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dieLlrr�reen ,�� CONSTRUCT�N � <br /> < �- �_� <br /> everett PERMIT PERMIT NO. �5 � O3 <br /> GTV HALL 259�d745 <br /> evEaerT, ven sezoi ❑ COMBINATION X�yt BUILDlNG ❑ MECHANICAL ❑ PLUMBING <br /> OVINEN M41L ADDR[S$ QTV 2iP PNONE <br /> Mal.colm Lindberg 2611 Oakes Everett 98201 259-4821 <br /> FflLNR[Ci OP�ESIGNER MRIL AODFE55 LIiV ZIP PHONE <br /> GENERAL CONtFPGiOR MAIL ADDRE55 CI1Y 2iP PMONE LICENSE� <br /> Same <br /> NEGMRNIGALGONTRACTOP �A/ILApDRE55 CITV ZiP PHONE UCENSE• <br /> PLUM(11NG CONTRACTOP MAIL ADORE55 GTY ZiP PNCNE LICENSE� <br /> CLA55 OF\VOFN <br /> ❑NEW ❑ P.DDITION ❑ ALTERATION H�REPAIR ❑ OEMO��TI:N ❑ FENCE ❑ SIGN ❑ WO00 STOVFJFIREPLACE INSEHT <br /> VALUI.TION OF WORK <br /> s zrJ��.�O <br /> pESCRIBE WOPN <br /> Install siding and windows <br /> PROPOSEO USE OF BUILDING <br /> Sin le Famil Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> g Y APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGPLOESCRIPiIONOFPROPERiY�SHOWBEL04Y0PATTACMFOURCOPoES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 3 e�ocK 19 oF Victory Heights GOVERNING TIiIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVt AUTHORITY TO VIOLNTE <br /> OR CANCEL THE PROVISIONS O� ANY OTHER STATE OR <br /> LO � LAW REGULATING CONSTRUCTION OR THE <br /> �j�2� _ P MANCE OF CONSTRUCTION. <br /> JOB 0 ii S� E F CONTRAGTOR OR AUTNORIZEO AGENT �>TE <br /> _442-�Terrace Drive 11/15/85 <br /> PLUMBING �CH � <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATERCLOSEi�TOILEi) AIR COND.UNITS - H.P.EA. <br /> �ATHTUB REFRIGEFATION UNITS- N.P.EA. <br /> IAVATORYpNASH BASIN� BOILERS- H.R EA. <br /> SHOWER GAS FIRED A.C.UNITS- TONNAGE EA. <br /> KITCHEN SINK H DISP. FORCED AIR SYSTEMS- B.T.U. M EA. <br /> OISHWASMER �'�'ALL MEATERS- B.T.U. M <br /> LAUNDRY TRAY UNIT MEATERS- B.T.U. M <br /> CLOTMES WASHER EVAPOFATIVE COOLERS <br /> WATER 11EA1Efl CLOTHES�RYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> PLOOR DRAIN AIR HANDUNG UNIT- QF.M. <br /> VACUUM 6REANERS STOVE -WOOD <br /> ROOF DRAINS- RAINLEADCAS METAL FIREPLACE d CHIMNEV <br /> SINK(SERVICE- BAR, ETC.) FI(7EPLACE INSERT <br /> MEAT PUMP <br /> SU9 TOTAL S SUB TOTAL f <br /> PERMIT f PERMIT S <br /> TOTAL FEE S TOTAL FEE f <br /> SIDE YARD SETBACK STREET$ETBACK REAF YARD SEtBACK PLAN CHECK NUM6ER PLAN CHECK FEE <br /> I FEE RECEIPT NO. <br /> USE ZONE LOT ANEA VACANT SITE FEES VALUATION FEE <br /> YES NO — <br /> TYPE OF WNST. OCCUPANCY GFOUP NO.OF DWELLING UNITS <br /> 6UILDING S 2500. 38 50 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIPE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> YES NO <br /> APPflOVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTV U B.C. 3B SO <br /> SEC.303�a) <br /> 2.BUIL�ING PLANS �X <br /> TOTAL <br /> 3.FIRE MYDRANT 77 p <br /> 4.FIRE PROTECTION SYSTEM yrHENIiPHOPERLYOVALIDATED QN T S SP CE)TMIS�+IS(�Y.4 R PERMIT' �(- �� <br /> S.GRADING � 5 �I * I� /�, O O — ��" <br /> 6.OFAINAGE j�- <br /> 7.ENVIRONMENTALIMPACTSTATEMENT I1�1 <br /> B.HEALTHDISTRIC7� ' . � �" : � �'� ��-� <br /> APPUCATION ACC. BY PLANS CHECKED BV APFF.FORISSUANCE BY � � ' �� -" � � <br /> ... 1 �� <br /> � i., i ��� <br /> ADDRE55 FIL[ <br />