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� <br /> !hc EverBre=�i 1 �,\V�����I O 1\ <br /> ' CITYOF pERMIT � � <br /> everett PERMIT NO. OH114 <br /> CITY HALI 259�8745 <br /> EVERETf.WA 98207 C� COMBINATION C� BUILDING C� MECHANICAL PLUMBING <br /> GITY ZIV PNONE <br /> owr+En n+nanooaess 98203 252-2245 <br /> Trans' Land Znc. P.O. Sox 2996 Everett <br /> MAIL AD�RE55 <br /> CIT1' ZIP PNOhE <br /> qRCHITECT OR�ESIGNER <br /> MAIL AODPE55 <br /> CITY ZIP PMONE UC[NSE r <br /> GENCRAL GONIRAGTOR <br /> Same ��TY Z�p PMONE LICENSEI <br /> AIECl/ANICAL CANTRACTOR <br /> Mna aooaess <br /> MAIL PDDRE55 <br /> CITY 21P PMONE LIGENSE� <br /> PlUM01NG CANiRACTOR <br /> LLI�SS OF WOF�K <br /> (��yy ❑ADDITION ❑A�TEPATION ❑F7EPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VPLUATION Of WORK <br /> S 311 ���. �0 <br /> OESCRIBE WORK <br /> Construct Single Family Residence <br /> PPOF'OSE�USE OF BUIIPING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND E;CAMINED THI <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> LEGAL DESCFIPiION Oi PROPER7Y�SHOW OELOW OR ATTAGH FOUR CAFIES) ALL PROVISIONS OF LAWS AND OFDINANCES GOVERNING THIS <br /> 25-26 2 Smyth Land Co. lst TYPE �F WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> L0� °LOC�—OF HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> K 20-29-5 CONSTRUCTION OR THE PERFORMANCE OF CONSTR�UETION. <br /> SIGNA UP OF CONiRAC OR A TH IZED AGENT <br /> JODA�DAE55 X • a �`�' <br /> 2215 F'ulton Street <br /> MECHANICAL <br /> PLUMBING FEE � <br /> FEE NO. TYPE OF EOUIPMENT <br /> Np, TYPE OF FIXTURE OR ITEM q�q COND.UNITS-H.P.E�. <br /> 1 WATER CLOSET(TOILF.T) REFRIGERATION UNITS-H.P.EA <br /> L BATHTUB BOILERS-H P.EA. <br /> 1 LAVATORY pYASH BASIN) GAS RRED A.G UNITS-TONNAGE EA. <br /> SHOVJER FORCLD AIR SYSTEAIS-B.T.U. M EA. <br /> 1 KITCHEN SINK&DISP. µ�q�L HE�TEPS-B.T.U. M <br /> ], DISHWASHER UNITHEATERS-B.T.U. 'V' <br /> LAUNDRY TRAY EVAPORAIIVE COOLERS <br /> 1 CLOTHES WASFIER 1 CLOTNES DRYERS -�- <br /> ]. WATER HENTER 1 VENTILATION FAN �- <br /> URINAL ], RANGE HOOD - <br /> DRINKING FOUNTAIN pIR HANOLWG UNIT- GF.M - <br /> FLOOR DRAIN S10VE - <br /> VACUUM BREAKERS METAL FIREPLACE 8 CHIMNEY a�- <br /> ROOF D(7NNS-RAINLEADERS <br /> SINK ISERVICE-BAR.ETC.) <br /> SUBTOTAL 14 00 SUBTOTAL S -O- <br /> PEPMIT = <br /> PEHMIT S 5 11 0 <br /> TOTAL FEE f 14 00 TOTAL FEE <br /> PIAN CHECK FEE <br /> SIDE YARD SETOACK STREET SETBACK PEAR YARD SEiOACK PLAN CHECK NUMBER qECEIPT ND. <br /> 5 , Zp � 20 ' 80/8114 FEE gdSiC <br /> USE ZONE LOT AREA \'ACANT SIT[ FEES VALUATION FEE <br /> R-Z 6 �00�. SQ. Z17S'ES ❑NO <br /> TYPE OF CONS7. OCCUPANCRY G30UP NO.OF DWEIiNG UNITS <br /> V-N �UILDING b31 , 000. 130 00 <br /> SIZE OF BL�G NO.OF STORIES MAX.OCC.LOAD pLUMBING 14 00 <br /> 24 ' s:34 ' 1 <br /> FIREZONE BASEMEN7 FIRESPRINNLERS p�ECHANICAL IZ OO <br /> 3 none REOSIRED O <br /> pPPpOVALS <br /> gy DA7E OTHER <br /> PENALTV U B.C. <br /> t. ENVIRONMEN7AL CHECN LIST SEG 3031a) <br /> 2. BUILDINGPLANS N TOTAL 1SS OO <br /> 3. FIRE HY�RANT `-' <br /> PEflM1T VALIDATION <br /> 4. fIRE PROTECTION SYSTEM WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YpOURZPERMIT —� <br /> 5. GRAOING 2 O O I •� I J O. O O <br /> [ (1 � I! (I � - <br /> G. DRAIIZAGc • c� � � <br /> 7. ENVI�fIMEN�AL IMPAG�STATEIAENT ' ' �� ��'�� I PT Q <br /> 1� \�.. <br /> 8. HEAI$N DISTRICT � . , �' I(�� <br /> APPLIC ION ACC.BY � �PLANS CHfiCKED BY APPR.FOR ISSUANCE�Y <br /> � �'��. �I�' � <br /> C._ -i IV.C. ! I <br /> _ i <br />