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- , <br /> �,���°�TY`oF CC� �VSTRUCTION � - , <br /> everett PERMII' pERMIT N0. 0�570 <br /> CITY HALL 259�8745 <br /> EVERETT.WA 98201 ❑ COMBINATION Q BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAIIA�OPESS GIiY ZIP PHONE <br /> ERNEST F. TnYLOR 2111 Fulton Everett 98201 259-6722 <br /> ARCMITECT OR DESIGNER AIAIL AODRE55 GITY ZIP PIANE <br /> GENERALI:ONTRACiOR h1AILA��PE55 CIiV ZIP PNONE UCENSE� <br /> Self <br /> MCCIAN�CAL ANTiiACTOR MAIL ADDRE55 GIiY ZIP PMONE IICENSE I <br /> PLU�i�INGCONTRARCR h1AILADDRESS CITY 21P PNONE LICENSE� <br /> CITS;OP WORK <br /> ❑NE\V }I�ADDITION ❑ALTERATION ❑FEPAIR ❑DEMOLI710N �I{FENCE ❑SIGN ❑GARAGE <br /> VPLUATIJN OF WORK <br /> , 875.00 <br /> DESGRIB[WORK <br /> F <br /> PROPOSEO USE OF 9U�LDING <br /> I HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS AP- <br /> LEGALDE'iCAIPTIONOFPROPERiY15MOW BELON'OPARACMFOUPCOPIESI PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> Y.,C—G ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> L�y{y,�.�1BL��OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGUL4TING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB A��FE55 SIGNATURE j�CONiRAGTOB OR UiHOR2ElGLtii/ DATE <br /> 7111 Fnl +nn X ^ /•4' � �/ ` <br /> PLUMBINO MECH NICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER"LOSET(TOILET) AIR CAND.UNITS—HP.[A. <br /> BATHTUB REFRIGERATION UNITS—H.P EA <br /> LAVATORY(WASH BASIN) �OILERS—HP.EA. <br /> SHOWER GAS FIRED A.0 UNI7S—70NNAGE U. <br /> KITCHEN SINK 8 DISP. FORCF.D AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WAIL MEATERS—�T.U. M <br /> WUNDRV TRAY UNIT NEATERS—0 T.U. �� <br /> CLOTHES WASHER EVAPORATIVE COOlERS <br /> W4TER HEATER CLOTHES DRYERS <br /> Ufi�NAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR URAIN AIR HANDLING UNIT— C.F.M11. <br /> VACUUM aREAKERS STOVE <br /> ROOF ORAMS—RAINLEADERS METAL FIREPUICE 8 CNIMNEY <br /> SINK�SERVICE—BAR.ELCJ <br /> SUBTOTAL SUBTOTAL S <br /> PERMIT S PERMIT S <br /> TOTAL FEE S TOTALFEE S <br /> SIDE YARD SEieACK STREEi SETDACK REAR YARD SETBACK PLAN CNECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SRE — <br /> ❑YES ❑NO FEES VAIUATION FEE <br /> i YPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS ` <br /> BUILDING $ 875.00 9 00 <br /> SIZE OF BLOG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE�PRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPHOVALS BY OATE OTHER <br /> 1. ENVIRONMENTALCf':CKLIST PENALTY U.B.C. <br /> - SEC.303(a) <br /> 1. BUILOING PLANS <br /> 3. FIREHYDRANT TOTAL 9 OO <br /> 4. FIRE PROTEC:ION SVSTEM PEHMIT VALIDATION " <br /> — WHEN PROPEFLY VALIDATED(IN THIS S^AC�EOTi IS IS Y� � Q n. O O ��� <br /> 5. GRADING � 7 <br /> 6. DPAINAGE � <br /> 7. ENVIRCNMENTALIMPACTSTATEMENT � <br /> B. HEALTH DISTRICT ' �YO L R R�C E�P O <br /> APPLICATIGI!AC:,.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � �,�'\K Y O U <br /> V.C. <br />