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711eL1C7�,��° _ �:ONSTRUCTION _ <br /> GTY OF <br /> everett PERMIT pERMIT NO. 09215 <br /> CITY HALL 259�8745 <br /> eveaen,wa 9ezoi ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OIYNFfl MAILADDRE55 CITY ZIP PMOHL <br /> B Danley 5430 Glenwood Avenue <br /> ARCNITEGT OP OESIGN[P <br /> IAAILPODRESS GTY ZIP PHONE <br /> GENFRAL fANTPACTOR MAIL ADDPE55 Cltt ZIP FHONE LIGENSE! <br /> SdIDE <br /> AIECHANIGALCANTOACTOR MAILAOOPE55 CITY 21P PHONE LIGENSE/ <br /> PLUMBING CANTR4LTOR MAIL ADDflE55 Cltt 21P PNONE LIGENSE� <br /> CIASS OF\VORN <br /> ❑NEW ❑ADDITION ❑AL7[RATION ❑REPAIR ❑�EMOLITION ❑FENCE ❑SIGN GARAGE <br /> VAWATION OF WORK <br /> S <br /> OESCRIBE WORK <br /> 600 Cu. Yds. Fill <br /> PROPOSED USE OF BUILDIN <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAM�NED THIS AP� <br /> LFGAI�ESGRIPiIONOFPROPERTY�SMOWBELOWORATTACMFOURfAPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND COR7ECT. <br /> ALL PROVISIONS OF iAWS AND ORDINANCES GOVERNING THIS <br /> ior e�aK_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 CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNPIURE,OI�ONTRAC R AUTIIDRIZED PGENT OpS�S�S]. <br /> JOB AOORE55 � <br /> 5430 Glenwood avenue X '��1 �SL""' <br /> PLUMBING MECHANICAL <br /> NO. TYRE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CIOSET(TOILET) AIR COIID.UNITS—H.P.EA. <br /> BATHTUB RE`RIGERATIO�UNITS—H.P.EA <br /> LAVAIORY(l'✓ASH�ASIN) �OILERS—HP.EA. <br /> GAS PIRED A C.UNITS—TONNAGE EA. <br /> SHOWER — <br /> KITCH[N SINK 6 DISR FURCED AIR SYSTEMS—BT.U. M EA. <br /> GISHWASHER WALL HEATERS—B.T.U. M <br /> IAUNDRY TRAY UNIT HCATERS—O.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CIOTH@5 DRYERS <br /> URINAL � VENTILATION FAN <br /> DR�NKING FOUNTAIN RANGE HGOD <br /> AIR HANDLING UNIT— C.f.M. <br /> FLOOR DPAIN <br /> VACUUM BREAKERS STOVE <br /> ROOF�- -RAINLEAUEHS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICL— dAR,ETC.) _ <br /> SUBTOTAL SUBTOTAL S <br /> PEPMIT 5 PERMIT s — <br /> TOTALFEE 5 TOTALFEE 3 <br /> PLAN CHECI:FEE <br /> SIDE�F RO SETBACK STREET SET84CK NFAR YARD SLTBACK PLAN CHECK NUMBER RECEIPT N0. <br /> FEE <br /> USE ZONE LO7 AREA VACHNT SITE FEES VALUATION FEE <br /> ❑YES CJNO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> oU1LDING 600 CU. Y � • $0 00 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT REOUIRED KLERS MECHANICAL <br /> ❑YES ❑NO <br /> APPROVALS <br /> BY OATE OTHER � <br /> L ENVIRONMENTAL CHECK LIST Pe4ALTY U B.C. <br /> SEC.303(a) <br /> 2. BUILOING PLANS TOTAL S O U 0 <br /> 3. FIRE HY�RPNT <br /> d. Flfi[fROTECTION SVSTEM PEPMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> -- � % ' S ` Q50. ii0 - ��n <br /> 5. GRADING _ <� — � <br /> 6. DRAINAGE _ N <br /> 7. ENVIRONMF.NTALIMPACTSil;EMENT � <br /> ; , <br /> 8. HEALTH DISTRICT - � . . • Ii��I O <br /> APPLICATION ACC.BY PLAN;i CHECKED BY APPR.FOR ISSUANCE�Y ; � ' \ ' i� <br /> RAG <br /> - - '�:;Y � I <br /> J ' <br /> ADDRESS FILE <br />