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rhr (:rrr¢rren <br />everett <br />CITY MAIL 259�87�5 <br />�EVERETT. WA 98201 <br />'� -�ONSTRUCTIO�`' <br />PERMIT <br />� COMBINATION � BUILDING yt MECHANICAL <br />� <br />PERMIT N0. 15 � � 9 <br />C� PLUMBING <br />OWNER MqIL ROORE55 GItY bP PHONE <br />Boyden Realty, Inc. 1429 Broadway Everett 98201 252-1166 <br />�ACMITEGT ON �ESIGNER MRiL AODRE55 CrtY IiP PHONE <br />6ENER�L CONiR�GTOR M�R �pORESS LI1Y ZIP PMONE LiGENSE � <br />J 6 D Huilders 1429 Broadway Everett 98201 252-1166 <br />MECM�N�C�L CONiR�CTOR MRIL ROORE55 �ITY zIP pMONE LICENSE / <br />JDB'71223J0 <br />PLUMBINO GONTRACTOP MAIL �DORE55 Grtv )iP PNONE 4CENSE � <br />}GI NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE � SIGN ❑ WOOD STOVFIFIREPLACE INSERT <br />f 46,000.00 <br />LOT 43 BLOCN_OF <br />J09 �ODRESS <br />219 94th Street S.E. <br />PLUMBINO <br />TYPE OF FII(TURE OR ITEM <br />WATER CLOSE7ITOILET) <br />BATHTUB <br />LAVATORV�WASH BASIN� <br />SHOWER <br />NITCHEN SINK d DISP. <br />LAUNORYTRAY <br />CLOTHES WASHER <br />WATER MERTER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOON OFlAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEADERS <br />SINK�SERVICE - BAR,ETC.1 <br />PRD <br />U£E ZONF <br />R-1 <br />TYPE OP i <br />V-N <br />SIZE OF B <br />i5a9 $O <br />FOUR COPIES� <br />_ 6UB TOTAL _ tl 2� O( <br />PEPMIT 3f <br />TOTALFEE f <br />SETBACN STREEi SETBACM REAR YqRD SETBACK <br />PRD PRD <br />LOT APEA VA( .NT SI7E <br />y�s Ho <br />iNST. OCCUPANCY GROUP NO OF DWELLING UN <br />R-3 1 <br />IG. NO OF STORIES MA%. OCC LOAD <br />Ft. Z 6 <br />BASEMENL FIRE SPRINNLERS <br />REOUIRE� <br />YES NO <br />APPROVALS 9Y DO7E <br />1. ENVIRONAIENTAL CMECN LISi <br />2. �UILDING PLAHS <br />3. FIRE HVDRANT <br />�. FIPE PROTECTION SYSTEM <br />5. GRAOING <br />8 DRAINAGE <br />7.ENVIRONMENTALIMPACTS�ATEMENT <br />B. NEALTM DISTRICT <br />APPLICATION ACC. <br />liWM <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINE� THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVEFNING THIS TYPE OF WORK WI_L BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERM�T DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOU,TE <br />OR CANCEL ThIE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANC OF CONSTRUCTION. <br />SIGNAIUREOFCO��CiORON�UTyQRREDAOENT�' D�/T� <br />X _ � :1��..� �L ��-.�� �' /-� ��1 <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />AIR COND. UNITS - H.P. FA. <br />REFRIfERATION UNITS - HP. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A C. UNITS - TONNA3E EA. <br />FORCED AIR SVSTEMS - B.T.U. M EA. <br />WALL HEATEHS - B.T.U. M <br />UNIT HE4TER5 - B.T.U, M <br />EVAPORA7IVE COOLERS <br />C•IOTHES DPYERS <br />VENTILATION FAN <br />NANGEHO00 <br />AIR MANOLING UNIT - C.F.M. <br />STOVE�- WOOD <br />METAL FIREPLACE 6 CHIMNEY <br />FIREPLACEINSERT <br />MEAT PUMP <br />TOTAL <br />TOT11L FEE <br />85/157J9 IFEE Basic <br />BUILDING <br />PLUMBINf <br />MECMA'IICAL <br />O7HFri <br />PP�ALTY <br />'OTAL <br />� <br />s <br />f <br />�MEGK FEE <br />RECEIPT NO. <br />VRIURTION � FEE <br />s 4� <br />SEC. 90J Ia1 <br />�. <br />� <br />$� <br />� VERMIT VqLIDRTION <br />— WMEN PROPER�Y VALIDATED �IN TMIS SPACE� THIS IS YOUR PERMIT � <br />� <br />N <br />__ � <br />� iSSU �NCE BY � <br />ADDRE55 PILE <br />