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�r 1 <br /> 1 <br /> �Nr EcerKreen <br /> Ci1vO° � ;ONSTRUCTIOP' <br /> everett PERMIT PERMIT NO. 12174 <br /> CITY NALL 8987�5 � <br /> EVERETT,WA 987p1 � COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBINO � <br /> OWNER M�R ppDRE55 pTY tIP PMONE <br /> BETTY ANSELL 2405 Cedar Everett 252-2568 <br /> ' •RGNiTEGt ON OESIOHER MM��DORE55 pITY TIP PNONE <br /> OFNER�L GONiR�GTOR M�IL�ODRE55 �ITY IIP PHONE LICENSE� <br /> ALPHA CONTRACTING 5325 SR 92 Lake Stevens 98258 691-6071 � <br /> MECN�NIC�I GONiR�CTOR MMl�ODRE55 CITY ZIP PHONE LICENSE I � <br /> PLUMBING CONiR�CTON MMl�DORE55 GItY zip PHONE LICENSE� <br /> �'1 <br /> � <br /> . CU55OF WORN <br /> � NEW ❑ 11DDITIOH ❑ ALiERAT10N ❑REPAIR ❑ pEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSEFT <br /> V�LUITION OF WORk <br /> s <br /> DESCRIBE WORK <br /> Wood stave <br /> PROPOSED U E OF BUIl01NG <br /> RESi�ence I HEREBY CER7IFY 1'HAT I HAVE READ AND EXAMINED THIS <br /> lEO�I OESCRIVTION OF PqOPEN1Y�SHOW BELUf/OR AiTACN FOUR GUViES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_eiocn_ov GOVERNINCa THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HFFlEIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVI510NS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CO THU N. <br /> JOB�qQ(1�5sCedar S16N�T CONiR�Ci 1T �OENT p�TE <br /> 4UJ <br /> X 7183 <br /> PLUMEINO MECHANICAL <br /> N0. TYPE OF FI�TURE OR iTEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEn AIP COND. UNITS — M.P. EA. <br /> BATHTUB REFRIGERqTION UNITS— H.P.EA <br /> LAVATOPV IWASM BASIN) BOILERS— H.P. EA. i <br /> SHOWER CAS FIRED A.C,UNITS— TONNA6E EA. ' <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS— B.T.U. M ER. <br /> DISMWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRY TRAY ___ UNIT MEATEFS— B.T.0 M <br /> CLOTMES WASHER EVAPORATIVE COOLENS � <br /> WATER MEATER CLOTMES DRYERS � <br /> URINqL VENTILATION FAN i <br /> �RINKING FOUNTAIN RANGE MOOD <br /> FLIXIIi�RAIN AIR MANDLING UNIT— C.F.M. , <br /> VACUUM BRE�NERS STOVE— WOOD � 5 <br /> ROOF DRIIINS— RIIINLEADERS METAL FIREPUCE 8 CHIMNEY � <br /> SINK(SERVICE — LAR,ETC.) FIREPUCE INSERT ', <br /> HEAT PUMP <br /> I <br /> BU!TOTIIL i 8UB T0TI1L t Q i <br /> PERMIT f PERMIT f O OO '. <br /> TOTAL FEE { TOTAL FEE t 0 i <br /> SIDE Y�PD SETBACN STREET SETBACI( REAR YAqD SETBACK PLAN CHECK NUMBER PLAN CHECN FEE � <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> . VES NO FEEB VALUA710N FEE <br /> iYPE OF CON57. OCCUPANCV OROUP NO.OF DWELLING UNITS <br /> BUILOINO f <br /> SI2F OF BLDO. NO.OF STOHIES MAX.OCG LOAD <br /> PLUMBINO <br /> FIREYONE BASEMENT FIRE SPflINKLERS MECHANICAL <br /> � REOUIRED �� 5O <br /> , vE5 NO <br /> APPROV�LB !Y DATE OTHEP <br /> I.ENVIRONMENTAL CNECK LIST PENALTY U.B.C. <br /> 2.BUILDINO PLANS 6EC.70J(e� <br /> 3.FIRE MYDRRNT T0TI1L SO <br /> �.FIRE PROTECTION SVSTEM PERMIT VALIDIITION <br /> B.ORA N'�OE — WHEN PROPERLV VALIDATED QN TMIO O/�C€)THIS�x�1�P�1�li—� <br /> � 7 �6 V � V <br /> 7.ENVIflONMENTAL IMPACT 6TATEMENT � <br /> B.HEALTM DISTRICT N <br /> APPLICATION�CC.BY PLANS CHECKED BY APPR.FOR ISSU�NCE BY YO U R REC E I PT�-+ <br /> THANKYOU <br /> ADDRESS FllE _ � � �� <br /> h . . . <br />� <br />