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� <br />, nc�Ll•rr,�reen - ^p��T�qUCTlO � <br />' arv OF � V <br /> everett PERMIT PERMIT N0. 153H7 <br /> CI7Y HALL 259�8745 <br /> EVERETT,WA98201 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEP MAILAODRE55 CITY ZIP PMONE <br /> Dlorgan Keil 44Y 2212 Col•ambia Everett, iVA 353-2652 <br /> AqLHITEGT OR DESIGNER NAIL ADORE55 CITY ZIP PNONE <br /> GENERAL CONTRACTOR MAIL AODRE55 CITY ZIP PHOIlE LILENSE/ <br /> Everett Builders Inc. 5650 Evergreen Way 35:s-7161 223-01-EV-ERED 301PH <br /> MECHANILAL GONTPACTOR MAIL AODF. S CIiY 21P PI10NE LICENSE� <br /> PLlIMO�NG CONTflACTOR MAIL AODNE55 GTY ZIP PHONE LICENSE� <br /> C:A55 OF WORK <br /> � NEW ❑ ADDITIOI�I ❑ ALTERATION DS�iEPl.IR ❑ DEMOLITION ❑ FENCE O SIGN ❑ W000 STOVEIFIREPLACE INSERT <br /> VAIUAT10N OF WORK <br /> f 2101.00 <br /> OESCHIBE WORN <br /> Reroof comp _ <br /> PROPOSEO USE OF BUILOING <br /> I HERF.BY CERTIFY THAT I HAVE READ AND EXAMINED THIS o <br /> Home AppLICATION AND KNOW THE SAME TO BE TRUE AND � <br /> LEG4LOESCRIPTIONOFPROPERTY�SHOWBELO\NOPATTACHFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES � <br /> LOT�BLOCK�.OF Pi e urst Div B <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH R' <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> 5450-022-011-0005 PERMITDOESNOTPRESUMETOGIVEAUTHORITYTOVIOLATE ,� � <br /> OR CANCEL THE PROVISIOIJS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE N = <br /> PERFO MANCE OF CONSTRUCTION. ^� <br /> v <br /> JOB AD�RE55 SIGNAiU OF CONTR T H OR AUiMONI ED ENT OATE C O <br /> 2212 Columbia X � , ' 9 5 85 _ �� <br /> PLUMBIN6 MECHANICAL � � m <br /> -� z <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMEIJT FEE m --1 <br /> WATERCLOSET(TOILEn A�R COND. JNI7S - H.P. E�. Q = <br /> BHTHTUB � REFRIGERATION UNITS- H.P. EA. n � <br /> LAVATORY�WASHBASIN) BOILERS - H.P. EA. r = <br /> � � <br /> SHOWER GAS FIRED A.C. UNITS- TONNAIif EA. � N <br /> KITCHEN SINK 8 DISP. FORCEI7 AIR SYS7EMS- B.T.U. M EA. � p <br /> DISHWASHER WALL MEATER3- B.T.U. M "�1 D <br /> 3 <br /> LAUNORY TRAY UNIT hIEATERS - 9.7.U. M = m <br /> CLOTHES WASHER EVAPORA7IVE COOLERS m'-' <br /> N <br /> WATER HEATER CLOTHES DRYERS � <br /> or <br /> URINAL VENTILATION �AN n m <br /> C VI <br /> DRINKING FOUNTAIN RANGE HOOD 3 � <br /> m <br /> � FLOOR DRAIN AIR HANDLING UNIT- C.F.M. � � <br /> VACUUM BREAKERS SiOVE- WUOD ' m <br /> FOOP DRAINS- (iAINLEADEFS MEi AL FIREPLACE 8 CHIM�°V A <br /> SINK ISEHVICE- BAR, ETC.) FIREPLACE INSERT � <br /> S <br /> HEAT PUMP > <br /> Z <br /> 1 <br /> x <br /> .. <br /> N <br /> � SUB TOTAL S SUB TOTAL S Z <br /> PERMIT S o <br /> PEHMIT S � <br /> TOTAL FEE S TOTALFEE f n <br /> m <br /> SIDE VAfiD SETBACK STREETSETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE I RECEIPT NO. <br /> USE ZONE LO7 AfiEA VACANT SITE — <br /> �. :YES , �.NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NC.OF DWELLING UNITS <br /> BUILOING SZ�Q9Q.QQ 3$ $� <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCQ LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> ..YES ��.NO <br /> APPNOVAlS BY OATE O7HEFi <br /> 1. ENVIRONMENTAL CHECK LIST pENAL7Y U.B.C. <br /> . SEC.303�a1 <br /> 2.BUILDING PI.ANS <br /> 3.FIFF HYDRANT TOTAL 3S SO <br /> a.FIRE PROTECTION SVS7EM PEIIMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIOATED QN THIS SPACE)THIS IS YOUR PEfiMIT r. <br /> 6.DRAINAGE 2 2 �� (� <br /> 7.ENVIfiONMENTALIMPACTSTATEMENT $ � 3 8. 5 0 - :��1� <br /> 1rl <br /> B.MEALiH DISTRICT <br /> • i <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE BY ��O U R R G C[I PT <br /> 1 r�A�d�: YO U <br /> AQDRESS PILE - 5 $EP �5 <br />