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� <br /> `het'��XYeoF ; �CONSTRUCTIO' ' <br /> everett PERMIT PERMIT NO. 14766 <br /> r GTY HALL 259�8745 <br /> EVEREfT,WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAIL ADDRESS CITY ZIP PHONE <br /> Robert Perin 4512 Forrest Drive Everett 98203 <br /> ARCHITECTORDESIGNER MAILADDRE55 GTf 21P PHONE <br /> GENERAL CONTRAGTOR MAIL ADDRE55 CITY ZIP PHONE LICENSE M <br /> G & D Home Improvement 4332 Forest Drive Everett 98203 259-2018 <br /> MECHANICAL CONTRAGTOR MAIL ADORE55 CITV 21P PHONE LICENSE 1 <br /> GD HO MI *160NC <br /> PLUMBING CONTRACTOR MAI�AOORESS GITY 21P PMONE LICENSE N <br /> CIASS OF WORK <br /> ❑NEW ❑ ADDITION ❑ ALTERATION �(REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVEIFIREPLACE INSER7 <br /> VALUATION OF WORK <br /> S 3�000.00 <br /> DESCRIBE WOflK <br /> Reside vinyl <br /> PROPOSED USE OF BUILDING <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND ,.., <br /> LEGALDESCflIPT10NOFPROPERTY�SMOWBEI.OWORATTACHFOIIRCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND OADINANCES �'' <br /> m <br /> 10-11 2 Forest Park GOVERNING THIS TYPE OF WORK WILL BE COMPL!ED WITH • <br /> LOT_BLOCK_OF <br /> WHETHER SPECIFIED HEREIN OP NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE �� <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR � � <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE y = <br /> PERFJRMANCE OF CONSTRUCTION. �^ <br /> JOB AUDPESS SIGNAT E CONTRACTOR AUTMO ED NT DATE C O <br /> 4512 Forest Drive X �.� �,,,,,� � 4/25 85 �� <br /> PLUMBINQ MECHANICAL � � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE ?-=1 <br /> m <br /> WATER CLOSET(TOILE� AIR COND.UNI7S- H.P. EA. �+ <br /> .O 2 <br /> BATHTUB REFRIGERAiION UNI75- M.P. EA. y � <br /> IAVATORY(WASH BASIN) BOI�ERS-- H.P. EA. I-' S <br /> w H <br /> SHOWER GAS FIRED A•^. UNITS-?ONNAGE EA. -i H <br /> < <br /> KITCHEN SINK 8 DISP. FORCED AIR SY�TEMS-� B.7.U. M EA. o � <br /> DISHWASHER WALL HEATERS- B.T.U. M '*i> <br /> 3 <br /> LAUNDRYTRAY UNIT HEATER�- B.T.U. M �r1 <br /> 2 <br /> CLOTHES WASHER EVAPORATIVG COOLERS m V . <br /> WATER HEATER CLOTHES DRYEFS Q r <br /> URINAL VENTILATION FAN C N <br /> DRINKING FOUNTAIN RANGE HOOD m H <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. �� <br /> VACUUM BREAKERS STOVE-WOOD • D <br /> ROOF DRAINS- RAINLEADERS IAETAL FIREPLACE&CHIMNEY 7e <br /> SINK(SERVICE- BAR, ETC.) FIREPLACE INSERT = <br /> HEAT PUMP a <br /> 2 <br /> --I <br /> 2 <br /> rv-i <br /> N <br /> SUB TOTAL f SUB TOTAL S = <br /> — O <br /> PERMIT S PERMIT S � <br /> TOTAL FEE f TOTAL FEE S n <br /> m <br /> SIDE YAR�SETBACK STREEfSE7BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN GHECK FEE <br /> FEE RECEIP7 NO. <br /> USE ZONE LOT ARE� VACAN7 SITE <br /> . GYES �-�NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> BUILDING s 3,000. 38 50 <br /> SIZE OF BLDG. NO.OF 5T(�RIES MAX.OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> RE�UIRED <br /> =VES -'NO <br /> A�PpOVALS BY UATE OTHER <br /> t.ENVIRONMENTAL CNECK LIST PENALTY U.B.C. <br /> 2.BUILDING PLANS SEC.303(a1 <br /> 3.FIREHYDRANT TOTAL 38 SO <br /> 0.FIRE PROTECTION SVSTEM PERMIT VALIDATION � � � � - . <br /> 5.GRAOING WHEN PROPERLY VALIDATED(IN THIS SPACEI THIS IS YOUR PERMIT— (� <br /> 6.DRAINAGE � <br /> 7.ENVIRONMENTALIMPAC�S7ATEMENT � <br /> B.HEALTH DISTRICT �. i � <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � � ; � <br /> ADDRESS fILE <br />