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�, <br /> �-�, <br /> ``'��ei��TYeoF �CNSTRUCTIQN <br /> everett PERMIT PERMIT NO. 07127 <br /> QTY HALL 259�8745 <br /> eveaerr.wn oazoi ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ p�UM81NG <br /> IiY:11[rl I.!AI'.ApDRE55 CIiY <br /> La VHONE <br /> Gayle D'nvenport 12017 60th Ave. S.E. Snohomish 98290 568-2755 <br /> ,��:IHrtEQ Oii pF.S�GLCR MFIL RDpRE£5 CRY <br /> ZiP PnONE <br /> G!GFndLCONiR4CTOR IAAILAGOFE55 CRY ZIP P110NE L��CENSE� <br /> Roy Fore 5921 160th S.W. Edmonds 98020 745-1485 <br /> 1.'fi;MANIGAICCNiPAGTOB MAILAD�RE55 CIiT Zip PHONE UCEl.SE♦ <br /> _. FO RE *RS211 ML <br /> ��C��AOiNGCONIRAGTOR MA�LADDRESS CitY 21[' PNONE liCE65Er <br /> 4./�SSOF WOBN <br /> ❑NEW ❑ADDITION ❑ALTERATION I��GppIH ❑D[MOLITIOP: ❑FENCE ❑SIGN ❑GAPAGE <br /> v,v uniiou oF woRn <br /> 1,869.00 <br /> [IESGRIpE WORK <br /> repair foundation <br /> fP0a05ED USE OF BWLCiNG <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AN;J EXAMINED THIS AP- <br /> �.icn�oescaiPrioNovraoaearr�s��owe=_�owoan��nc��Fouacoaiesi PLICATION AND KNOW THE SAME TO Pc TRUE AND CORRECT. <br /> i o, l,2,3eioca 18 0- ALL PROVISIONS OF LAWg AND ORDIPJ4NCE5 GOb'ERNING THIS <br /> TYPE OF WORK WILL B[ COMPLIED WITH WHETHER SPECIFIeD <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TC VIOLATE OR CANCEL (HE PHO� <br /> VISIONS OF ANY OTHER STP'�c OR LOCAL IAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> � nuoNess — ;:�rmTur+c ov corvrnnclo�otq n rHo��r�o aGuir ome <br /> 2120'� Madison Avenue X �'.w�,�l ✓„����S..L�� 2/21/80 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TUHE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) nIR COND. UHITS—H.P.EA. <br /> BATHTUB REFRIGEFATION UNITS—H.P.Ep, <br /> LAVATORY(WASH BASM) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED F.C.UNITS—TONNAGE EA. <br /> KITCH[N SINK 8 �IBP. FORCED AIR SYSTEMS—B T.0 M[A. <br /> �ISHN'ASHER ' WALL HEATERS—B T.�, h� <br /> IAUNDRY TRAY UNIT HEATEflS—B.T.LL �� <br /> CLOTHES VJASHER EyqppRATIVE COOLEPS <br /> VlATER HEATER CLOTHES DqYERS <br /> URINAL VEN7ILATION FAN <br /> CRINKING FOUNTAIN f7ANGE HOOD <br /> FLppR DR.41N !JR HANDLING UNIT— GF.M. <br /> V.4CUUM�9EAKERS STOVE <br /> POOF DRAINS—RAWIEADERS METAL FlREPLACE 6�HIMNI.V <br /> SINK�SERVICE--6AR.ETQ) <br /> SUBTO7AL SUB;OTAL S <br /> PfRMiT S PERh11T S <br /> TOTALFEE f TOTAL FEE Sr <br /> SIDE YARD SETBACK STREET SET�ACR R[AR YARU SET�A�K PLAN CrIECK NUM1���R PLAN CHECR FE[ <br /> FEE RFCEIPT NO <br /> USE ZONE L0T AREA VACANT SITE — <br /> �:YES ��;NO FEES VALUATION FEE <br /> i 1'F[OF CON57. OCCUPANCY GROUP 4J.OF DWELLING UNITS <br /> SIZL OF BLDG. NO OF STORIES MA%.OCQ LOAD OUILDING � 5 1884.00 _ 19 OO <br /> PLUMBING <br /> � HE ZONE BASEMLNT FIPE SPRINKLERS � <br /> REOUIRED �dECHANICAL <br /> IIYES fiNO <br /> APPHOVALS BY DATE OTHE(7 <br /> t [NVIRONtAENTALCHECV:LIST � UBC. <br /> PENALTY SEC.303�a� <br /> ' l3UiLDING PLANS — <br /> 1 FIRE HYDRANT T�TA� � 19 OO <br /> : FlRE PROTECTION SYSTEM PERMIT VALIDIITION <br /> ti7HEN PfiOPLRLY VAl IDf,TED�IN THIS SPA�E)THIS IS YOUR PERMIT <br /> ! GNADING <br /> i�� DRAINAGE 8 5 9 4 S O I ]. 0 O �� � <br /> �l ENVIRONMENTALIMPACTSfATF.MENT r—{ <br /> if HEALTH DISiRICT r' <br /> ,�.- �; � RFCEirr � <br /> hPVl.�CATION ACC H� �'LANECHELKED BY APPR GOR ISSUANCf. PY 1 - <br /> � ,._ ,�. � I1 <br /> � - - -- <br />