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r <br /> �,��. � ,��r`r�.��,� . C � N ST R U C T I O N <br /> ��„ ���� � <br /> everett PERMIT PERMIT N0. �-299 � <br /> CITY HALL 259�8745 <br /> EVERET7,WA98201 ❑ COMBINATION �XIt BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> ('� OD/NER MAIL AOORESS CITY 21P PHONE <br /> Hugh Cecil 4025 Friday Avenue Everett 98203 252-1302 <br /> ARCNITECT OR DESIGNER MAIL ADDflE55 LITV ZIP PHONE <br /> GENERAL GONTRACTOR MAIL AOOPESS QTY ZIP PNONE LICENSE� <br /> Everett Builders Inc. 560f Evergreen S9ay Everett 98203 353-7161 <br /> MECHANICAL CONTFACTOR MAIL AOORE55 CRY 21P PNONE LICENSE• <br /> PWMBING CONTRACTOR MAIL ADDRESS CITY ZIP PMONE LICENSE� <br /> C1A55 OF WORN <br /> ❑NEW ❑ ADDITION ❑ ALTERATION �{FEPAIR ❑ OEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VAIUATION OF WOPK <br /> s 14��.�� <br /> DESCRIBE WONK <br /> om <br /> PROPOSEO USE OF BUIL ING <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 /> LEGnLDESCRIPTIONOFPFOPERTY�5MOW0ELOWORATTACNFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or�e�ocK 3 oF Terrace GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR 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 <br /> PERFORMANCE OF ONSTRUCTION. <br /> JOB ADDRE55 SIGN T E OF�pNTPA OR T ORIZED AGENT 2/l0/8 pATE <br /> 4025 Frida X q <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEFiCLOSET�701LEn AIR COND.UNITS — H.P. EA, <br /> BATH7U8 REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY�Wf�SH E3ASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS —TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL FIEATERS— B.T.U. M <br /> LAUNORYTRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORA7IVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILA710N FAN <br /> DRINKING FOUNTAIN RANGE HO00 <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKEFS S70VE—WOOD <br /> ROOF ORAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR, ETG) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL S SUB TOTAL S <br /> PERMIT S PERMIT 5 <br /> TOTAL FEE S TOTAL FEE f <br /> SI�E'/ARD SETBACK STREETSE7BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SI7E <br /> :-.YES ::NO FEES VAIUATION FEE <br /> T'PE OF CONST. OCCUPANGY GROUP NO.OF DWELLING UNITS <br /> BUILDING E 1400.00 23 $0 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT FIRESPRINKLERS MECHANICAL <br /> � REQUIRED <br /> YE$ I!NO <br /> APPROVALS BY DATE �THER <br /> 1. ENVIRONMEN7AL CHECK LIS7 pENALTY U.B.C. <br /> SEC.703(a) <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRAN7 TOTAL 23 50 <br /> 4.FIRE PROTEC710N SYSTEM PERMIT VALIDATION <br /> ( 5.GRADING WHEN PROPERLY VALIDATE�(IN TH�Si SA8E)THI�1$YOIj(i PERaM1T � 1 <br /> 6.DRAINAGE U Z S 5 <br /> 7.ENVIRONMEN7ALIMPACTSTATEMENT N <br /> 8.HtALTH DISTHIGT <br /> APPLICA710N ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � .� i: R:C[:I PT `� <br /> ';�l; YC U <br /> ,.�! - �,�� <br /> I 0 FEB �lI <br />