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r <br />1I <br />rhel:cs cl7y(;F <br />CITY l, <br />CONSTRUCTICA <br />everett <br />PERMIT <br />PERMIT NO. <br />12413 <br />CITY HALL 2598745 <br />EVERETT, WA 98201 [i COMBINATION <br />❑ BUILDING Al MECHANICAL <br />❑ PLUMBING <br />ZIP <br />PHONE <br />OWNER <br />MAIL ADDRESS CITY <br />LORANE BENNETT <br />7808 Baverly Blvd Everett <br />WA 98203 <br />355-7772 <br />ARCHITECT OR DESIGNER <br />MAIL AUURESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE 0 <br />Owner <br />CITY ZIP <br />PHONE LICENSE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />4— <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE <br />Y <br />L <br />E, <br />{i1,AN Vr nVnn <br />NEW ❑ADDITION ❑ALTERATION ❑REPAIR O DEMOLITION El FENCE ❑SIGN 0 WOOD S10VE/FIREPIACE :NSERT <br />S <br />uca�nlne t n <br />T„craTt free standine wood stove <br />PROPOSED USE pQF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Res 1Qence <br />APPLICATION AND KNOW THE SAME TC BE TRUE AND <br />CORRECT. ALL PROVI&ONS OF LAWS AND ORDINANCES <br />�-GAL DESCRIPTION OF PROPERLY (SHOW BELOW OR ATTACH FOUR COPIES( <br />GOVERNING THIS TYPE CF WORK WILL BE COMPLIED WITH <br />LOT_BLOCK_OF_ <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />_ <br />FIERFORMY4CE OF CONSTRUCTION. <br />SIGN CONTRACTOR OR A RIZED AGEN DATE <br />JOU Ar <br />7�ifr Beverly Blvd <br />X u,. 9/12/83 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET(TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />_ <br />EFIDWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />_ <br />KI'CHEN SINK 6 DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHESWASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />_ <br />VACUUM BREAKERS <br />STOVE — WOOD _ <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUBTOTAL <br />f <br />SUS TOTAL f <br />7 <br />50 <br />PERMIT <br />f <br />PERMIT f <br />1 <br />TOTAL FEE <br />f <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />I :YES :NO <br />--- <br />TYPE OF CONST, <br />OCCUPANCY GROUP <br />N0. OF DWELLING UNITS <br />BUILDING <br />f <br />_ <br />SIZE OF SLOG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />17 <br />50 <br />REQUIRED <br />OTHER <br />..YES :.NO <br />APPROVALS <br />BY <br />DATE <br />U.B.C. <br />1. ENVIi•ONMENTAI CHECK LIST <br />PENALTY <br />SEC. 303181 <br />i 0 <br />2. BUILDING PLANS <br />TOTAL <br />17 <br />3. FIRE HYDRANT <br />A. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (If: THIS SPACTHIS fdof )P�iJIT; <br />r <br />5.GRADING <br />A <br />0i <br />CV <br />YOUR REC E I PTA <br />THANK You <br />0. DRAINAGE <br />__. <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />S. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />.)I <br />L <br />ADDRESS FILE <br />1 2 SEP 8 3 <br />♦1 <br />