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� <br /> �hr Erer�;rce�i -� �p N ST R U CT I O �'-- <br /> �iT��F ;.. <br /> everett PERMIT PERMIT NO. 14121 <br /> CITY HALL 259�9745 <br /> EVERETT,WA98201 ❑ COMBINATION }'� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OYlNEF MFIL AOpRESS CIiY ZIP PYONE <br /> Dorthy Parker 2222 Fulton Everett 98201 255-1275 <br /> ARGMIiEGT OR DESIGNER MAIL AD�ilE55 CITY ZIP PHONE <br /> GENERALCONTRACTOR IdAILA00RESS CITY 21P PNONE LICENSEM <br /> Pryde Home Builders P.O. Box 994 Everett 98206 334-4186 <br /> MEGNANICAL GONiPACTOR MAIL AODRESS CITY ZIP PHONE LICENSE M <br /> PRYDEH0214JE <br /> PLUMBING CONTPACTOR MAIL AODNE55 CITY ZIP PRONE UCENSE� <br /> CLA55 OF WORK <br /> O NEW ❑ ADDI710N ❑ ALTERATION �REPAIF � DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSER7 <br /> VALl1ATI0N OF WORK <br /> s 8459.00 <br /> DESCflIBE WORN <br /> re-roof, ,arage foundation, remodel interior <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 /> n s TIONOFP OPERTY�SHOW ELOWORATfACHFOURGOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �� �l°��� 1� Renc�y Land Co.s lst <br /> I.OT_BLOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH zo <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 m <br /> LOCAL`LAW REGULATING CONSTRUCTION OR THE " <br /> PERFOR ANCE O CONSTRUCTIO <br /> D 5 SIGNA7}I OP GONTAA OF OR THOPRE�AGEN OATE .-� <br /> ��� `�uslton Avenue X�-+�,��(ti� �� 11/5/84 '� " <br /> .. -i <br /> PLUMBING MECHANICAL � m <br /> v <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. T1'PE OF EOUIPMENT FE: m o0 <br /> Wl.7ERCLOSET�TOILET) AIR COND. UNITS- H.P. EA. I_ � <br /> --1 C <br /> OATHTUB REFRIGEPATION UNITS- H.P. EA. � m <br /> LAVA70RY�WASHBASIN) BOILERS - H.P.EF. _ � <br /> SMOWER GAS FIPED A.C.UNITS- 70NNAGE EA. m <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS- B.T.U. M EA. •C � <br /> DISHWASHER WALI HEA7ERS- B.7.U. h1 �_ <br /> LAUNDRV TRAV UNI7 HEA7ER5-- B.T.U. M �N <br /> CLO7HES WASHER EVAPORATIVE COOLERS '� <br /> T <br /> WATER HEA7ER CLOTHES DRVERS � n <br /> UNINAL VENTILATION FAN � m <br /> DRINKING FOUNTAIN RANGE HOOD m � <br /> FLOOR DRAIN AIR HANOLING UNIT- C.F.M. � � <br /> VACUUM BREAKERS STOVE-W000 �m <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 8 CHIMtiEY C � <br /> SINK�SEPVICE- BAR,ETQ) FIREPLACEINSERT = n <br /> HEAT PUMP '� r <br /> • m <br /> — n <br /> � <br /> _ � <br /> x <br /> a <br /> SUB TOTAL 5 SUB TO7AL 5 Z <br /> PEHMIT S PEHMIT S = <br /> TOTALFEE S TO7AL FEE S N <br /> SIDE YARD SETBACK STREET SETBACK REAfi YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE Z <br /> FEE RECEIPT NO. � <br /> USE ZONE LOT AREA �ACAN7 SITE " <br /> �. YES NO FEES VALUATION FEE _ m <br /> TYPE OF CONST. OCCUPANGY GROUP NO.OF DWELLING UNITS _ <br /> BUILDING $8459.�� 74 Sl� <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> PLUMBING <br /> ♦ <br /> FIRE ZONE BASEMEN7 FIRE SPRINKLERS MECHANICAL <br /> REOl11RED <br /> . �YES '.:NO <br /> APPROVALS BY UATE �THER <br /> t ENVIRONMENTALCHECKLIS7 PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.8UILDINGPLANS 7Q SO <br /> 3.FIRE HYDRANT TOTAL <br /> 4.FIRE PRO7ECTION SYSTEM PERMIT�ALIDATION <br /> 5.GRA�ING WHEN PROPERLY VALIOATED(IN THIS SPACE)7HI5 IS YOUR PERh11T c-3 <br /> . . .. . , �,� 7 � <br /> 6.�RAINAGE � ��, � � �� ��� <br /> , 7.ENVIRONMENTA�IMPACTSTATEMENT <br /> 8.HEALTH DISTRICT � .� � ,� � • <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY . . .. �. i , I <br /> . , , � <br /> r <br /> i � . <br /> :\DL`R;SS FI!.f- <br />