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thr Everxrrrn ;• �O�OJ��� \�� 1 I O� . <br /> r�-v c:� <br /> everett PERMIT PERMIT N0. 14015 <br /> CITY HALL 259�87a5 <br /> EVERETi.VJA9B201 � COMBINATION ❑ BUILDING ,�ql MECHANICAL Q�PLUMBING <br /> OVlNEP MPIL A�ORE55 CIiV 2iP PMONE <br /> M. OLSON <br /> APGMIiEGT OR DESIGNEH MnIL ADORESS LITY ZIP PHONE <br /> GENEFAL GONiRACTOA MAIL ADDRE55 GITV 21P PHONE LICENSE� <br /> DON �BOTT 8505 N F. AOTHF.tT WAV A(YPHFT7 qA011 aa5_any9 <br /> �dECMANILAL GOHiRAGTOR MAIL ADDR[SS CITY 21P PHONE LICENSE� <br /> FLUM6ING GONTRAGTON IARIL A�DRE55 GITY ZIP PMONE LIGENSE� <br /> CLA55 OF WORK <br /> ❑NEW ❑ 4DDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WO00 STOVEIFIREPLACE INSERT <br /> X <br /> VRIUAT10N OF 1NORN <br /> f <br /> OESCPiBE WOFR <br /> lb . stora e room <br /> PPOPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> aat bldq qPPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLDESCRiPTIONOFPROPERTY�SMOWBELOWORATTPLMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK_OF 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 REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> J09 AppRE55 SIGNA R AUTNORIZED FGENi DATE <br /> 1622 W. SZLVER LAKE DR. 10 5 84 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> 1NATERCLOSET(TOILEn AIR COND. UNITS -H.P. EA. <br /> BATHTUB fiEFRIGEPATION UNITS- H.P.EA. <br /> LAVATORV�WASH BASIN) BOILERS - N.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS-tONNAGE EA. <br /> KIiCNEN SINK 8 DISP. FOflCED AIR SYSTEMS- B.T.U. M GA. <br /> DISHWASHER WALL HEATEPS - B.T.U. M <br /> LAUNORY TRAY UNIT HEATERS- B.T.U. M <br /> CLOTHESWASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTMESOFYERS <br /> URINAL ], VENTILATION FAN � <br /> DRINKING FOUNTAIN RANGE 'r100D <br /> FLOOR DRAIN AIF NANDUNG UNIT- QF.M. <br /> VACUUM BREANERS STOVE-WOOD <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE- BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL S SUB TOTAL S 3 OO <br /> PERMIT S 3 OO PEflMIT f ZO OO <br /> TOTAL FEE S S OO TOTAL FEE f <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SET9ACK PLAN CMECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITL <br /> .VES . .NO FEES VALUATION FEE <br /> TVPE OP CONST. OCCl1PANCY GROUP NO.OF DWELLING UNI7S <br />' BUILDING S <br /> SIZE OF�L�G. NO.OF STOFIES MAX.OCC. LOAD <br /> PLUMBING S OO <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> RLOUIRED 1� OO <br /> VES NO <br /> APPROVALS BY DATE OTMER <br /> 1.ENVIRONMENT�L CHECK LIST PENALTY U.B.0 <br /> SEC.303 Ia1 <br /> 2.BUILDINGPLANS �� <br /> 70TAL <br /> 3.FIREMYDRANT ' <br /> 4.FIRE PflOTECTION SYSTEM PEPMIT VALIDATION . . � <br /> i 5.GRADING WHEN PROPERLY VALIDATED�IN TMIS SPACEI TMIS IS YOUR'PERMIT '--�_� <br /> � � <br /> � 6.DRAINAGE � <br /> � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT . d. <br /> -B.HEALTH�ISTRICT � " � <br /> � APPLICATION ACC.BV ,PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> ZC ZC <br /> \ i <br /> ADDRE55 (ILG <br />