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fhc£veCrgYeOF � C�STRUCTION � �` � � � � �� <br /> everett PERMIT PERMIT �.. o�o�s a <br /> CITY HALL 259�8745 � u� � �' <br /> eveaeTr,wn eszo� ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBINCk; K y t,� <br /> o � !� <br /> OWNER hIAILADORE55 CIiY 21P � PHONEn! <br /> <F- 00 <br /> John E. Morris 7901 W. Glen Drive Everett 98203 353 41�l� � – �� <br /> ARCHR[CT OB DESiGNEN MAIL AOpRE55 CITY ZIP PHON[ � <br /> ^ } <br /> GCN[R<L CONiRnCiOq M41�ApDRhSS CIiY ZIP � PMONL LiCENS[I � <br /> Ted L. Newlander 25 113 P1. 5.4:. Everett 98209 353 5501 TE D�NG 240 JM • <br /> M[CIIAHICALCONiRAGTOR MAILADDRE55 CITY ZIP _ PHONE LICENSE� <br /> PLUM�iNGGONTRACTOR MAILADDRE55 CITY ZIP .. . FHONE LIC[NSE1 <br /> ClA55OF WOHN <br /> ❑NEW ]�{�NDDITION ❑ALTERATI01! ❑REPAIf7 ❑DEh10LITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALU4iiON OF\40RK <br /> s 14y000.00 <br /> DLSCRiBELYORK � � �� <br /> 12x 12 Hedroom & 12 �c 19 7 Rec Room <br /> ri�or�oseo use or em�oiNc <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �ecnioescaiPnoNOFaaoPearrisHc, 3e�oweantTncr�Founcowesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRf�CT. <br /> ALL PROVISIONS OF U�WS AND ORDINANCES GOVERNING �HIS <br /> i.o, d4 s�ocK_oF �y��ay�--61Bn— TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED <br /> HERFIN OR NOT. THE GRANTING CF A PERMIT DOES NOT <br /> PRESJME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTi7N OR THE PERFORMANCE OF CONSTRUCTION. <br /> seHn,ur ,oFcoHinacror+or+,�un�onaenncENr onr� <br /> �oo noonEss- ;� J 1 , �� �' � 12 28 79 <br /> '�901 W. Glen Drive X ... . . �, i,Y 'c_ <br /> P!UMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET QOI�ET) AIH COND.UNITS—HP. G4. <br /> BATHTU� PEPFIGERATION UNITS—HP. EA <br /> LAV,ITORY�WASH BASIN) BOILE(iS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KI�CHEN SINK 8 DISP. FORCED AIR SVSTEMS—B T.U. M EA. _ <br /> DISHWASHEfl VJALL HEATERS—B T.U. M <br /> LAUNDRY TRAV UNIT HEATERS—8 T.LL M <br /> CLOTHES WASHEfl 2 OO EVAPORATIVE COOIERS <br /> 1 W4TER HEATER Z CLOTHES DRVERS � <br /> URINAL VENTILl�TION FAN <br /> DRINKING FOUNTAIN RANGE 1100D <br /> FLOOR DRAIN AIR HANO�ING UNIT— C.F.M. <br /> VACUUM BR[AFERS STOVE <br /> ROOF DRNNS—AAMLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK�SERVICE--�AR,ETC.) <br /> SUB TOTAL 4 00 SUB TOTAL S <br /> PERMIT S PERMIT f <br /> TOTALFEE 5 TOTALFEE S 3 00 <br /> SIDE YARD SETBACK STREEi SETBACK REAR VARD SET�ACK PLAN CNECK NUM�ER PLAN CHECK FEE <br /> 6 Feet 20 =A 7046 FEE 34.00 95676��r eo <br /> USE ZONE LOT AREA VACAkT SITE <br /> R 1 '=1YES }{NO FEES VALUATION FEE <br /> TrPE OF COi:ST OCCUPAYCY GROUP N0.OF�WELLING UNITS <br /> V N R 3 1 <br /> eui�oiNc 5 14�000,00 GB 00 <br /> 51ZE 06 ULDG. NO.0�STORIES MAX.OCQ LOAO <br /> 12 X12 & 12X19 7" 1 PLUMBING <br /> FlRE 3 NE BASF.GICNT q OUIp[�KIEFS MECHANICAL 3 00 <br /> C7YES �.NO <br /> APPROVALS .. BY DATE OTHER <br /> 1. ENVIRONMENTALCHECY.UST � PENALTv U.B.C. <br /> SEC.303(a) <br /> 2. BUILDI�G PLANS <br /> -' 3. FIRE MVORANT � TOTAL 7S 00 <br /> 4. FIRE PROT[CTION SVSTNRI PENMIT VALIDATION . <br /> WHEN PROPERLY VAUDATED�IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GR4DING '� <br /> �.fl <br /> . . �. DRAINAfiE r�,.. . . . 6 3 9 7 ��� <br /> e p / <br /> OO'. ENVIRdJOMETT L'IMPA�srnreMENT �D O b . O O �� <br /> . HEALT -0IS CT � ~ <br /> ' Q <br /> APPI.ICAT10N!U7 BY LANS CHECKED BY APPR.FOR ISSUANCE 8Y YC U R R E C E I Pt <br /> V � � <br /> 'D O m � 7;-Il�t�l: YO U <br /> -, - <br /> GJ /,L`DRESS FILE <br />