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dre Errr,�reen �0 N ST R U CT I O I� <br /> uiv oF � <br /> everett PERMIT PERMIT NO. 152G9 <br /> CITV HALL 259�6)45 <br /> EVERETT,WA98201 � COMBINATION S(� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAIL A�DRE55 CITV ZIP PMONE <br /> THOMAS W. CLARK 1710 Lombard Everett WA 98201 252-9449 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY 21P PMONE <br /> GENERAL CONTRAGTOR MAIL AODRESS CITY Z�P PNJNE LILENSE M <br /> H & H Construction <br /> MECHANICRI CONTPACTOR MAIL AOORESS GITV ZIP PHO�2 LICENSE M <br /> °LUMBING GONTRACTOR MAIL AOORESS QTY 21P PNONE LICENSE� <br /> GLA55 OF WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION �REPAI(i ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VRLUATION OF WORK <br /> : 2614.00 <br /> DESCRIBE\YORK <br /> Install footing and foundation <br /> PROPoSED USE OF BUILDING z <br /> Singl e family residence I HEREBY ;EflTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> APPLICATION AND KNOW THE SAME TO BE TRUt AND .. <br /> LEGALOESCRIPiIONOFPROPERiY�SHObYBELOWORATIACHFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES m <br /> �or_e�ocn_or GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH •' <br /> WHETHER SPECIFIED HEREIN UR NOT.THE GRANTING OF A <br /> LOtS I & 2 Blk 21 Pinehurst "B" PERMITDOESNC�PRESUMETOGIVEAUTHORITYTOVIOLATE � T <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STA'�E OR �, � <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE v� m <br /> PERFORMANCE OF CONSTRUCTION. o <br /> JOB ADDRESS SIGNAT OF CONTFACTOR 9 POiHOH12E AGENT DATE C O <br /> 2132 Columbia X � 1� �-�. �� 8/6/85 `^ n <br /> -� c <br /> O 3 <br /> PLUMBINO MECHANICAL �Z <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE m � <br /> WATERCLOSET�TOILEn AIR COND.UNITS- H.P. EA. Q Z <br /> BATHTUB REFRIGERATION UNITS- H.P. EA. D � <br /> LAVATORV�WASH BASIN) BOILERS- H.P. EA. r = <br /> ..-i r..� <br /> SHOWER GAS FIRED A.C.UNITS - TONNAGE EA. � y <br /> KITCHEN SINK 8 DISP. FORCED AIR SYS�EMS- B.T.U. M EA. Q � <br /> DISHWASHER WALL HEATERS- B.T.U. M T 3 <br /> LAUNDRYTRAY UNIT MEATERS- B.7.U. M = m <br /> CLOTHES WASHER EVAPORATIVE COOLERS m y <br /> WATER HEATER CLO7HE5 DRYEFiS O r <br /> URINAL VENTILATION FAN C N <br /> ORINKING FOUNTAIN RANGE HOOD m N <br /> FLOOH DRAIN AIR HANDLING UNIT- C.F.M. � r <br /> VACUUM BREAKERS STOVE-WOOD ' n <br /> ROOF DRAINS- RAINLEADERS ME7AL FIFEPIACE 8 CHIMNEV A <br /> SINK�SERVICE- BAR, ETC.) PIREPLACEINSERT n <br /> HEAT PUMP Z <br /> 1 <br /> x <br /> � <br /> SUB TOTAL f SUB TOTAL 5 _ 0 <br /> PENMIT S PERMIT S „�., <br /> TOTAL FEE f TOTAL FEE S m <br /> SIDE YARD SETBACK STRFE7 SETBACK FEAR YARD SETBACK PLAN CHECK NUMBER PLA�7 CHECK FEE <br /> FEE RECEIP7 NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> . :YES :-.NO FEES VO.LUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF�WELIING UNITS <br /> eUILDING 52614.�0 3a 5� <br /> SIZE OF BLOG. NO.OF STORIES MAX.OCG. LOAD <br /> PLl1MBING <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> YES . NO <br /> APPROVALS BY DATE �THER <br /> 1.ENVIRONMEN�ALCHECHLIST pENALTY U.B.0 <br /> SEC.30]lal <br /> 2.BUILDING PLAI.S 3$ 5� <br /> 3.FIRE NYDRANT TOTAL <br /> 4.FIRE PROTEC710N SYSTEM PERMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUI�,PERMIT_ f,�) <br /> -C'J <br /> 6.DRAINAGE <br /> 7.BNVIRON MENTAL IMPACT STATEMENT C� <br /> 8.HEALTH DISTRICi ' <br /> , r i <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR. FOR ISSUANCE BY � ' <br /> st 'ef <br /> ADDRESS f-ILE <br /> I <br />