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� <br /> theEvCi�eOF �� ^ONST�RUCY101�r <br /> ever�ett PERMIT PERMIT N0. 15303 <br /> r CITY HALL 259�8745 <br /> � E'lERETT,WA9P201 ❑ CONBINATION � BUILDING � MECHANICAL ❑ PL�MBING <br /> OWNER OI3 L. Davis MAIL ApDRE55 CITY 21P PMONE <br /> H7f�ti[YIIX7[BXXXHxYY1fX fl%Hi 8205 Florida Drive Everett 98204 355-5888 <br /> AflCMITECT OR pESIGNER MAIL FOORESS CITY 21P PHONE <br /> GENERAL CONTPACTOR MAIL ADORESS CITV ZIP PHONE UCENSE� <br /> Same <br /> MECHANICAL CONTRACTOR MAIL ADDRE55 CITY ZIP PNONE UCENSE N <br /> PWMBING GONTRACTOfl MAIL ADDRE55 CRY ZIP PHONE LICENSL/ <br /> CLA55 OF WORN <br /> ❑ NEW ❑ ADDI710N C ALTERATION �7EPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WORK <br /> s 3200.0� <br /> DESCRIBE WOpK <br /> Reroof-Composition <br /> PROPOSEO USE OF BUILDING <br /> Single Family Residence I HEREBY CERTIFY THAT i HAVE RE.,U AND EXAMINED THIS zo <br /> APPLICATION AND KNOW THE S�ME TO BE TRUE AND <br /> LEGAL OESCRIPrION OP PROPEflTY�SHOW BELOW OR qTTACM FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES "'� <br /> �oT_e�ocK_oF_ _ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH m <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A " <br /> PERMIT DOES NOT PRE�UME TO GIVE AUTHORITI'TO VIOLATE ,r� <br /> OR CANCEL THE PHOVISIONS OF ANY OTHER STATE OR ••i � <br /> LOCAL LAW REGUI.ATING CONSTRUCTION OR THE ,.., � <br /> PERFORMANCE OF CONSTRUCTION. �'m <br /> JOB AUOFE55 SIGNPTUHE OF CONTflA pR OR AUTHORIZED AGENT DATE p <br /> 8205 Florida Drive X � m o <br /> n <br /> PLUMBING MECHANICAL p ; <br /> N0. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE _� <br /> WATERCLOSET�TOILE� AIR COND.UNI7S— H.P. EA. tT1 <br /> H <br /> _ BATHTUB REFRIGERATION UNITS— H.P. EA. C= <br /> LAVATORY(WASH BASIN) BOILERS— H.P. EA. � _ � <br /> SHOWER GAS FIRED A.C. UNITS—TONNAGE EA. ��-+ <br /> � N <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. < � <br /> DISHWASHER WALL HEATERS— B.T.U. M O � <br /> �'I > <br /> LAUNDRY TqAV UNIT HEATERS— B.T.U. M � m <br /> CLO?HESN'\SHER EVAPORATIVE COOLERS _ m � <br /> WATER HE�TER CLOTHES ORYERS _ � N - <br /> URINAL VENTILA710N FAN � m <br /> _ DRINKING FOUNTAIN RANGE HOO� ; N <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. m <br /> 2 f') <br /> VACUUM BREAKERS S70VE—WOOD � m <br /> ROOF ORAINS— RAINLEADERS ME7ALFIREPLACE 8 CHIMNEV � p <br /> SINK�SERVICE — BAR, E7C.) FIREPLACEINSERT � <br /> HEAT PUMP = <br /> a <br /> z <br /> � <br /> x <br /> _ y <br /> SUB TOTAL S SUB TOTAL S = <br /> PERMIT S PEXMIT S � <br /> --I <br /> TOTAL FEE S TOTAI FEE f n <br /> SIOE YARD SE7BACR 9EET SE7BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE �''� <br /> FEE RECEIP7 NO. <br /> USE ZO4E �1.Ji AREA VACANT SITE <br /> '.JYES :NO FEES VALUATION FEE <br /> TYPE OF CONST. OC�UPANCY GROUP NO.OF DWELLING UNI75 <br /> BUI�DING $3200.00 44 50 <br /> SIZE OF BLDG. NO.OF STORIES MA�.OCC. LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT FIRESPRINKLERS MECMANICAL <br /> REOUIRED <br /> YES GNO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST ptNA�Ty U.B.C. <br /> 2.BUILDING PLANS SEC.303(a) <br /> 3.FIFEHVURANT TOTAL 44 50 <br /> 4.FIRE PROTECTION SYSTEM PEHMIT VALIDA710N <br /> 5.GRADING �^1HEN PROPERLY VALIDATED QN 7HIS SPACE)THIS IS rOUR PERMI7 (Y') <br /> I —_ p <br /> 6.DRAINAGE ' � � � <br /> 7.ENVIfiONMENTA:.IMPACTSTATEMENT � <br /> B.HEALTM DIS7HICT <br /> �--� <br /> APPLICATION ACC. BY PLANS CHEGKED BY APPR. FOR ISSUANCE BY , , i <br /> ADDkESS f-Il[ � <br /> 1 <br />