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die Evergreen �� � - <br /> CITY OF <br /> � C�INSTRUCTION - ' <br /> everett PERMIT pERMIT N0. O94C7 <br /> CITY HALL 259�8745 <br /> eveaerr.wn 9ezoi ❑ COMB�?lATION � BUILDING ❑ MECHANICAL ❑ PLUMB�NG <br /> O'iltlEH MAII FUl1RE55 GIiY 21P PHONE <br /> Robert Golden 2910 23rd Street Everett 98201 252-8841 <br /> APCHITEGT OP OESIGNER MAiI ADDRESS pTY ZIP PHONE <br /> GE4EFAlGONiflFCTOR ��/�LADDRES$ CIiY ZIP PHONE tI�ENSE/ <br /> Same <br /> �dELHANiCRLCONiRACiO� MNILA�ORE55 CITY ZIP PMONE LICENSE/ <br /> PLUM811:7 WNTRACTOR MAILADDPE55 GiY ZIP- PHONE LIG[NSE� <br /> CLA55 OF YlORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEIdOLITION �FENCE ❑SIGN ❑GARAGE <br /> VALUFTION OF YlOPR <br /> s 475 . 00 <br /> DESCRIBE WORK <br /> Erect 72" fence around rear yard <br /> PROPOSED USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> �ecn�oescAivnonoFPr+oeenrr�sNawa[�.�owoanrrncNFouacoPies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LALV5 AND OHDIKANCES GOVERNING THIS <br /> i�T 15-160���502 oF Milev Lard Co. 3rd TYPE OF WOFK WILL BE COMPLIED WITH WHETHER SPECIFiED <br /> HEREIN OR NOT. THE GRANTING OF A P�RMIT DOES NOT <br /> PRESUME TO GIV[AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULAT-ING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTP.UCTION. <br /> JOB ADDRE55 SiGNA URG OF CONTRACTOR OR iHOPIZED AGENi DATE <br /> 2910 23rd Street X � ���Q�'�-� 7/9/81 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF PIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENi FEE <br /> WATER CLOSET QOILET) AIR COND.UNITS—H P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORV(WASH BASIN) BOILERS—HP.EA. <br /> SHOWER GAS PIRED A C.UNITS—TONIJAGE EA. ' <br /> KITCHEN SI�K 8 DISP. FORCED AIR SVSTEMS—�B.T.U. M EA. � <br /> DISHWASHE1i VJALL HEATEF7S—�.T.U. !d <br /> LAUNDRY TRA'/ UNIT HEATERS—B.T.U. M <br /> CLOTMES WASHER EVAPOf1ATIVE COOlEflS <br /> WATER HEATER CIOTHES DRYERS <br /> URINAL VENTIlATION FAN <br /> DRINKING FOUNTAIN RAMGE H�OD <br /> PLOOR DFAIN FIR HANDLING UNIT— CF.M. <br /> VACWM BR6AKERS STOVE <br /> f?90F DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SE?VICE—BAR,eTC.) _ <br /> SUBTOTAL SUB TOTAL S <br /> PFflMIT f PEHMIT S <br /> TOTALFEE S TOTALFEE f <br /> SIDE'YARD SETBACK STREET^uETBACK REAR YARD SETBACK F!AN CHECK NUMBER PLAH CHECK FEE <br /> FEE RECEIPT NO. <br /> USe ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONS7. OCCUPANCV G(iOl1P f:0.u°uWELLING UNITS <br /> SIZEOFBLDG. NO.OFSTORIES MA%.00C. LOAD BUILDING 54�5 .00 10 00 <br /> PLUMBING <br /> FIP.E ZONE BASEMENT FIRE SPRINKLERS <br /> flEOUIFED MECHANICAL <br /> UVES ❑NO <br /> APPNOVALS BY OATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.8 C. <br /> SEC.303!a) <br /> 2. 2UILDING PLANS <br /> TOTAL 10 00 <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION � <br /> WHEN PROPEflLY VALIDATEO pN THIS SPqGE)TWS IS YdUF PERI�JIT��. �, �- 1 <br /> 5. GRADING � - 1 � <br /> N <br /> 6. DRAINAGE CD <br /> 7. ENVIRONME4TAl IKPACT StATEMENT ' � � � j � <br /> B. HEA�TH DISTRICT . . <br /> �.,' 0 <br /> APPLICATION ACC.BY PLANS CHECKED dY APPR.FOR ISSUANCE BY � ' ' <br /> .- _ 1V I <br /> ADDRESS FILE <br />