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' : <br /> _ � <br /> �he E�erxrrrn <br /> evere�t I � - CONSTRUCTIQ,1 � <br /> PERMIT PERMIT N0. � 3375 <br /> CITV HALL 259k�d5 <br /> EVERETL WA 98207 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OV:NER MAILADDRE55 GITY ZIP PMONE . <br /> STEVEIJ GRIFFIN 1821 Broadway Everett WA 98201 259-1245 <br /> ARGNREGT OR DESIGNER NAIL AODRE55 GTY ZIP PHONE <br /> GENERAL GONTRRCTOR MAIL ADDFE55 QTY 21P PMONE LILENSE II <br /> Owner ' <br /> MELMRNIGAL CONTRRI;TOR MAIL ADDRE55 LITY ZIP PMONE LIGENSE M <br /> PLUMBING CONTRACTOP MAII ADDRE55 CITY 21P PHONE LIGENSE� <br /> C1A55 OF WORN I <br /> ❑NEW �I ADDI710N ❑ ALTERATION ❑REPAIR O DEMDLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSEtiT <br /> VALUATION OF WORK <br /> [ 6����.�0 . <br /> OESLRIBE WORk <br /> Roof structure - <br /> PROPOSEO USE OF BUILUIN <br /> Storage - c e ail Sa125 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESGPIP110NOFPROPERiY�SMOWBELOWORATTAf.MFOURGOPIES� CORRECT. ALL PROVISIONS OF LAWS AN� ORDINANCES <br /> 10 363 Everett "N° except north GOVERNING TH�S TYPE OF WORK WILL BE COti!PLIED WITH <br /> LOT_BLOG1c_OF <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> 6'11" PERMIT DOES NOT PRESUME TO GIVE AUTHORITY T��VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER SL>TE OR <br /> LOCAL LAW fiEGULA NG CONSTRUCTION OF' THE <br /> PE ANCE O p RUCTION. <br /> AOB ADDRE55 SIG TURE CONiR i0R . �inORIZED AGENi D T <br /> 1821 Broadway X � 5/1 ��$4 <br /> PLUMBING MECHANICAL � <br /> N0. TYPE OF FIXTURE OR 17EM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�TOILET) AIR COND. UNI1S — H.P. EA. <br /> BATH1'U0 REFFIGERATION UNITS —✓,.P.EA. <br /> LAVATORV�YJASH BASIN) BOILERS— H.P. EA. <br /> SHOWEfi GAS FIRED A.C. UNITS— TONNAGE EA. <br /> KITCHEN SINK 6 DISP. ' FORCED Alfl SVSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.i.U. M <br /> LAUNDRVTRAY UNIT HEATERS— B.T.U. M <br /> CLOTMES WASHER EVAPORATIVE COOLERS <br /> WATEfl HEATER CLOTHES DRYEPS <br /> URINA� VENTILATION FAN <br /> DRINNING FOUNTAIN RANGE MOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE — WOOD <br /> FOOF DRAINS— RAINIEADEHS M[TAL FIR[PLACE 8 CHIMNEY <br /> SINK�SERVICE— BAR,ETG.) FIREPLLGE INSERT <br /> HEAT PUMP <br /> SUB TOTAL f SUe TOTAL f <br /> PERMIT f PERMIT f <br /> 707RL FEE f TOTAL FEE f <br />� SIDE YARD SETBACK STREET SETBACK REAR VARD SETBAf,K PLAN CHECK NUMBER PLAN CHECN FEE <br /> 84/13?75 FEE36 73 RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE —�94SO <br /> _.VES �. NO FEES VALUATION FEE <br />' iVPE OF CONST. OCCUPANGV GROUP NO.OF DWELLING UNITS <br /> BUILDINO s�� 5 50— <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT FIRE SPRINNLERS MECHANICAL <br /> REOUIRED <br /> YES ' NO — <br /> APPROVALS BY DATE OTNER <br /> 1.EHVIRONMENTAL CHECK LIST PENALTV U B C <br /> SEC.30](e) <br /> 2.BUILDIN�PLANS — <br /> 3.FIRENYDRANT TOTAL 56 5� <br />, 4.FIFE PRO7ECTION SVS7EM PERM�T VALIDATION <br /> 5.GRADING WHEN PROPERLV VALIDATED(IN THyS,SP/�QE�THIS IS V�Ufi PEB�AIT � <br /> B.DRAINAGE � � � � � I� �� <br /> � 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> c <br /> B.HEALTH DISTRICT . - <br /> APPLICA7ION ACC. �Y PLANS CNECKEO BY APPR.FOR ISSUANGE BY � � ' ' � �r � , <br /> , � <br /> ! �. ; <br /> ADDRE55 FILE <br />