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dieE�CgveOF �►ONSTRUCTION -� � � <br />everett �ERMIT pERMIT NO. 09311 <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 ❑ COMDINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OYlNER MAILA�DRE55 CITY ZIP PMONE <br />Donald Lannoye 2201 Broadway Everett 98201 252-8622 <br />ARCHItECTOF0E51GNER MAILAODRESS CITY ZIP PHON[ <br />GENERALCONTRACTOR MnILA0DRE55 CIiY ZIP PMONE UCLNSEI <br />Same <br />1dECNANICAL WNiPACiOfi IdAIL AODRESS CIT" ZIP PHONE LICEIlSE Y <br />PWMBWGCANTFACTOF MAILNUORE55 CITV ZIP PNONE LICENSEI <br />G1A55 OF Y/ORK <br />❑NEW ❑ADDITION ❑ALTEflATION ❑REPAIR }CiiIDEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VPLUATION OF SVOPK <br />S <br />Demolish aingle family residence <br />Pii0PO5ED GSE OF BWIDING <br />LEGA� OESCRIPTIpN OF PHOPEfl7Y (SNOYJ BELON OR ATTACH FOUR CAPIES� <br />��r 2-3 Bi�K 47gF _ Everett _ <br />�' Z� _�9-b <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />WhTER CLOSET p0!L"tT) <br />BAT!'TUB <br />LAVATCRY(WASH 84SIN) <br />SHOWEF <br />KITCHE� SINK & DISP. <br />DISHWFSHER <br />LAUNDaYTRAY <br />CLOTF'ES WASHEfi <br />WATEF NEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BflEAKERS <br />ROOF DRAINS — RAINLEADER3 <br />SINI( fSERVICE — BAR. E7G1 <br />USE ZONF. <br />FIRE ZONE <br />TOTALFEE <br />STREETSETBACK <br />LOT AREA <br />OCCUPANCY GRC <br />NO. CF STORIES <br />BASENENT <br />VARU SEiBACK <br />VACANT SITE <br />❑YES �]NO <br />1. ENVIRONMENTl�LCMECHLIST <br />2. BUIL�ING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT 5T41EMENT <br />e. HEALTH DISTRICT <br />APPLICATION ACC. BY PL4NS CHECKE� BV .OPPH. FOR ISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND COfiRECT. <br />ALL PROVISIONS OF LAWS AND ORDIlJANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SFECIFIED <br />HEREIN 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 />CO�STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />�SIGNATU OF GONiRACTO AUTHORIZED FGENT pATE <br />�.� , �.�� 5/28/81 <br />MECHANICAL <br />NJ. TYPE OF E�UIPMENT FEE <br />�IR COND. UNITS — H.P. EA. <br />RtFRIGERATION UNITS — M.P. EA <br />our.ena — n.r. er.. <br />GAS FIRED A.Q UNITS — TONNAGE EA. <br />FORCED AIR SVSiE�AS — B T.U. A1 <br />WALL HEATERS — B T.LL M17 <br />UNIT HFASERS — B.T.U. M <br />EVAPORATNECOOLERS <br />VENTILFTION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.I <br />STOVE <br />METAL FIFEPLAC[ 8 CHIMNEY <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />1ECK NUMBFR PLAN <br />F[E <br />FEES VALUATION <br />IG $ <br />U.B.C. <br />SEC.303�u) <br />FEE <br />RECEIPT NO. <br />� � 00 �00 <br />T VALIDATION <br />PROPERLY VALIDATED QN THIS SPA�E) l ll1S IS YO'JP PER��+1� C�� '-- � <br />� = � <br />t"'� <br />, .1 i 1�) <br />�IQ) <br />. .,� <br />A.DDRESS FILE <br />