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- � <br /> ,�'r "`�,A""�' ; CONSTRUCTIOI ' <br /> everett PERMIT PERMIT N0. 13787 <br /> CITV HALL P59�B7a5 <br /> EVERETT WA9BP�I � COMBINATION � BUILDING y��l MECHANICAL �] PLUMBING <br /> UWNEN b1RIL PDORE55 CITV 21P PMOkE <br /> Dennis Roberson 4813 Bayview Lane Everett 98203 353-8024 <br /> �PGHITEGT OR pE$IGNER MRIL A��RE55 CIiY ZIP PNONE <br /> � GENERAI GON'�R�LLOR M�IL AOORE55 CITV ZiP PMONk LICENSE� <br /> Martin Conatruction Company 7311 Yew Street Everett 90203 353-2399 <br /> MEGN�NIGAI CONLPRCTOR MiiL A��RESS GrtV ZiP PMONE UL[NSE� <br /> rw RT IC *2�aaa <br /> PWMBING GOIITR�L70N MRII AO�RE55 CRY 21P PMONE 4CENSE/ <br /> GL�SS OF WOfIN �i <br /> �SJEW ❑ ADOITION ❑ ALTERATION ❑REPAI� G JEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT r <br /> VALURTION OF WORN <br /> t fi1�0�0.0� <br /> OESGNIBE WOIIN <br /> Conaitruct 7Wo Story Frame Residence <br /> PROPOSED USIi OF 9lIR�ING <br /> Sin,yle Famil Residence I HEREBY CERTIFY TMAT I HAVE READ AND EXAMINED THIS <br /> Y APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�L pESCRIoiION OF PROPERtY�SNOW BELOW JR RTTAGN FOUN COPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ior?IILOCN_OF Short Plat uOVEFNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR N07.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME 1'O GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOGAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORIAANCE OF CONSTRUCTION. <br /> - JOB a00RE55 SIGNRiUR F CGNTRACTOR ON AUIH 2ED RGENT � TE <br /> 481; Bayview Lane X .rrr Z <br /> PLUMBING� MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> Z WAIERCLOSET�TOILET) AIR COND. UNITS - HP.EA. <br /> BATHTUB P OO REFRIGERATION UNITS - H.P. EA. <br /> 3 LAV.4TORY�WASM BASIN) BOILERS- M.P. E0. ._ <br /> SMCWEfl GAS FIREO AA. UNITS- 70NNAGE EA. <br /> 1 KITCHEN SINK d DISP. FORCED AIR SVSTEMS- B.TL. M EA. <br /> 1 DISIIWASHER WALL HEATERS- BT.U. M <br /> LAUNDRV THAV UNII HEATERS- D.T.U. M <br /> 1 GLOTHES WASHEH EVAPORATIVE COOLEFS <br /> 1 WA1'ER HEATER 1 CLOTNES ORYERS �1_ <br /> URINAL j VENTILATION FAN �O. <br /> DRINNING FOUNTAIN 1 RANGE HOOD jQ_ <br /> FLOOR DNAIN AIR HANDLING UNIT- C.F.M. . <br /> VACUUM BREAKERS 1 STOVE - WO00 j(j. <br /> ROOF DRAINS- RAINLEADERS METAL FIHEPLACE d CMIMNEY <br /> SINK�SERVICE - BAR,ETG) FIREPLACE INSERT _. _ <br /> — MEA1 PUA1P __. <br /> SUB TOTAL f 20 00 SI18 TOTAL f 19 50 <br /> PERMIT 3 PERMIT f <br /> TOTRLfEE f ZO OO TOTAIFEE S 19 �JC <br /> SIDE YARD'iETBACK STREET SETBACN REAR�ARD SE�BAGN PLAN CHECK NUidBER PLAN GHECK FEE <br /> ]5� ZS� ZS� 84�L3�B� F�E ZOS.40 RECEIPTNC <br /> USE ZONE LOT AREA VACANT SITE �— --� �� --�--�'—- 7u��'--- - � <br /> R••S VES NO FEES VALUATION fEE <br /> TYPE OF C(iNST OCWPANCY GROUP NO.OF DWELLING UNITS _ __ <br /> V-•N R-3, M 1 eui�oiNc s 61,000. 316 00 <br /> �_�izepj�u�Ft, r+o oF sronies Mnx oec �ono — <br /> H• Z (j PWMBING 2� �� <br /> hl__�26"�Q._ —_-_ _ _-_ __---__ _' __—' _'_ <br /> FIFLZONE BASEMENT FIR[ SPRINKLERS MECHANICAL 19 SO <br /> FEOUIRED — <br /> YFS NO <br /> APPPOVRLS BY DATE OiMER -_—__ __'_._ <br /> 1. ENVIRONMENTAL CMECN LIST PENALTY U B C � <br /> SEC 7091a1 <br /> • 2.9UILDINGPLANS TOTp� 35$ 50 <br /> J.FIRE MVDRANT <br /> 1.FIAE PRO'fECTION SYSTE�— PERMIT VAIIDRTION <br /> S.GHA�ING WHEN PHOPERLY VALIDATED pN TH16 6PAGE)TMl9'19•YQUP P@RMIT _ j`r <br /> . .� ` I � ' CC.� <br /> 6 ORAINAOt' ' � . � <br /> I.ENVIHONMENTALIMPALTSTATEMENT � � - '� <br /> M <br /> L iS,MEALTMDISTRIf.T � � i 1 �I <br /> �APPLICATION ACC. BY PUNS CHECNED BV APPR. FOR ISSUANCE BV <br /> . . � <br /> " EB FIWM LC . . <br /> i <br /> �., <br /> ADDE'F."-. 1 Il.f. <br />