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, <br /> dieC•vcrgrecn - � C�� STRUCTION � <br /> r.1 � <br /> CITY OF , <br /> everett PER��� PERMIT NO. O6Z9O <br /> i:ITY HALL 259�8745 � <br /> E`/ERE1T.WA 98201 �] COMBINATION �I BUILDING OcMECHANICAL 70 PLUMBING <br /> OWNER MAILADORb55 GI1V ZIP PhONE <br /> William H. Strand 3031 Larch Way Lynnwood, 98036 776-2907 <br /> ARCHITFJT OR DESIGNER MAIL ADDRESS LIIY ZIP FNONE <br /> GENEPAL:ANTNRCTOR • MRILPDDRE55 Cltt 21P PHONE L�CENSEI <br /> ST RA N4] H263PD <br /> Same <br /> MEGNANICALCANiRAC101i MAIIADORE55 dTY ZIP PNONE LIGENSE� <br /> PLUMBINGGONiRACTOR MAILAODRE55 JITY 21P PMONE LICENSE� <br /> C1A550F WORK <br /> �]NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ��SIGN ❑GARAGE <br /> VALU/TION OF WONN <br /> S f1�� ��0. 0� <br /> DESCRIBE WORN <br /> Construct duplex <br /> PROPOSED USE OF BUILDING <br /> two unit dwelling I HEREBY CER7�FY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGAL�ESCNIPTIONOFPPOPERTY(SNOWBElO\VORATTACNFOURCAPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 5 Everett Della ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or eiocK_oF TYPE OF WORK WIIL 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 /> L 1-28-4 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOP RDDRE55 SIGNRT E OF C TR TOR OP 6���g <br /> 5915 A & B GLEI3WOOD AVENUE X <br /> PLUM81N0 MECHANICAL <br /> NO. TYPE OF FORURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> ¢ WATF.R CLOSET OILET� B OO AIR COND.UNITS-HP EA. <br /> BATHTUB REFRIGERATION UNITS-H.P.[A <br /> Q LAVATORY ASH BASIN) E OO BOILERS-H.P.EA, <br /> SHOWER GAS FIRED A G.UNITS-10NNhGE EA. <br /> KITCMEN SINK 8 DISP. FORCED AIR SVSTEMS-B.T.LL M EA. <br /> 2 DISHWASHER WALI.N[AiE�S-BT.U. M <br /> LAUNDRV TRAY UNIT H[ATERS-6.T.U. M <br /> 2 CLOTHES WASHER 4 OO EVAPORATIVE COOLERS <br /> . Z WATEFHEATER Q 00 2 GLOTHESDRYERS 6 00 <br /> URINAL VENTILATION FAN <br /> DRINKING FOI:NTAIN 2 RANGE NOOD 6 U O . <br /> FLOOR DRAIN AIR HANDLING UNIT- QF.M. <br /> . VACUUM BREAKERS STOVE <br /> ROOF DRAINS-RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK ISERVICE-BAR.ETC.) <br /> SUBTOTAL SUB TOTAL f <br /> PERMIT S PERMIT i � <br /> TOTAL FEE f TOTAL FEE f 12 O 0 <br /> SIDE YARD SETBHCH STREET SETBACK REAFl YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> $ � 20� 201 79/404 FEE 103. $ RECEIPTNO. <br /> USE ZONE LOT AREA VACANT SITE <br /> R-Z C�'kS L7N0 FEES VALUATiON FEE <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS _ <br /> V-N R-3 2 BUIIDING 560 , 000. 207 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> 34 � X60� 2 PLUMBING 36 00 <br /> FIRE ZONE BASEMENT REOUIFED KLERS MECHANICAL 12 OO <br /> 3 Yes nres [Sdo <br /> APPHOVALS 8Y OATE OTHER <br /> 1. ENVI�iONMENTALCHECKLIST pENALTY U.B.C. <br /> r SEC.303(a) , <br /> 2. BUII.DINGPLANS N 255 00 <br /> V TOTAL <br /> ;i..FIRE HYDRANT <br /> d�.'FIAE PROTECA�J SYSTE PERMIT VALIDATION <br /> WHEN PROPERLY VA1 IDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> �jGRADING.— ," � ���� <br /> .� � ��`'� lta�.ea -� � <br /> i.�DRAINAGF� .n �y � �, � <br /> ' - N <br /> ENVIRONqFiNTALIMPACI'e1MTEMENT �- �� � ,. , <br /> .B, HEALTH I 7fjlC{ • . �` . '�'�. . � <br /> NlPLICATIO mY �NSCHECKEDBY APPR.POR� �� .� � �RECEtPY �' ���� �'�.UR RE�ElPT � <br /> C -±p � V. C. !;. �F-!r PJIC YOU . , ' 7�A1�SK YOU <br /> -- --�---- <br /> ,,..-,- - aer•s.— <br />