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� <br /> thr£�'crvroF �- -�ONSTRUCTION`� <br /> everett PERMIT PERMIT NO. 12624 <br /> CITY HALL 259�P745 <br /> '� EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> ON'NER MAIL ADDRE55 CITY ZIP PMONE <br /> STEVEN JOHN LUNN 8003 E Glen Dr Everett 355-8538 <br /> ARCHITEGT OR DESIGNEF MAIL AODRE55 CITV 21P PHONE <br /> GENERAL GONTHAGTOR MAIL AD�RESS GTY ZIP PMONE LICENSE I <br /> Same <br /> MEGMANIGAL CONTFACTOR MAIL ADDRE55 CITY ZIP PNONE LICENSE r <br /> PLUMBING CONTRAGTOR MAIL AOOflE55 CITY ZIP PMONE LICENSE M <br /> GLA55 Of YOflK <br /> �NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VAIURTION OF WORN <br /> t <br /> DESCPIBE WORK <br /> New �aood stove _ <br /> PROPOSEO USE OF BUILOING <br /> Res idence I HEREBY CEFiTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND = <br /> IEGRIDESGRIPTIONOFPROPERTY�SMOWBELOWORATfACMFOURCOPIES� CORRECT. ALL PRUVISIONS OF LAWS AND ORDINANCES � <br /> LOT_BLOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH � <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A m <br /> PERMIT DOES NOT PRE�'JME TO GIVE AUTHORITY TO VIOLATE •' <br /> OF CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE � � <br /> PERFO MANCE OF CONSTRUCTION. ,.., � <br /> J09 A�OPESS SIGNAT CONTFAC7 AUfHORRED AGENT DATE y = <br /> 8003 E. Glen Drive X .. 10/28/8"s v "' <br /> co <br /> PLUMBING MECHANIC �� <br /> NO. TYPE OF FIXTURE OH ITEM FEE N0. TYPE OF EOUIPMENT FEE o m <br /> WATERCLOSET�TOILEn AIR COND.UNITS— H.P. EA. _ � <br /> BA7HTUk7 REFFIGEFATION UNITS— H.P. EA. m <br /> M <br /> LAVi.TORY�WASH8A51N) BOILFRS — H.P. EA. C Z <br /> SHOWER GAS FIRcD A.C.UNITS — 70NNAGE EA. r = <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. � N <br /> DISHWASHER WALL HEATERS— B.T.II. M "� T <br /> L�UNOFYTRAY UNIT HEAfERS— B.T.U. M � a <br /> CLOTHES WASHER EVAPORATIVE COOLERS � 3 <br /> WATER HEA7E(i CLOTHES DRVERS m M <br /> URINAL VENTILATION FAN Q � <br /> DRINKING FOUNTAIN RANGE HOOD � m <br /> FLOOR ORAIN AIR MANDLING UNIT— C.F.M. 3 N <br /> VACUUM BREAKEFS 1 STOVE — WOOD = n <br /> FOOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEV � m <br /> SINK(SEFVICE — BAR,ETC.) FIREPLACE INSERT p <br /> HEAT PUMP ,� <br /> 2 <br /> A <br /> Z <br /> � <br /> 2 <br /> SUB TOTAL S SUB TOTAL S N <br /> PERMIT S PERMIT S �_ _ <br /> 70TALfEE S TOTAL FEE S � <br /> --1 <br /> SIDE YA(iD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBEF PLAN CHECK FEE � <br /> FEE RECEIPT NO. m <br /> USE ZONE LOT AREl. VACANT SITE <br /> � YES . .NO FEES VALUATION FEE <br /> 7YPE OP CONSi. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> BUILOING S <br /> SIZE OF BLDG. �10.OF STORIES MAX.OCC.IOAD <br /> PLUMBING <br /> FIfiE ZONE 3ASEMENT FIRE SPRINKLERS MECHANICAL 1� O <br /> RE�UIRED <br /> YES .NO <br /> APPROVALS BY UA7E OTHER <br /> 1. ENVIRON:dEN7AL CHECK UST PENALTV U.B.C. <br /> SEC.303(al <br /> 2.BUILDING PLAl15 <br /> TOTAL <br /> 3.FIRE HYDRAN� <br /> d.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> S.GRADING WHEN PROPERLY VALIDATED(IN THI=SPAC�THIS�xO�1R.�P�A�T—�, <br /> J 0 Y �� � � U �Qi <br /> 6.ORAINAGE � <br /> 7.ENVIFONMENTALIMPACTSTATEMENT (v <br /> B.HEAI.TH DISTRICT �� _ � � R ^E C G I P I� <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.PCR ISSUANCE BY <br /> I � �.'�!'!�� Y� U <br /> 2 P C�T o J <br /> ADDRF55 FILE <br />