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fheEVCTYOF �� �ONSTRUCTION� --��� <br /> l '1' <br /> eve���+� PERMIT PERMIT NO. OS561 <br /> CITY HALI 259�8745 � <br /> EJERE77.WA 98201 ❑ COMBINATIUN Xn BUILUING ❑ MECHANICAL ❑ PLUMBING � <br /> OWNEfl MP!LN�DflE£5 CITY ZIP PHONE <br /> Michael J. Hancock 9902 lst Avenue Everett 98204 353-4267 ' <br /> ARCMITECT OR DESIGNEfl MAII RDDPE55 CRY ZIP PHONE <br /> GENEPAL CqNTPAGtOP MAIL A�OFE55 GiY ZiP PHONE LICENSE� <br /> Same <br /> MECHRNIGILCANTflACiOH MNILADDPESS CIiY ZIP PMONE IICENSEI <br /> PLUMBING CANTMCTOR MAIL qDDRESS CITY ZIP PHONE LICENSE 1 <br /> ClAS50F WOqK <br /> ❑NEW ❑ADDITION �p.LTERATION ❑fiEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VRLUPTION OF WOflK <br /> f11���.�� <br /> OESCRIBE WpPK <br /> concrete foundation . <br /> - PROPOSED USE OF BULLDING <br /> ainqle family residence IHEREBYCERTIFYTHATIHAVEREADANDEXAMINEDTHISAP• <br /> LEGALDESCRIPTiONO(PROPERTYISHOW BELOW08RTTACH FOUHCOPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 3 , 5 Beverly Park ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or eice�_oF _ TYPE OP WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUM E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOBADDRE55 SIGNAiIIPEOFGONTMCTO PAUtHORIZ AGENi DAIE <br /> 8041 Florida Drive X � <br /> PLUMBINO MECHAN CAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(�OILE� AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY rydASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK S DISP. FORCEG AIR SVSTEMS—B.T.U. M EA. <br /> DISHWASHER WALL HEATF.RS—B.T.U. M <br /> LAUNDRY TFUY UNIT HEP" ..i5—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HFATER CLOTHES DRYF.RS <br /> � URINAL VENTILATION FAN ' <br /> DRINKING FOUNTAIN RANGE HOOD ' <br /> FLOOfl ORAIN AIR HANDLING UNIT— QF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE—B4R.ETCJ <br /> SUB TOl'AL SUB TOTAL f � <br /> PENMIT i PENMIT f <br /> TOTA�FEE f TOTALFEE f <br /> SIDE YARD SETBACK STRCET SEfBACK REAR VARD SEfBACK PLAN CHECN NUMBER PIAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE �OT AREA �ACANT SITE <br /> �YES ❑NO FEES VALUATION FEE <br /> NPE OF CONST. OCCUPANCY GROUP NO.OF DWELLIN�UNITS <br /> BUILDING $lOOO.00 17 SO <br /> SIZE OF B�DG. NO.OF STORIES MAX.OCC.LOAD — <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> OVES ❑NO <br /> APPNOVALS BY DATE �THER <br /> i. ENVIRONMENTAL CHECK LIST pENALTY U.B.C. <br /> SEC.303(e) <br /> 2. BUILDING PLANS <br /> 3. FIREMVDRANT TOTAL 17 SO <br /> 4. FIRE PROTEC710N SYSTEM PENMIT VALIDATION <br /> WHEN PFOPERLV VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING � <br /> fi. DRAINAGE 0 3 14 �j O I 7. 5 0 �� � <br /> 7. ENVIRONMENTAL IMPACi STATEMENT � <br /> � <br /> 8. HEALTH DISTRICI' � � O <br /> ' . APPLICATION ACC.BV PLANS CHECKED BV APPR.FOR ISSUANCE BY `� "�� �� ;�:: R��c:[:I PT <br /> '`iK 1'C U <br /> ADDP.E55 FILE I I ��'?'r SU <br />