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IIIC (_1'ffqlp('q � <br /> evere�tt � CONSTRUCTIO � ; � <br /> CITY MA:L 259�A7a5 <br /> PERMIT PERMIT NO. 14564 <br /> EVERETT. WA9820t [] COMBINATION ❑ BUILDING X�3t MECHANICAL ❑ PLUMBING <br /> OWNER M�IL�DpRE55 CITY <br /> Robert T. Buckley 6711 Greenwood Avenue North Seattle 98103 °MnHc <br /> nHGMITECTOROESGNER M�R qODRE55 LrtY LP PMONE <br /> � GENEFRL CONTN1Gi0R M�R�DbRE55 CITY 21P PMONE �ICENSE� <br /> MEGM�NIC1l GONiR�CTOR M�R�DDRE55 �ITY 21P PMONE LiCENSE/ <br /> Same <br /> VLUMBINO CONiR�GLOR M�IL�DORE55 CITY liP VNONE IICENSF� <br /> CU55 OF WORIc <br /> ❑NEW ❑ ADDITION ❑ ALTERATION ❑qEPAIR ❑ DEMOLITION O FENCE ❑ SI,N �(WO00 STOVFIFIREPLACE INSERT � <br /> V�LWliON OF WOR6 <br /> s <br /> DF.SCRIBE WORIt <br /> inetall wood stove <br /> PROPOSED USE OF BVILDINO <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEO�L DESCRIPTION Oi PROPERiV�SMOW BELOW OR�TT�CM FOUR LOPIE51 APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_e�ocn_or GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PEqMIT DOES OT PRESUME TO GIVE AUTHORITV TO VIOLATE <br /> OR CANCE HE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL REGULATING C NSTRUCTION OR THE <br /> ___ PERFO NCE OF CONSTRU ON. <br /> JOB�DDRESS SiGN�TU F ONTHACiO�FqpTNO �GENi D�TE <br /> 2306 Cleveland Avenue X / <br /> PLUMBINO MECHANICAL <br /> N�• TYPE OF FIXTU�tE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOIIET) AIR CONO. UNITS — H.P. EA, <br /> BATMTUB qEFRIGERATION UNITS — <br /> M P. EA. <br /> LAVATORY�WASHBASIN� 801LER5— M.P. EA. <br /> SMOWER GAS FIRED A.;.UNITS — TONNAGE ER. <br /> NITCHEN SINN 8 DISP. FORCED AIR SVSTEMS— B:f.U. M EA. <br /> OISMWASMER WALL MEATERS— B.T.U, M <br /> LAUNDRY TRAV UNIT HEATERS— 6 T.U. M <br /> CLOTMES WASHER EVAPORATIVF COOLERS <br /> WATER MEATER CLOTMES ORYERS <br /> URINAL VENTILATION FAN <br /> DFINKINd FOUNTAIN RANGE MOOD <br /> FLOOR �RAIN AIR HANDLINO UNI7— QF.M. <br /> VACUUM BREAKERS STOVE — WOOD <br /> ROOF DRAINS— RAINLEAUERS MFTAL FIPEPLACE 8 CHIMNEY <br /> SINI(�SEFVICE — BAR, ETC.) FIPEPLACE INSERi <br /> HEAT PUMP <br /> 8UB TOTAL ; 8UB TOTAL t <br /> PERMIT f VERMIT � f <br /> TOTALFEE f TOTALFEE f 1� SO <br /> SIDE YAPO SETBACN STREET SETBACN REAR YARD SETBACM PLAN CHECK NUMBER PLAN CMECN FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LpT AqEA � yqCRNT SI`E <br /> YES . NO FEES V�LUAiION FEE <br /> TYPE OF CONST. OCCUPANCV GROl1P NU.OF DWELLING UNRS <br /> BUILDING f <br /> SIZE OF BLDO. NO.OF STORIES MA% OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE BRSEMENT FlRE SPRINNLEHS MFCNANICAL <br /> REOUIRED 1� SO <br /> YES NO — <br /> 11PPROV�LS BY DATE OTHER <br /> I.ENVIRONMENTAL CMECN LIST U B C � <br /> —.. _ ___ PEIU L7Y SEr,.�OJ lel <br /> 2.BUILDING PLANS <br /> 3.FIHEHVDR�Ni TOTAL 1� SO <br /> l FIRE PROTECTION SVSTEM GERMIT V�LIDATION <br /> S.GRADING WHEN PROPERLV VAUOATEL pN iHIS�SPACE)TMI515 VOVR;hERMIT- --�-p'� <br /> B.DPAINAGE � <br /> 7.ENVIRONMP.GL IMPACT SiATEMENT LO <br /> L B MEAITM DISiRICT V <br /> APPLICA710N ACQ BY PLANS CMECNED BY APPR FOR ISSUANCE BV '�—'� <br /> I <br /> !U)UI?E55 t II I� <br /> L <br />