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. - � <br /> �hn Erer�rern <br /> everett � �'ONSTRUCTIO�� � <br /> CITVMALL259�f7d5 PERMIT PERMIT N0. 14� 55 <br /> EVERETT,WAoapp� � COMBINATION �B BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER M41L ADpRESS GTV 2G VnONE <br /> MARK GARCIA 1005 OLBY � RFT7 WA qa�m <br /> ABGM TECT OR DESIGNER Mqll DDRE55 CITY ZIP PHONE <br /> � GENERR��ONTARGTOR MAIL FOOR[55 <br /> GITY 2�P PMONE �ILENSE� <br /> ROBERT THRONTON PO BOX 902 STANWOOD WA 9R799 62q aaa ROB RT 17aMi <br /> MEGHFNIGqL CANTRACTOR MM��ODRESS CIiY 21P PMONE ULENSE• <br />� PLUMBING CONTqqCTON MAIL ROORESS GiTY ZIP PMONE 4LENSE• <br /> GU55 OF W ORK — � <br /> I'� ❑NEW KXAODITION ❑ A�TERATION ❑REPAIR ❑ DEMOLITION ❑ FEw,;,E ❑ SIGN � WOOD STOVFJFIREPLPCE INSERT <br /> i <br /> VALUATIOH OF WDRK <br /> s �50�.�� <br /> DESGNIBE WORK <br /> BUILD WHEELCHAIR RAMP ON EXISTING HOUSE <br /> PROPoSE�USE OF BUiI�ING — <br /> RESI DENCE I HEREBY CFRTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGALDEGCRIPTIONOFPROPENiY�SNOWBELOWORATTACMFOUflCOPIES) APPLICATION ANU KNOW THE SAME TO BE TRJE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AMD ORDINANCES <br /> �aT__BLOCN_OF GOVERNING TH�S TYPE OF WORK WILL BE i3OMPLII=D WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> _ PERMIT DOES NOT PRESUME TO GIVE AUTHORITI'TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> JOBAODRCSS PERFORMANCE OF CONSTRUCTION. <br /> 1005 COLBY XGNaTI1N iqACiOF OF nUT ED AGENT SK [�`�5 5/85 <br />� PLUMBIN6 MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. 1'YPE OF EOUIPMENT FIEE <br /> WFTERCLOSET(TOILET) AIR COND.UNITS— H.P, EA. <br /> BATMTUB REFRIGERA710N UNITS — H.P. EA. <br /> LAVATOPY(WASH BASIN) BOILEflS— H.P. EA. <br /> SMOWER GAS RREO A.C. UNITS—TOIJNAGE EA. <br /> KITCHEN SINK A DISP. FpRCED AIR SYSTEMS— B.T.II. M EA. <br />' DISHWASHEF WALL HEATERS— US.U. M <br /> LAUNDflV TRAV UNIi HEATERS— 8.T.0. M <br /> CLOTHES WASHEH EVAPORATIVE COOLERS ' <br />� WATER HEATER L'LOTHES DRVERS <br /> URINAL VENTILATION FAN <br /> ORINKING FOUNTqIN RANGE HOOD <br /> FLOOR DRAIN AIR NAN�LING UNIT— <br /> VACUUM BREAKERS QF.M. <br /> STOVE—WOOD <br /> ROOF DRAINS— FAINLEADERS METAL FIREPLACE d CMIMNE� <br /> SINK(SERVICE— BAR,ETC.) fIREPLACE INSERT <br /> HEAT PUMP <br />' SUB TO7AL S SUB TOTAL f <br /> PERMIT f PERMIi f <br /> TOTAL FEE f TOTAL FEE f <br /> S�DEYARD SETBACK STFEETSETBACK REAq VARD SETBACK PLAN CHECK NUM6ER PLAN CHECK FEE <br /> FEE flECEIPT NO. <br /> USE ZONE LOT AflEA VACANT SITE <br /> .YES �..NO FEES VpLUAT10N FEE <br /> TYPE OF CONST. OCCUPAN.Y GROUP NO.OP DWELLING UNITS <br /> S12E OF BLDG. NO. OF STORIES MAX.OCC. LOA� BUILDING s1500.00 25 00 <br /> PLUMOING <br /> FIREZONE BASEMENT FIRESPRINKLERS <br /> NEOUIqED MECHANICAL <br /> vES NO <br />� APPROVALS BY OATE O7HER e <br /> r <br />,�� 1.ENVIPONMENTAL CH[CK LIST PENA�n, U.B.C. <br /> 2.BUILDING PLANS SEC.3W(a) <br /> J.FIREHYDRANT — TOTAL ZS OO � <br /> 4.FIRE PROTECTION SVSTEM PERMIT VALIDATION <br /> 5.GNADING WHEN PROPERLY VALIDA?ED(IN THIS SPACE)THIS IS VOU(i PERM T [j') <br /> G.ORAINAGE , — -_ "1 <br /> v <br /> Z ENVIRONMENTALIMPACTSTATEMENT � I <br /> L 9.HEALTHDISTRICT � <br /> APPLICATION ACC. BY PLANS CMECNED BV Appp.FOR ISSUANCE BV � � �'� I <br /> stg jef lc � �I <br /> ADDRE55 FlLC � � " �' <br /> L — <br /> J <br />