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� <br /> rhe£�•erRre'F �---. _C O N ST R U CT I O ��-a � �-� <br /> r everett PERMIT PERMIT NO. �4403 <br /> CITV HALL 255�8735 <br /> EVERETT,WA 982)7 ❑ COMBINATION � �F{ILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILADDRE55 CITV ZIP PHONE <br /> BRENDA S. L7NDSEY 4706 FOREST DR EVERETT WA 98203 252-9721 <br /> ARCHITEGT OR DESIGNEF MAIL ADORE55 CITY ZIP PHONE <br /> GENEFAL CONTRACTOR MAIL AOORESS CITY ZIP PHONE LICENSE M <br /> � TOM LINDSEY .ONSTRUCTION 4706 FOREST DRIVE EVERETT WA 98203 252-9721 <br /> MECMANICALCONTflACTGR MAILADDRE55 CITY 21P PHONE LICENSE• <br /> 91-1222-320 <br /> PLUMBING CONTPFCTOfl MAIL AO�RESS CITY 21P PHONE LICENSE Y <br /> CLA55 OF WORN <br /> I}�NEW ❑ ADDITION ❑ ALTERATION O REPAIR O DEMOLITION O FENCE O SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VALUPTION OF WORN <br /> s 1283.99 <br /> DESCPIBE WOPK <br /> 20'x20' carpo::t = <br /> �ROPOSED USE OF BUILDINIi O <br /> park vans I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND n <br /> LEGAL OESCRIPrION OF PRCPERTY�SMOW BELOW OR ATfACH FOIIR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES �^ <br /> L0T_BLOCK_7F GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A «+.+ <br /> 5 40' of Lot 72, Forest Park Addn to Everett PFRMITDOESNOTPRESUMETOGIVEAUTHORITYTOVIOLATE � � <br /> �-- OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR N= <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE om <br /> PERFORMANCE OF CONSTRUCTION. c v <br /> JOB A��PE55 SIGNATURE ONT CTOR OR AU HORIZ AGENT DATE 1�1�0,� <br /> 4706 FOREST DR::VE X a 3 <br /> m <br /> PLUMBING MECNANICAL =� <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE m <br /> WATERCLOSET(T<IILET) AIR COND.UNI7S -H.P.EA. C= <br /> BATHTUB REFRIGERA710N UNITS- H.P. EA. � _ <br /> LAVATORY�WASH IIASIN) BOILERS - H.P.EA. """� <br /> -1 N <br /> SHOWER GAS FIRED A.C.UNI7S -TONNAGE EA. � -n <br /> KITCHEN SINK 8 DI:'�P. FORCED AIR SYSTEMS- B.T.U. M EA. �� <br /> OISHWASHER WALL HEATERS- B.T.U. M �m <br /> LAUNDRYTRAY UNIT HEATERS- B.T.U. M m�„� <br /> CLOTHES WASHER EVAPORATIVE COOLERS N <br /> WATEfi HEATER CLOTHES DRYFRS n m <br /> URINAL VEN7ILAT'ON FAN 3 N <br /> ORINKING FOUNTAIII RANGE HOOD m <br /> 2 CY <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. � m <br /> VACUUM BREAKERS STOVE-WOOD � � <br /> ROOF DRAINS- RAWLEADERS METAL FIREPLACE 8 CHIMNEC ,..� <br /> SINK(SERVICE- BAR, ETC.) FIREPLACE INSEFiT = <br /> > <br /> HEAT PUMP Z <br /> -i <br /> 2 <br /> H <br /> N <br /> Z <br /> SUB TOTAL f SUB TOTAL f � <br /> � <br /> PERMIT S PENMIT S n <br /> TOTALFEE S TOTAL FEE f m <br /> SIDE YARD SETBACK S7REET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> fi f�IL}CBXXX 8�X �, 201 85/14403 FEE 14.30 RECEIP7N0. <br /> USE ZONE LOT AREA VA�qNT SITE — <br /> � YES ;::NO FEES VALUATION FEE _ <br /> g_1 — <br /> NPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N M 1 BUILDING 51Z83.99 22 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> 400 Sf 1 PLUMBING _ <br /> FIRE ZONE BASEMENT FIPE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> YES GNO <br /> APPROVALS BY UA7E OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENAL7V U.B.G. <br /> SEC.303(a� <br /> 2.BUILDING PLANS <br /> 3.FIRE HYDRANT TOTAL 2 OO <br /> 4.FIRE PROTEC710N SYSTEM PERMI7 VALIDATION <br /> 5.GRADING �4HEN PROPERLY VALIDATED(IN THIS SPACE)THIS�S YOU!�PERMIT_ _ ('M'1 <br /> . , , . . L !.. '.' '� T <br /> 6.DRAINAGE C� <br /> .�� <br /> 7.ENVIRONMENTALIMPACTSTATEMENT <br /> 'Cl' <br /> 9.HEALTH DISTRICT : � �F � �_� <br /> APPLICATION ACC. BY PLANS CNECKED BY APPR.FOP ISSUANCE BY <br /> � � <br /> � <br /> lc hwm lc <br /> - , � .. <br /> ADDRESS FIIE <br />