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- . <br /> �,��L���;Y`oF C(�WSTRUCTION - <br /> everett PERMIT PERMIT NO. O�, �212 <br /> GTY HALL 259�8745 <br /> EVERETf.WA 98201 ❑ COMBINATION i� SUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILAOOFL55 CITY ZIP PHONE <br /> Lloyd Peterson 5501 College Ave. Everett 98203 353-1695 <br /> ARCNITECT OR DESIGNER MAIL ADDRESS CRV ZIP PMONE , <br /> GENERALGONTRACTOR MAILADDRE55 CITY ZIP P��ONE LICENSEI <br /> Everett Builders 5606 Evergreen Way 98203 353-7161 <br /> M[CMANICALCANTP4CTOR MAILADORESS GITV ZIP FMONE UGENSEI <br /> 223-01-EV-ER-EB-301 PH <br /> PIUMBINGCONTRACTOR MAIUCDRESS CITY 21P PMONE LICEWSEI <br /> CIASS OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION C�REPAIR ❑OEMOLITION �FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WOR�. <br /> s 48Q0.00 <br /> OCSCRIBEWORK New vinyl <br /> Remove Existing siding Repair dry rot (sprey insects) install sidin on residence <br /> PROPOSED IISE OF BUILDING <br /> I HEREBY CERTIFY THAT � HAVE RE�D .4ND EXAMINED THIS AP- <br /> LEGALDESGRIPiIONOFPROPEPttISHOW BELOWORATfhCHFOMGGPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AI�;'J ORDINANCES GOVERNING THIS <br /> ior��n�oc�_oF TYPE OF WORK WILI BE COMPLIED WITH WHETHER SPECIFIED <br /> el ss .;. � Feet 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 /> JOB ADDRE55 SIGNATUPE OF CONTPACTOfi OR G177�fORIZE�AGENT DAiE <br /> / <br /> 5501 College Avenue X `> ` ' ll`' ' 9-4- 0 <br /> PLUMBINQ MECH4NICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF E�UIPMENT F[E <br /> WATER CLOSET(TOILEn AIR COND.UNITS—H.P.EA. <br /> BATHTUB l7EFRIGERATION UNITS—H.P.EA <br /> LAVATORY(WASN BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIP�D A.C.UNITS—70NNAGE EA. <br /> KITCHEN SINK 8 DISP. PORCED Aiq SYSiEMS—O.T.U. M EA. <br /> DISHWASHER WALL HEATERS—flT.U. M <br /> LAUNDRV TRAY UNIT HEAT[f75—B T.U. �1 <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYEHS <br /> URINAL VENTILATION fAN <br /> DFINKING FOUNTAIN PANGE HOOC <br /> FLOOR DRA:N AIR HANDLING UNIT— C.F.M. <br /> VACUUM BHEAKEflS STOVE <br /> ROOF DRAINS—RAI4LEADERS METAL FlRFPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR.ETQ1 � <br /> SUBTOTAL SUB TOTAL i <br /> PEflM1T f PEHMIT f <br /> TOTAL FEE S TOTALFEE S <br /> SIDE YARD SETBACK STREET SEfBACK REAR YARD SETBPCK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TVPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING $ 8 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES f�NO <br /> APPROVALS BY DATE O1HER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2. BUILDING PLANS <br /> 3. FIREHYDRANT TOTAL 32 00 <br /> 4. FIRE PROiECTION SYSTEM PERMIT VALIDATION � <br /> WHEN PROPERLY VALIDATED(IN THIS SP�E1 ,��S IS VO��p�Mii 0 O � <br /> 5. GRADING L S V � N <br /> 6. DRAINAGE r-I <br /> Z ENVIRONMENTAL IMPACT STATEMENT . , R R�C E I C1 <br /> .. r,r� •, <br /> 8. HEALTH DISTRICT � �'' l' W <br /> P.PPLICATION ACC.BY PLANS CMECKED BV APPR.F�R ISSUANCE BY . ,"i P��`�n Y�� <br /> - !� SfP 8� <br /> ADDRESS FILE <br />