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r--- - <br /> , „� <br /> �- <br /> rdrLlrr�;rern , � . �-� CONSTRUCTIO"�! <br /> everett PERMIT PERMITNO. 1303� <br /> CITv HALL 259�0765 <br /> eveaerT,van 9ezoi ❑ COMBINATION �itic BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> pWKER MAIL ADDRE55 QTY ZiP PnOHE <br /> Donald E. UHL 1512 Colby Everett 98201 252-1585 <br /> RRCMITEGT OF DESIGNER MFII ADDPE55 CITV 2iP PHONE <br /> GENEf1AL CONTR�LTOR MRIL AD�FE55 CITY ZIP PMONE LILENSE• <br /> same <br /> MEGHRNIGRL CONiRACTOR MAIL AOORE55 CITY ZIP PNONE LILENSE� <br /> PLUTABING CONiRAGTOR MML ADORE55 CITY ZIP PNONE LIGENSE� <br /> GLASS OF WORN <br /> �NEW ❑ ADDITION XB AL7ERFTION O REPAIR ❑ DEMOL�TION O FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> `"�,UATION OF 1YORK <br /> , 1500.00 <br /> ' �4RIBE N'ORN <br /> I Finish existin basement <br /> FRO!'OSED USE OF BUILOiNG <br /> Single Family Residence I 4EREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />� LEGALDESGRIPTIONOFVPOPEPTYISHOWBEIOWOFATiACHFOURC�PIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /># �oT 26 BLOCN_OF Hilton's GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRFSUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOO ADDRESS SIGN E qF CONTR TO DR I.UTMO E AGENT DATE <br /> I�. 1512 Colby Avenue G 2 24 8 <br />. PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> I WATEPCLOSET�TOILET) AIR COND. UNITS— H.P.EA. <br /> BATMiUB REFRIGERATION UNITS— H.P.EA. <br />� LAVATORV(WASH BASIN) BOILERS — H.P. EA. <br /> SHOWER GAS FIRED AA. UNITS—TONNAGE EA. _ <br /> KITCHEN SINK 8 DISP. FORCEO AIR SYSTEIAS— B.T.U. M EA. _ <br /> DISNWASHER WALL HEATERS— B.T.U. M _ <br /> LAUN�RVTFAY UNI7 HEATERS— B.T.U. M _ <br /> CLOTHES WASMER EVAPORATIVE COOLEPS <br /> WATER HEATER CLOTMES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUN7AIN RANGE HOOD <br /> FLOOR ORAIN AIR HANDLING UNR— QF.M. <br /> VACUUM BREANERS STOVE—W000 <br /> ROOF DRAINS— RAINIEADERS METAL FIREPLACE d CHIMNEV <br /> SINN(SERVICE— BAF.ETG) PIflEPLACE IhSERT <br /> HEAT PUMP <br /> SUB TOTAL f SUB TOTAL S <br /> PEflM1T S PEHMIT f <br /> TOTAL FEE S TOTAL FEE S <br /> I SI�E YARD SETBACK STREET SETBACK REAR VARD SETBACK PLAN CMECK NUMBEfi PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> I USE ZONE LOT AREA VACANT SITE <br />� � VES ::NO PEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> BUILDING E 1500.00 25 00 <br /> SIZE OF BLDG. N0.OF STOFIES MA%.OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE OP.SEMENT FIRE SPRINNLERS MEC;HANIGAL <br /> REOl11RED <br /> V[S NO <br /> APPROVALS BY DATE O1HER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.303 Ial <br /> 2.BUIlDINGPLANS ZS OO <br /> J.FIRG HYDRPNT TOTAL <br /> <.FIRE PPOTCCTION SYSTEM PERMIi VALIDATION <br /> 5.GRADING PoHEN PROPERLV VAlIOATE�(IN TF�}525GFLCE)THI�IS YbQR PEflMIT � <br /> L J V U <br /> 6.DFAINAGE � <br /> ZENVIRONMENTALIMPACTSTATEMENT (� <br /> B.HEALTHOISTRICT � . . ;(�..(,.I��P� � <br /> APPLICATION ACC. BY PLANS CHECKEO BV APPR.FOR ISSUANCE 6Y . , <br /> ". . < U <br /> � 1 ; �� �•'I <br /> ADDRESS FILE <br /> i ! <br />