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� <br /> r <br /> 7he Evrrerern <br /> everett � �`ONSTRUCTION - -� <br /> RERMIT PERM{T N0. �2472 <br /> CITV HALL 259�87d5 <br /> EVERETT.1'JA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLU�ABING <br /> 01YNER MAIL ADDRESS CITY ZiP PHONF <br /> DELORES DURNIL 1810 COLBY EVERET'P 14A 98201 252-4895 <br /> � ARCnITEGi OR OESIGNER MAIL AODRE55 GIiY IIP PHONE <br /> GENERAL GONTPAGTOR MAI�AD�RESS GITY 21P PHONE UCENSE/ <br /> Owner <br /> MECHRNIGAL CANTRFCTOR MAIL ADDHE55 CITY 21P PMONF. LIGENSE Y <br /> P:UM:�YG CANTRAGi0f1 MRIL ADDPE55 CI1Y ZIP PHONE 4LENSE M <br /> G1A550F WORIc <br /> ❑NEW ❑ ADDITION O ALTERATION �REPAIR O DEMOLI710N ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VAWATION OF WONK <br /> =450. 0� <br /> OESCFIBE WORK <br /> Repair composition roof <br /> PROPOSED USE OF BUILDING <br /> Residence I HEREBY CER7IFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGALDESCRIPT10NOFPPO�ERTY�SHOWBELOWORATTNCHPOURGOPiES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �/�9 �� J �� GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LGT BLOCN�+`�OF �� - ^ <br /> WHETHER SPECIFIED HEFEIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLA'�E <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB AD�RE55 S�GNA PE OF CONTPACTO OR ApTNOR12ED AGENT n/��/,Q�jTE <br /> 1812 Colby X 9 7 ifJ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET(TOILET� AIR COND. UNITS — H.P. EA. <br /> BATHTU9 REFRIGERAT1011 UNITS — H.P.EA. <br /> LAVATORY(WASMBASIN� BOILERS — H.P. EA. <br /> SNOWER GAS FIRED A.C.UNITS — TOIJIJAGE EA. <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISMWASNER WALLHEATERS— B.T.U. M <br /> LAUNDflV TRAY UNIT HEATERS— B.T.U. M <br /> CLOTMES WASHER EVAPORATIVE COOLERS <br /> WATEF HEATER CLOTNES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE — WOO� <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE— BAfl, ETC.) FIREPLAGEINSERT <br /> MEAT PUMP <br /> ii <br /> SUB TOTAI i SI1B TOTAL S <br /> PERMIT i PERMIT S <br /> TOiAL FEE f TOTAL FEE S <br /> SIDE YARD SFTBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT APEA VACANi SITE <br /> .-.YES �_NO FEES VALUATION FEE <br /> TYPE OP CONS"-. OCCUPANCV GROUP NO. OF�WELLING UNI75 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD BUILDING 1Q S O. OO 1 O O <br /> PLUMBING <br /> FIflE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRE� <br /> � .YES �.:NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMEF?AL CMECK LIST PENALTV U.B.G. <br /> SEC.707�a) <br /> 2.BUILDING PLANS <br /> 3.FIRE HYDRANT TOtAL 1 O OO <br /> 4,fIRE PROTECTION SYSTEM PERMIi VALIDATION <br /> 5.GFA�ING WHEN PROPERLV VALI�ATED(IN THI^��P(�C�)THI�SpYQU ft P�FiM1T ��f <br /> L rl U I V 1J U <br /> 6.DRAINAGE <br /> 7.ENVIRONMENiHLIMPACTSTATEMENT <br /> l\ <br /> B.HEALTH OISTRICT �j�) � � ;� n�C�I PT •. _ <br /> APPLICATION ACQ BY PLANS CMECKED BY APPR.FOR ISSUANCE BV � " ` <br /> l I�l <br /> ,� : . Y�; <br /> ? ] :EP a� <br /> ADDf:FSS I=11[ <br />