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� I <br /> thr �'rcr�reen � � �pNSTRUCTlO �' � <br /> ��,Y oF i <br /> everett PERMIT PERMIT N0. 151� .� <br /> GTV HALL 259�87d5 <br /> EVEFETT,�YA98201 ❑ COMBINATION � BUILDING C� MECHANICP.L ❑ PLUMBING <br /> �l <br /> OIYNER MAIL A�DRE55 LITY Z�P PMONE <br /> Richzrd T�t Fleeson 928 Highland Drive Bellingham 98225 733-9591 <br /> ARCHITECT OR OESIGNER MAIL ApOFESS GTY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADORE55 pTY Z�P PMONE LICENSE x <br /> Same <br /> MECHRNILFL CONTRACTOR MAIL ADDRESS CITV ZIP PHONE LILENSE x <br /> PLUMBING CONTHACTOP MAIL ADDRE55 GITY ZIP PHONE LICENSE I <br /> CLA55 OF WOBK <br /> ❑ NEW � ADDITION � ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD 3TOVE/FIREPLACE INSER7 <br /> VAIUATION OF WORN <br /> S 100.0� <br /> DESCRIBE WORk <br /> Repair and remodel <br /> PROPOSED USE OF BUILOING <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 /> LEGAL DESCRIPTION OF PROPERTY�SMOW BELOW OR ATfAGH POUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES O <br /> 4 1 Hewitt Heights GOVERNING THIS 7YPE OF WORK WILL BE COMPLIED WITH 'i <br /> �or_e�ocK_oF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A m <br /> PERMITDOESNOTPRESUMETOGIVEAUTHORITYTOVIOLATE •• <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE � � <br /> PERFO AN STRUCTION. � � <br /> J09 AOORESS SIGNAT CON �R OF AUTHORIZEO AGENT OATE N = <br /> 3831 Friday Averue X � 7 16 85 o m <br /> co <br /> PLUMBING ANIFAL m o <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. ' YPE OF EOUIPMENT FEE p m <br /> WATERCLOSET�701LEn AIR ND. UNITS- H.P. EA. _� <br /> BATHTUB REFRIGERATION UNITS - H.P.EA. m <br /> � <br /> LAVATORY(WASHBASIN) BOILEP.�- H.P. EA. A z <br /> C <br /> SHOWER GAS FIRED A.G. UNITS - TONNAGE EA. <br /> r 2 <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS- B.T.U. M EA. .-. .. <br /> DISHWASHER WALL HEATERS- B.T.U. M � � <br /> < <br /> �'1 <br /> LAUNDPYTRAY UNIT HEA7ER5- B.T.U. M O n <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> -� m <br /> WATER HEATER CLOTHES DRYERS m � <br /> URINAL VENTILATIOIJ FAN � N <br /> DRINKING FOUNTAIN 1 RANGE HOO� 4 5 n m <br /> FLOOR DRAIN AIR HANOLING UNIT- C F.M. 3 N <br /> VACUUM BREAKERS STOVE-WOOD Z � <br /> ROOF DRAINS- PAINLEADERS METAL FIREPLACE 8 CHIM�EY -I r <br /> SINK(SERVICE - BAR, ETC.) FIREPLACE INSERT � <br /> HEAT PUMP <br /> � <br /> S <br /> n <br /> z <br /> --1 <br /> SUB TOTAL S SUB TOTAL S 4 SO � <br /> N <br /> PEHMIT S PERMIT 5 <br /> 70TALFEE 5 TOTAL FEE S 4 O <br /> SIDE YARD SETBACK STREETSETBACK �9EAR YARD SETBACK PIAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT N0. n <br /> m <br /> USE ZONE LOT AREA VACANT SI7E <br /> �.:YES :NO FEES VALUATION FEE <br /> T1'PE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S 10 00 <br /> SIZE OF BL�G. N0.OF STORIES MA%.OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRESPRINKLERS MECMANICAL Q SO <br /> REOl11RED <br /> YES : NO <br /> APPROVALS gy ppTE O7HER <br /> 1.ENVIRONMENTAL CHECK LIST PENAL7Y U.B.C. <br /> SEC.]03 le) <br /> 2.BUILOING PLANS <br /> TOTAL 14 50 <br /> 3.FIREHYDRANT � <br /> 4.FIRE PRO7ECTION SYSTEM� PERMIT VALIUATION <br /> S,GRADWG WHEN PROPERLY VALIDATED ON THIS SPACEI THIS IS YQ4P PERM�T (� <br /> � � <br /> 6,DRAINAGE � � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> � B.HEALTHDISTRICT . �� � <br /> � APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY � � � � <br /> ADDRESS FILE <br />