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- , <br /> Ihe Erergreen � CC`�V ST R U CTI O N � � <br /> GTY OF <br /> �verett PERMIT PERMIT NO. O$212 <br /> CITY HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECF!ANICAL ❑ PLUMBING <br /> GWNEF MRILADDRE55 CIiY ZIP PMONE <br /> Lloyd Peterson 5501 Callege Ave. Everett 98203 353-1695 <br /> ARCHITECi OR DESIGNER MAIL ADDRE55 diY 21P PHONE <br /> GENERA�CANiqA�TOR MFILADDRE55 CITY Z'P PMONI LICENSEI <br /> Everett Builders 5606 Evergreen Way 98203 353-7161 <br /> MECNANICAICANTRACTOR MAILApDRE55 �ITY �IP PHONE UGENSEI <br /> 223-01-•EV-ER-EB-301 PH <br /> PWMBINGCJIITqACTOR MAILADDRESS CITV ZIP PMONE LICENSE� <br /> GlASS OF WORK <br /> ❑NE\Y ❑ADDITION ❑ALTERATION �REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF 1VORK <br /> S 480�.�� <br /> OESCqIB�WORN New vinyl <br /> Remove Existing siding Repair dry rot (sprey insects) install sidin on residencE <br /> PROPOSED USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMIDIED THIS AP- <br /> LEGALDESCRIPTIONOPPROPERTY�SMOW BELOWOFATiACHiOURCOPIES� PLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior e�a oF o�; .-.,; e.. „ • ti TYPF. OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> ess S. �Feet HEREIN OR NOT. THE GRANTING OF A PERAIIT DOES NOT <br /> _ PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH[PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> COhSiRUCTION OR TFIE PERFORMANCE OF CONSTRUCTION. <br /> JOBADORE55 SiGNATUPEOFCANiRACiOfiONFOTNORI2EDAGENT DFTE <br /> 4 ' - ' <br /> 5501 College Avenue X ' ,' -. ' • � ��= 9-4-80 <br /> PLUMBINO MECHANICAL � <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn AIR COND. UNITS—N.P.EA. <br /> _ BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY pNASH BASIN) BOILERS—H.P.EA. <br /> SHOWER (',AS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—B.7.U. M EA. <br /> DISHWASHER SVALL HEATERS—8 T.U. M <br /> LAUNDRY TPo1Y UNIT HEATERS—�.LU. M <br /> CLOTHES WASHER EVAPORATIVE COOIERS <br /> WATEP HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR OFAIN AIR HANDLING UNIT— GF.M. <br /> VACUUM BREAKERS SiOVE <br /> ROOF QRAINS—RAMLEADERS METAL FIREPLACE 8 CNIMNEY <br /> SINK(SERVICE—BAR,ETC) <br /> SUBTOTAL SUB'.OTAL S <br /> PcpMIT f PERMIT S <br /> TOTALFEE f TOTAL FEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMF3ER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> L]YES ❑NO FEES VALUATION FEE <br /> TYPE OF CANST. OCCUPANCY GROUP N0.OF OWELLING UNITS <br /> BUILDING $ <br /> SI2E OF BLDG. NO.OF S70RIE5 MA%.JCC.LOAD 00 <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPROVALS BV OATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST PENALN U.B.C. <br /> 2. BUILDING PLANS SEC.303(n) <br /> 3. FIREHYORANT TOTAL 32 00 <br /> <. FIHE PROTECTION SVSTEM PERMIT VALIDATION <br /> 5. GRAOING WHEN PROPERLY VALIDATED(M THIS SP 7 E�T�i�S IS YO��pE7M1T O O .�- 1 <br /> � ) U J L <br /> 6. DRAINAGE - N <br /> !Q"�-� <br /> 7. ENVIRONMENTAL IMPACT STATEMENT �1 r� •; I � R�C F I il <br /> B. HEAITH DISTRIC7 ,� W <br /> . r�1 <br /> APPUCATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY ;',�!".��1`��h � \1 � . <br /> --- b <br />