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Utr Li��rrcrtrn <br />eVea°ett <br />CITY HALL 25J�NidS <br />�O�V�Y \�� 7 I�� <br />PERIUIIi' <br />PERMIT NO. �- - -- �� -� <br />�ver�err.tvnsazo, ❑ COMBINAI'ION Iyg BUILDING ❑ MErHA�ICAL ❑ PLUMBING <br />OCrt�LH MAI�AOOHE55 CIiY LP PHONE <br />Burl L. Brown 8906 8th P1.ace g,E. �verett 98204 355-1101 <br />1RCHIiECi OR DESIGNEP A1AIL AppRE55 CITY ZIP PNONE <br />GENEflALCONiRACiOR MAILAD�RESS CIiY 21P PMOtJE LICENSEu <br />Same <br />l.tEGHlNICAL CONTRACIDfI MAIL F�DilES$ GTY ZiP PMONE IICENSE a <br />�lUh1�ING CONTPACTUR MAIL AODRESS LITV ZIP PHONE LIGENSE / <br />❑ MEW L1 ADDITION � ALTERATION ❑ qEFAIR ❑ DENOLITION ❑ FENCE ❑ SICN ❑ WOOD S70VFJFIREPLACE WSERT <br />VALUATION OF V:OR6 <br />5 a,00e.00 <br />DESCRIDE WORK <br />Extend Gzxra e-instnll new doors-add � <br />PPOPOSEO USE OF BUILDING <br />Ga�:aye and green house <br />LF.GFL DESGPIPTION OF PfiOPERTY �SHON! BELOW OR FTTACH FOUR G01 <br />�or 10 BLOCK_OF Spoelstra Addition <br />8406 Sth Place S.E. <br />rLUMBING <br />TYPE OF FIXTCRE 0{ <br />IVnTER CLCSET (701 LEn <br />BATHTUB <br />LAVATORY(WASHBASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />LAUNDRVTRAV <br />CL07HES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DPAIN <br />VACUUM BREAKEFS <br />ROOF DRAINS — RAINLEADEflS <br />SINK �SEFVICE — BAR, FTC.� <br />R-1 <br />V-N <br />SIZE OF BL <br />742 Sq <br />FIRE 20NE <br />SUB TO7AL <br />PERMIT <br />TO7ALFEE <br />M <br />OF STU�IES <br />APPflOVALS <br />1.ENVIRONMENTAL CHECK U5T <br />2. BUILDING PLANS <br />3. FIRE HYDRAYT <br />4 RfiE PFlOTECTION SYSTEM <br />5. GRADING <br />6. �RAINAGE <br />/.ENVIRONMENTALIMPACTSTATEM[NT <br />8. HEALTN DISTRICT <br />APPUCATION ACC. 8Y PLANS CHEGK <br />STG �{gpi <br />FEE <br />i <br />S <br />S <br />VACANT SITE <br />: �YES xk1J0 <br />RE�UiRED <br />YES X} <br />BT <br />FOfl ISSUANCE BY <br />LC <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE iRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETFIER SPECIFIED HEREIN OR NOT. THE GRANTIMG OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTFIER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTiON OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNAiURE OF GQNTfiACTOH OR.:UiIIORIZEO AGEIlT OATE <br />X laj.u.-�S: �.,5.—�s�.a�� <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT <br />AIF COND. UNITS — F.P. EA. <br />REFRIGERATIO.N UNITS — H.r'. EA. <br />BOILERS — R,P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FOPCED Alq SVSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES ORYERu <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — �,�,M, <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />PLAN CHECKNUMBER <br />84/13198 <br />FEE,", <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />� -y _ <br />FEE <br />SUB TOTAL 5 <br />PERMI7 S <br />TOTAL fEE S <br />PLAN CHECN FEE <br />FEE 28.93 �y�g rdo. <br />V4LUATION FEE <br />54,000. 44 <br />U.B.C. <br />SEC. 303 (a� <br />TOTAL I I 94 SU <br />PERMIT VALIDATION <br />WHEN PFOPERLY VALIDATED pN THI� SPAGE� THIS IS.YOUji ��ERb11T 0'� <br />� f i ' n , , i _ •. <br />� c� <br />,�J <br />m <br />,. .. � . �� � '- , <br />�i <br />r'-.�h'a:_^S FIL[ <br />z � <br />O <br />� <br />.� <br />C� <br />:�' <br />