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u,�e,�c�4YeoF � C�I�TRUCTION � <br /> everett PERMIT PERMIT NU. O6H59 <br /> cli'r HALL 25s�97a5 <br /> EJERET7.WA 9820t ❑ COMBINATION Cx�tBUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OVlNER fAAILADDPESS QiY ZIP � PMONE <br /> Robert A. Martin 1�502 7th Avenue S.E. 98204 355-7929 <br /> NRCt�IIECi OP DFSIG4ER MAiIADpPE55 CItY ZIP VI�ONE <br /> GEIi[RALCCITRACTC9 MA�LAD�PE55 CITY ZIP PH01lE UC[NSEr <br /> Same <br /> I.�ECNA111CAlCONTRACTOR 61AILADDRE55 . CItY ZIP PHONE IICEY.SL� <br /> PLUt.IBINGGONTRACiOR M1IAILAO�RESS CiiY IIP PHO�E LICENSEr <br /> Qnf�S OF YJORK <br /> C�N[W �{}�DDRION C�ALTERATION C�REPAIR ❑OEMOLITION L�FENCE ❑SIGN ❑GARAGE <br /> VA�VATION OF 140RK <br /> g40,000.00 <br /> oiscnioe wonK -- <br /> 7wo Story Addition <br /> PR01'OSED USE OF pWLDIkC� <br /> single family residence I HEREBY CCRTIFY THAT I NAVE READ AND EXAMINED THIS AP- <br /> �.tr.i,�oeseairnoNOFvaoPeatv„irovioeic:�cnnrraanour�cears�, PLICATION AND KNOW THE SAME TO BE TRUE AND CORHECT. <br /> ���� Ptn 1?����oF Broadway Farms #2 �LL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> - TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> H�REIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PR_SUME TO GIVE AUTHORITY T VIOLATE OR CANCEL THE PRO- <br /> VISIONS F N � O �-I R TAT OR LOCAL LAW REGULATING <br /> CONST N 0 ERF MANCE OFCONSTRUCTION. <br /> JOfi nDUHE55 9iG1loiUP' �S�' �iR•G „ . ll .�.iiZE AOBlt DtiIE <br /> 10502 7th Ave. 5.�. X ,�� 10/18/79 <br /> PLUMBING MECHANICAL - <br /> NO. TYPE OF FIXT�RE OR ITEM FEE NO. TYPE OF EDUIPMENT FEE <br /> I�:'ATER CLOSET QOILET� l.IR COND.UNITS—NP.EA. <br /> � BAiHTUB � PEFRIGEf7ATION UNITS—H.P.EA <br /> l.f:dnTORV�WASH AASIN) POILERS—H P. EA <br /> SHGINER GAS FlRED F.C. UNITS—TOfU�AGE FA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—�.T.U. M EA. <br /> DISHWASHER Y�NLL HEAiERS—B.T.U. M <br /> LAUNDRYTRAY UNITHGATERS-6T.U. M <br /> CLOTHES WASHER EVAPORATNE COOLEF$ <br /> WATEV7 HEATER CLOTHLS DPYERS <br /> URINAL VENTIlATiON FAN <br /> DHINKING FOUMTAIN RANGE H000 <br /> FLOOR DRAIN AIR HANDLING UNIT— CF.M. <br /> VACUUlA�REAHERS STOVE <br /> ROOF�RAINS—RAMIEADERS METAL FIREPLACE&CHIMNEY <br /> SINY.(SEFVICE— 8,4R,ETCJ <br /> SUBTOTpL SU6TO7FL 5 <br /> PERMIT 5 PERMIT S <br /> TO7ALFEE S 70TAL FEE 5 <br /> SIDE'ri�PD SEi9ACK STfiELT 56iI3HCK REAq YARD SETBACK PLAN CHECK NUCIOER PLAN CHECK FEE <br /> ��S� 25� z$� 79/519 FEE78.SO RECEIPT NO. <br /> US�J ZONE ,OT AREA VACANT SIiE 42340 <br /> R—S 48324 Sq. Ft. ' ��Es i}{�,O FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPAt1CY GROUP NO.OF DWELLING U�ITS <br /> V-N R-3 1 aui�owc 5 q0,000. 157 00 <br /> SI7.L OF BLDG. NO.OP STORIES MAX OCC.LOAD <br /> 25�X30� 1 PLUM1IBING <br /> FIHE ZOWt BASEtdBJi FIR[SPRINKLEHS MECHANICAL <br /> 3 yes REOUIREBt:i <br /> I'YES I�NO <br /> APPROVALS BY OATE OTHER <br /> 1. fiNVIRONMENTALCHECKLIST PENALiY UBC. <br /> 2 BUILDING PLANS SEC.303(a) <br /> 3. FIRE IiYDRANT TOTAL • 157 00 <br /> :. FIPE PROTECTION SYSTEM PERMIT VA.IDATION • <br /> — YJHEN PROPERLY VALIUATED QN THIS SPACE)THIS IS YOUF PF:RMIT <br /> S GRADING <br /> DRAINAGE 3 8 3 0 3 l 51.V O �� � <br /> 7. ENVIRONMENTAL IAIPACT STATEIdENi p <br /> B. MEALTH DISTRICT p p �+• p-� � <br /> APPLICAT'ON ACC BV PLANS CHECKED BY APPR FOR ISSUANCE BY Y� U t'� 1\E 1✓E I� t O <br /> � v.c. THAi�lK YOU <br /> ADDRE55 FILE � H �i .�9. <br />