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the llerT) <br />r''ONSTRUCTION <br />�E <br />nF <br />everett <br />PERMIT <br />PERMIT NO.O8Fi17 <br />CITY HALL9-8 <br />El COMBINATION ® BUILDING El MECHANICAL <br />❑ PLUMBING <br />01 <br />EVERETT, WAA 98201 <br />MAIL ADDPESR LiIY <br />LIP <br />PNDNE <br />OWNER <br />Duane Berg <br />CITY <br />21P <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADORERS <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE/ <br />GENERAL CONTRACTOR <br />Damage Repair <br />Service Inc. Box 2045 Everett <br />982 <br />337-4222 <br />/ <br />MML ADDRESS CITY <br />21P <br />PHONE LICENSE <br />MECHANICAL LONTRACTOR <br />DA MA <br />GI 238D3 <br />MAIL ADDRESS CITY <br />ZIP <br />RIONE LICENSE 1 <br />PLUMBING CONTRACTOR <br />CUSS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION "REPAIR I IOEMOLITION ❑FENCE ❑SIGN GARAGE <br />vAiUATION OF WORK <br />$ 5000.00 <br />fire damage repair <br />single family residence <br />LEGAL DESCRIPTION OF PIgPERTY IGHOW BELOW OR ATTACH TOUR COPKRI <br />LOT 24-2RIOCK_OF PinehurSt Div. E. <br />2027 73rd Street <br />PLUMBING <br />OR <br />I HEREBY CERTIFY THAT I HAVE DEXAMINED THIS AP- <br />PLICATION AND KNOW THE SAMEETO BEDTRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND onDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <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 />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />RNINAOPACTOR OR AUTHOR E GENT DATE <br />1/22/81 <br />uenueulee'� // I <br />SHOWER <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />S GISP. <br />M <br />WALL HEATERS — B T.U.ER <br />UNIT HEATERS — B.T.U. M <br />TRAY <br />EVAPORA71VE COOLERS <br />!KITC7HEN1NK <br />WASHER <br />CLOTHES DRYERS <br />ATER <br />VENTILATION FAN <br />RANGE HOOD <br />FOUNTAIN <br />AIR HANDLING UNIT — C.F.M. <br />LAIN <br />STOVE <br />VACUUM BREAKERS <br />METAL FIREPLACE S CHIMNEY <br />ROOF DRAINS — RAINLEADERS <br />SINK(SERVICE — BAR. ETC. <br />SUB TOTAL <br />f <br />SUB TOTAL <br />PERMIT <br />S <br />PERMIT <br />f <br />TOTAL FEE <br />_ <br />TOTAL FEE <br />= <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />SIDE YARD SETCK STREET SETBACK <br />BA <br />FEE <br />RECEIPT NO <br />USE ZONE LOT AREA <br />VACANT SITE <br />]YES ONO <br />FEES VALUATION <br />FEE <br />TYPE OF CONST. OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING s 5,000. <br />50 <br />50 <br />SIZE OF BLDG. NO. OF STORIES <br />MAX. DOC. LOAD <br />PLUMBING <br />FIRE ZONE BASEMENT <br />FIRE SPRINKLERS REQUIRED <br />MECHANICAL <br />I ]YET 11N0 <br />OVALS <br />BY DATE <br />OTHER <br />1. ENVILIST <br />PENALTY SEC. <br />6EC. 303(e) <br />ZFLANS <br />2, BUILDING <br />TOTAL <br />�O5 <br />3, FIRE <br />PERMITVALIDATION <br />THIS SPACE) THIS IS YOUR PERMIT <br />4. FIRE M <br />..__ <br />WHEN PROPERLY VALIDATED (IN <br />5. GRADING <br />3 1 9 9 <br />L 0 5 D, 5 0 <br />8, DRAINAGE <br />OD <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />07 <br />1 <br />i n R r C I <br />C:) <br />8 HEALTH DISTRICT <br />IF I"p1T <br />APPLICATION ACC. BY PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />i3JAN81 <br />ADDRESS FILE <br />