GENERn�WNiRi CT��R MAIL ADOPE55 CITY 2iP PMONE LIGENSE� <br /> Ander:=�n Ccnstruction 1207 Sth Drive Muki:teo 98275 355-2283 <br /> MECM4NIGAL CONTaq�iOP MAIL AD�NE55 QiV ZiP PHONE UCENSE� <br /> ANDEAC281CC <br /> PII�MBING GONtPAGTOR MAIL AODf1E55 GITV ZIP PHONE .'CENSE I <br /> C�A55 OF WORN <br /> ❑NEW XH ADDITION ❑ ALiERAT10N ❑REPAIR ❑ DEMOLITION ❑ FENGE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> s 3,000.00 <br /> DESCFI9E\YORK <br /> PROPOSEO USE OF BUILPING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGAL OESCRIPTION OF PFOPEflTY�SHOW BELOW OR ATiACN FOUH COP�E51 CORRECT. ALL PROVISIONS OF LAWS AND ORD�NANCES <br /> 19-15 Edgewater Estates GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCN_OF WHETHER SPECIF�ED HEREIN OR NOT. fHE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB AOORESS SIGNF 'OF CONTRP TOR OR AUiHORI]ED AGENT DATE <br /> 3727 Shore X p�„� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> VJATERCLO:ET(TOILEn �.�R COND UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> I AVATORV�WASM BASIN) BOILEfl;— H.P. EA. <br /> :�MOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> NITCHEN SINH 8 OISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEl�TERS— B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOiHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE NOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— QF.M. _ <br /> VACUUM BREAKERS STOVE—WOOD <br /> FOOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR, ETC.) FIREPLACE INSEPT <br /> HEAT PUMP <br /> SU9TOTAL a SUBTOTAL f <br /> PEPMI7 S PEPMIT S <br /> TOTAL FEE S TOTAL FEE S <br /> SIDE YAfl�SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLFN CHECK FEE <br /> 85/15616 FEQ5.03 80983 No. <br /> USE ZONE LOT AREA VACANT SITE <br /> R—S ' VES X1$0 FEES VALUATION fEE <br /> TYPE OF CONSI. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 <br /> BUILDING $3�QQQ.QQ 38 $Q <br /> SIZE OF BLDG. NO.OF STORIES A7AX.OCC. t���0 <br /> ZO�X3�� ROOf 1 PLUMBII�G <br /> FIREZONE BASEMENT FIRE SPRINKLEHS MECHANICAL <br /> REOUIRED <br /> VES XXNO <br /> APPROVALS BY OATE OTMER <br /> 1.ENVIRONMENTAL GHECK LIST NENALTY U.B.C. <br /> SEC.30S(al <br /> 2.BUILDINGPLANS 3B SO <br /> 3.FIREHYDRANT TOTAL <br /> d.FIRE PROiECTION SVSTEM PERMIT VALIDATION <br /> S.GRADING WHENPROPERLYVALIDATED�1NTMIS�.SP�Cf,�TM15,{S�O,U�P�q}�IT_ • � <br /> � ( X � Il <br /> 6.DRAINAGE <br /> 7.ENVIRONMENTALIMPAGTSTATEMENT � , , <br /> B.HEALTH DISTHICT � ' -� ' , . ' , � j , . <br /> APPLICATION ACC.BY PLANS CHECKE�BV APPR.FOR ISSUANCE BY ' � � <br /> JEF . . . . �., '.I <br /> ; � ;.�J � 7 <br /> ADDRESS f-ILE <br />