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. , <br /> � - <br /> � <br /> rne�VCTYOF Cr''NSTRUCTION � �-� <br /> everett PERMIT pERMIT NO. 08294 <br /> CITY HALL 259�B7d5 <br /> [ver,e'.i, .'dn se�o� ❑ COMBINATION � BUILDWG � MEL'HANICAL ❑ PLUMBING <br /> pWNER MAII R�DPL55 QiY ZIP f'HONE <br /> Robert Repline 221 Skylir.e Drive 252-2281 <br /> ARCHILECi OR DESIGNEP MAIL AppP[SS CITY ZIP PHONC <br /> GEHERAICANiRAGiOR MA�LAppRE55 GITY ZII' PHON.i LICENS[I <br /> Everett Builders 5606 �vergreen Way 98203 353-7161 <br /> MECMRNIf4LCANiRACiOR MAILAODRE55 CIiY ZIP PHON� llC[NSEI <br /> EV ER EB 301PH <br /> PWAIpINGCONTRACTON MrIILAD?RC55 CITY ZiP PHONE LICLNSEI <br /> C1A55 O"�'1RN X�X <br /> ❑NEW ❑ADDITION ❑ALT[RATION CJAEPAIR ❑DEMOLITION ❑F[NCE ❑SIGN ❑GARAGE <br /> VALUATION OF WOPN <br /> 3 1890.00 <br /> DESCN 9E WORK <br /> re—roof hot mop <br /> FROL95E0 USE OF BJILDMG <br /> sin le famil residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> ieenioeF.cniarioNOF veoacarr�sNowee�owoennnu�FouncoPies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 26 Mt. Baker View A�LPROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS <br /> �or e�a,:�_oF TY?E 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 IOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AODRE55 SIG TU .OP fONiRACi OR At1i110R1�/GENT DR1E <br /> 221 Sk}�line Drive X 9/16/80 <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WAiE-i ClOSET ROILEn AIF COND.UNITS—H P.EA. _ <br /> BATMTUB REFRIGEfiATION UIJITS—HP.EA <br /> LAVATORY IK'ASH BASIN) WILERS—HP.EA <br /> SHOWER GAS FlRED AC.UNITS—TONNA,E EA. <br /> KITCHCN SINK 8 DISP. FORCLD AIR SYSTEMS—0 T U. Id EA. <br /> DISHWASHER WALL NEAi[RS—B T.U. M <br /> LAUNDRV iRAY UNIT HEATERS—E�T.LL M <br /> CLOTHES WASHER [VAPOFATIVCCOOLERS <br /> WATEF HEPTER CLOTHES UR\ERS <br /> URINAL VENTMTI(�N FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR OflAIN Aifi HANDLING UNIT— C F.M. <br /> VACUUM�REAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAI FIREPLAC[8 CHIMNEV <br /> SINK(SEflVICE—DAH.EiCJ <br /> SUBTOTAL SUBTOTRL f <br /> PERMIT f PERMIT f <br /> TOTAL FEE S TOTAL FEE f <br /> SIDFVARD SEiBACK STREETSETBACK REAR VARD SETBACK PLAN CHECK NUMOER PLAN CHECKFEE <br /> FEE �7ECEIPT NO. <br /> USE ZONE LOT AREn VACnNT SITE FEES VALUATION FEE <br /> ❑YES I]NO <br /> TYPE OF CANST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> BUILDING s 1890 . 19 �� <br /> SIZE OF BLDG. NO.Of STORIES MA%.OCC.LOAD <br /> PLUMB!NG <br /> FIPE 20NE BASEMENT q OUIRED KLERS MECHANICAL <br /> IIYES ❑NO <br /> APPNOVALS BY DI1TE OTNER <br /> i. ENVIRONMENTAL CHECK LIST PENALTV U.BC. <br /> SEC.903�e) <br /> 2. BUILDING PLANS <br /> 3. FIREHVDRANT TOTRL ],9 OO <br /> 4 FlRE PROTECTION SYSTEM PERMIT VALID�TION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PEFMIT <br /> 5. GRA�ING � e 7 y � 0 I �. 0 0 -.��' <br /> 6, DRAINAGE � � <br /> L ENVIRONMENTALIMPACT STATEMENT N <br /> d. HEALiH DISTRICT " ' , �1 �� R;_C E I P�° <br /> APPLICATION ACC.BY PLANS CMECKED BY APPR FOR ISSUANCL BY _ '.,'.�; ���U <br /> I D SL1 0 a <br /> ADDRESS FILE <br />