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- - , <br /> _, - <br /> ,��E���rY�oF �- C�`NSTRUCT�ON � -� <br /> everett PERMIT pERM,r �o. o8zsa <br /> CITY H�LL 259�8745 <br /> EVERE7T,WA 90201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEF �AAIL/�OR[55 CIIY 21P PNON[ <br /> Robert Repline 221 Skyiine Drive 252-2281 <br /> ANCMrtECT OR�ESIGNCR MAIL AD�PE55 C�TV 21P PHONE <br /> GFNEiiAI CANTRACTOR MAtL ADDPE55 CITY 21P PHONE LICENS[� <br /> Everett Builders 5606 Evergreen Way 98203 353-7161 <br /> IAECHANICAI CONiRACTOR MRIL ADDRE55 GITY 21P PHONE LICENSt/ <br /> EV ER EB 301PH <br /> PWMBINGfANiRALTOR MAtLAUDRE55 LIiV ZIP PNONE L�CENSE� <br /> C1A55 OF WORN y�� <br /> ❑NEW ❑AD�ITION ❑ALTEHATION CJAEPPIR ❑DEMOLITION ❑FENCE OSIGN ❑GARAGE <br /> VPIUFTIDN OF WORK <br /> S 1890.00 <br /> OESCR19E WORK <br /> re–roof hot mop <br /> PR01'OSEO USE OF BUIIDING <br /> sin le famil residence I HER[BY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> � �ecn�ocscniPnonoFPnoccarrisHowee�owoFnnncNrouncori[si FLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 26 Mt. Haker View ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior eiocK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> fiEREIN 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 /> CONSTRUCTION OR THE PERFORMANCE OF CONSTflUCTION. <br /> SIG I.iU .OP CON'RAC� OR AVi110H12 D AGENT �ATE <br /> �oe nooaess 9/16/8 0 <br /> 221 Skyline Drive X <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT � FEE <br /> WATER CLOSET(TOILET AIR WIJD.UNITS—H P.EA <br /> BATHTUB REFRIRERATION UNITS—H P.LA <br /> LAVATOfiY h'JASH BASIR) 8011ER5—H P EA. <br /> SNOWER GAS FlRED AC UNITS—TONNAGE EA. <br /> KIiCHEN SINK d DISR FORCED AIF SYSTEMS—B T U. M FA. <br /> DISHWASHER WALLHEATEFS—BT.U. M <br /> LAUN�RV TflAV UIJIT HEATEPS—UT.U. M <br /> CLOTHES WASHER EVAF'ORATIVE CCOLERS <br /> WATER HEATER CLOTH[S DRY[RS <br /> URINAL V[NTILATION FAN <br /> �RINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C F M <br /> VACUUM BREAKERS STOVF <br /> flOOF DRAINS—RAWLEAOERS ML1AL FINEPIAC[6 CHIMNEV <br /> SINK�SERVICE—BAR,ETCJ <br /> SUB TOTAL SUB TOTAL f <br /> PEHMIT f PERMIT f <br /> TOTAL FEE f TOTAL FEE f <br /> SIDE VARD SETBALK STREET SETBACK f7EAR YARD SETBACK PLFN CHLCK NUM�ER PIAN CHECK FEE <br /> FEE �ECEIPT NO. <br /> USE ZONE LOT APEA VACANT SITE — <br /> f iYES i.7N0 FEES VALUATION FEE <br /> TVPE OF CANST. OCCUPANCY GROUP N0.OF OWEILING UNITS <br /> OUI�DING s 1890. 19 �� <br /> SIZE OF BLOG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEM[NT FIRE SPFINKLERS MECHANICAL <br /> REOUIRED <br /> ❑YES ❑NO <br /> APPHOVALS BV DATE OTHER <br /> 1, ENVIFONMENTALCHECNUST pE��q�Ty U.BC. <br /> SEC.303(a) <br /> 2. BUILDINu PLANS <br /> 3 FIRE HYDRANT TOTAL ,19 OO <br /> 4. FIRE PROTECTION SYSTEM PEPMIT VALID�TON <br /> WNEN PROPERLY VAUDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADiNG 7 E 7 4 .p � I /. O O �-�� <br /> � 6. DPAINAGE � <br /> Z ENVIRONMENTALIMPACT STATEMENi N <br /> 6. HEALTH DISTRIQ � , I � i` ���'C'P� <br /> APPLICATION ACC.BY PlANS CHECKFD BY APPR.FOP ISSUANCE DY <br /> . � . .,I; 1'CiU <br />