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, <br /> �- <br /> rhr L'-rrqrren <br /> ever�tt �' `�ONSTRUCTION - <br /> PERMIT PeRnnir No. 13546 <br /> CITY HALL 259�8745 <br /> EVERETT,VJA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEH MhR AOOPE55 CR� ZiP PHONE <br /> Ric Hoekendorf 1105 Colby Everett 98201 <br /> nRGnrtEGi OR�ESiGNEF MAII RDDHE55 ptt plP PHONE <br /> GENERRL CONTR�CiOR MAIL�OpRE55 GTY ZIP PHONE LIGENSE/ <br /> W. A. Blakely Conatruction P.O. Box 3035 EveretY. 347-4747 <br /> MEGH4NIGAL CONTRACTOR MAIL AD�RE55 GRY ZIP ��MONE LILE115E� <br /> PLUMBING GOHTRACiDR MAIL ADDRE55 GITY Z�p PMONE LICENSE M <br /> CLASS OF WORK <br /> ❑NEW ❑ALDITION O ALTERAiION C��tEPAIH O DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VPWRTiON OF WONK <br /> � �50�.00 <br /> DESGRIBE WORK <br /> Replace cabinets and replace sheetrock on existing walls <br /> PFOPOSED 115E OF BUILOING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESGRIFTIONOFPppGERTY�SHOWBELOWORATTACHFOURGOPIES) CORRECT. AlL PROVISIONS OF LAWS AND ORDINANCES <br /> �0113_14e�ocK 220 aF Heights GOVEFNING THIS TYPE OF WORK�'JILL BE COMPLIED WITH <br /> WHETHEfi S°ECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANC THE PROVISIONS OF ANY OTHEf? STPTE 011 <br /> LOCA L W REGULATIN" C NSTRUCTION OR THE <br /> PERF NCE OF CO C <br /> !OB ROORE55 SIGNA P 1 C R OP ORiI T DRTE <br /> 1105 Colby X 6/22/84 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMEN PEE <br /> WATER CLOSET�TOILETI AIq COND. UNITS— H.0. EA. <br /> BATHTUB REFflIGERATION UNITS— H.P. EA. <br /> LAVATORY(WASHBASIN) BOILERS— H.P.EA. <br /> SHOWEF GAS FIflED A.C.UNITS — TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS— B.TA. M EA. <br /> �ISMWASHEfl WALL HEATEFS— B.T.U. M <br /> LAUNDRY TRAV UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHEH EVAPORATIVE COOIERS <br /> WATER HEATER CLOTHES DRVER$ <br /> URINAL VENi'LATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BHEAKERS STOVE—WOOD <br /> ROOF DHAINS— RAINLEADEFS ME7Al FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE — BAR,ETC.) FIREPLAGE INSERT <br /> HEAT PUMP <br /> SUB TOTRL 3 SUB TO1AL f <br /> PERMIT f PERMIT f <br /> TOT�L FEE f TOTRL FEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE flECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> . .YES � NO FEES VALUATION FEE <br /> 7YPE OF CONST. OCCUPANLY GROUP NO.OF OWELLING UNITS <br /> BUILOIN6 S 7500.00 68 50 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OGC.LOA� <br /> PLUMBING <br /> FIREZONE BASEMENY FIRE SPRINKlERS MECHANICAL <br /> REOUIRED <br /> VES NO <br /> APPROVRIS BY DATE OTHER <br /> 7.ENwRONMEN7AL CHECK LIST U.B.C. <br /> PENALTY SFC.303�a) <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRAN7 TOTAL 6B SO <br /> d.FIRE PROLECTION SYSTEM PERMIT VALIDATION <br /> S.GRADING WHEN PROPERLY VALIDATEO pN TMIfi fiPACE)THISISIYg/Up F{ERMIT (ID <br /> J o I 0 ) U S <br /> 6.ORAINAGE Q� <br /> 7.E'JVIRONMENTALIMPACTSTATEMENT � <br /> B.HEALTH DISTRIp7 . � � .-� i ''.,� � <br /> APPLICATION ACC. BY PLANS GHECKEO BY APPN.FOR ISSUANCE BV � � <br /> . . . U <br /> - � �,'_.i U�I <br /> n�n�ess ri�e <br /> t <br />