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1 <br /> , <br /> �hr 6�crrAreen <br /> evere** ;ONSTRUCTIOR � <br /> l.l. I PERMIT PERMIT N0. 1296�. <br /> CITY HALL 259�BA5 � <br /> EVERETT,WA 9g101 � COMBINATION ❑ BUILDING C�t MECHANICAL ❑ PLUMBINO <br /> OWNER M�ILAODRE55 CRV ZIP PHONE <br /> Dennia 6 Sheron Speer P.O. Box 345 Duvall 98019 788-1065 <br /> �RCNiIECt OR OESIGNER MRIL�pORE55 CiIY 2iP PMONF. <br /> 0 NERµGONiR�GTOR MML�OORESS <br /> �(,+ ��TY TIP PMONE LICENSE� , <br /> MECN�NIC�L CONTRICLOR M�IL�ppRE55 CItY ZiP PMONE LiCENSE• <br /> PIUMBiNG CONiP�GTOfl M1iL�OORE55 CItY 2iP PHONE LIGENSE/ � <br /> CU55 OF WORK <br /> O NEW ❑ ADDITION ❑ �LTERATION ❑REPAIR ❑ pEMOLITION O FENCE ❑ SIGN � WOOD STOVE/FIREPLACE INSERT <br /> V�LU�TION OF WpqN <br /> i <br /> OESCRIBE WORN <br /> u inatall tvood etove <br /> %10POSED USE OF BUILpINO <br /> ei.ngle family reaidence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> IEG�L OESGRiPiION OF PROPERTY�SHOW BFLOW OR�TT�CN FOUP COPIE51 APPLICATION AND KNOW THE SAME TO BE TfiUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCIt_pF 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 PFOVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> - -- PERFURMANCE OF CONSTRUCTION. <br /> :OB�OORE55 SI N i RE OF CONTRACiOR OR THORI O�GENi T <br /> 6504 cady Rnad X ��,p 2 � ���/e4 <br /> PLUMBINO MECHANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WRTERCLOSET�TOILET) AIR CONO. UNITS— H.P. EA. <br /> BATHTUB REFRIQERA710N UNI15— H.P.EA. <br /> LAV�TORY�WASH BASIN� BOILERS— H.P.EA <br /> SMOWER GAS FIRED A.Q UNITS — <br /> � TONNAGEEF. <br /> NITCMEN SIN88�ISP. FORCED AIR SYSiEMS— B.T.U. M EA. <br /> DISHWASMER W�LL MEATEFS— BS.U. M <br /> LAl1NORY TRAY UNIT HEATERS— B.T.U. M I <br /> CLOTHES WqSNER EVAPOPATIVE COOLERS , <br /> WATER HEATER CLOTHESOHYERS <br /> Uf11NAL VENTILATION FRN <br /> DRINNING FOUNTAIN RANGE HOO� <br /> FLOOR DRAIN Alq MANULINO UNIT— C.F.M. <br /> VACUUM BREAKERS 1 STOVE — WOOD � SO <br /> ROOF DRA�NS— RAINLEADERS METAL FIREPUCE 6 CMIMNEV <br /> SINK�SERVICE— BAR,ETC.) FIRlPLACE INSERT <br /> HEAT PUMP <br /> I <br /> SU!70TAL { BUETOTAL f 7 50 <br /> PERMIT � PERMIT { <br /> i0T11L FEE i TOTAL PEE f 17 50 ' <br /> SIOE YAR�SETBACK STREET SETBACK REI1R YARD SETBACK PLAN CHECN NUMBER PLAN CHECK FEE <br /> FEE qECEIPT NO. <br /> USE ZONE LOT AflEA VRCIINT SITE � <br /> vES NO FEES VALU�TION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING UNITS <br /> I <br /> BUIL�ING f ' <br /> SIZE OF BLO(i. NO.OF STORIES MA%. OCC. LOAD <br /> PLUMBING I <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECMANICAL <br /> • REOUIRED 17 SO �� <br /> YES NO — <br /> APPROVALB BY Ol1�E O7HER I <br /> 1.ENVIRONMENTRL CHECN LIST PENA�T� U.8 C <br /> Y.BIIILDING PLANS SEC.JOJ�a� � <br /> 3.FIREMYDRANT TOUL 1� SO <br /> l FIqE PROTEC710N SYSTEM PENMIT VAIIDATION i <br /> S.QRADINO WHENPROPERLVVALI�ATEDpN �H�$IjAQE�THISI�Ybl111.1@IMIL� � «.� II <br /> B.ORAINAOE �D 1 I J U <br /> 7.ENVIRONMENTAL IMPACT STATEMENT � � <br /> B.MEALTM DISTRICT � f� r�c r I PT � <br /> APPLICATION ACC. BY PLANS CMECKED BY APPR.FOR ISSUANCE BY � '1 <br /> � � i,�'..:.I�. Y� V <br /> - 6 FEe 84 <br /> ADDRfSS FIIE <br />