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�1 <br /> nc� Ecrrxreen �p�ST R e�CT I O f�' <br /> c�T�o� � <br /> everett PERMIT PEanniT No. 12145 <br /> CITY HALL 259�B7a5 <br /> EVERETT.INA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER <br /> MAIL A�DRESS CITY 21P PNONE , <br /> DOROTHY CHIN 510 VIEW RIDGE DR. E1VERE T A ZIP25 - pNONE <br /> AFCHITEGT OR DESIGNER MAIL AUORE55 <br /> GENERAL CONTPPGTOR <br /> MAIL ADDRE55 GITV ZIP PNONE �ILENSE• <br /> same d5 dbOVE ��T� Z�p PMONE LILENSE1r <br /> MECHANICAI CONTRACTOR MAIL A�DRE55 <br /> PLUMBING CONTRACTOR <br /> MAIL A�ORE55 QTY ZIP PMONE LICENSE� � <br /> CLASS OF WOPK <br /> ❑NEW O ADDITION ❑ ALTERATION ❑REPAIR �I OEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD S70VE/FIREPLACE INS <br /> VALUATION OF WORK <br /> S 0�. �0 <br /> CESCRIBE WOFK <br /> demolish single family residence I <br /> PROPOSEO USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS . <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL OESCRIPiION OF PPOPERiY�SNOW B[LOIY OR ATTPGH FOIIR COPIES� CORRECT. ALL PROV�SIONS OF LAWS AND ORDINANCES <br /> LOT19-41tOCK?B�F NILTO ' 2 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <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 /> PERFORMANCE OF C�STRUGTION. <br /> JOBA�ORESS SIGNATUREO ONTR �ky;15�,0 Al1TH0 ENT 6�Z9�83 <br /> 1422 BR X � ��"' 7? � � <br /> v : <br /> MECHANICAL <br /> PLUMBING FEE <br /> FEE NO, TYPE OF EQUIPMENT <br /> N0. TYPE OF FIXTURE OR ITEM qIR COND.UNITS— H.P. EA. <br /> WATER CLOSET 1T01 LE� <br /> REFRIGERATION UNITS — H.P.EA. <br /> BATHTUB <br /> LAVATORY(WASH BASIN� BOILERS—H.P.EA. <br /> SHOWER GAS PIRED A.C.UNI7S —70NNAGE EA. I <br /> FORCED AIR SVSTEMS— B.T.U. M EA. I <br /> KIiGHEN SINK 8 OISP. <br /> WALL HEATERS— B.T.U. M <br /> DISHWASHER <br /> UNI7 HEATERS— B.T.U. M <br /> LAUNDRYTRAY <br /> EVAPORATIVE COOLERS <br /> CLOTHES\NASHER CLOTHES ORYERS <br /> WA7ER NEATER <br /> VENTILATION FAN <br /> URINAL <br /> _ RANGE HOOD <br /> DRINKING POUNTAIN C.F.M. � <br /> AIR HANDUNG UNIT — � <br /> ROOR URAIN <br /> VACUUM BREAKEFS STOVE_WOOD — <br /> ROOF DRAINS— AAINLEA�ERS <br /> METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR,ETC.) FIRE°LACE INSERT <br /> HEAT PUMP <br /> SUHTOTAL 5 <br /> SUB TOTAL = <br /> PENMIT 5 <br /> PENMIT S <br /> TOTALFEE <br /> TOTALFEE S PLAN CHECK FEE <br /> SIDE VARD SETBACK STREET SETBACK REAR YARO SETBACK PLAN CNECK NUM�ER FEE RECEIPT NO. <br /> USE ZONE LOT AREN VACANT SITE FEES VALUATION FEE <br /> . -.YES . NO r— <br /> TYPE OF CONST. OCCUPANGY GROUP NO.OF DWELLING UNITS <br /> BUILDING 5 ' <br /> SIZE OF BLDG. NO,OF STORIES MA%.OCQ LOAD pLUM81NG _� ' <br /> � FIREZONE BASEMEN7 FIRESPRINKLERS MECMANICAL � <br /> REQUIfiED <br /> YES NO i <br /> pPPROVALS BY DATE <br /> OTHER <br /> U.B.C. <br /> 1.ENVIRONMENTAL CHECK UST PENAL7Y SEC.J03(al �� <br /> 2.BUILDINGPLFNS TOTAL OO OO <br /> J.FIRE MYDRANT <br /> PERMIT VALIDATION ��6 T •,�8�.8{� � <br /> 4.FIREPROTECTIONSYSTEM WHENPROPENLYVALIDATED(INTHIS �I�HISISa� R �� --�I <br /> 5.GRAOING <br /> 6.DPAINAGE � <br /> 7.ENVIRONMENTALIMPAC7STATEMEN7 yDUR RFCEIP� <br /> 8.HEALTH DISTRICT <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY T�-�,r�h K Y O U <br /> md lc <br /> - ; 9 � , 83 <br /> . ._ � <br />