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� <br /> O�e C•�•er,�reen <br /> eve�ett � 1 CONSTRUCTI� �V <br /> PERMIT PERMIT NO. 13715 <br /> CITY HAIL 259�8745 <br /> EVERET7,WA9B201 � COMBINATION �$ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILADDflE55 CITY ZIP PHONE <br /> AL MAGUDA 6912 ol�mbia C* v r t* wn 9R9f1� 3nqq <br /> � ARCHITECT OR OESIGNEfl MAIL A�DRE55 CITY 21P PHONE <br /> GENERAL CONTRACTOR MAIL AODRESS CITY ZIP °MONE LICENSE N <br /> EVERETT BLDRS 5606 Evergreen Way Everett 98 0 ��'� 77fi1 O1 v FR FRantvu <br /> MEGHANILAL CONTRACTOH MAIL AODRESS QTY 21P PMONE LICENSE M <br /> PLUMBING CONTRALiOR MAIL AODRE55 CITY LIP PMONE LICENSE/ <br /> w� <br /> � <br /> CLA55 OF WORK <br /> ❑NEW ❑ ADDITION IRIXALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD S70VEIFIREPLACE INSERT <br /> VALUATION OF WORN <br /> ' 3235.00 <br /> OESCRIBE WORK <br /> PROPOSEO USE OF BUILDING <br /> esi dence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TNIS <br /> IEGFLDESCRIPTIONOFPAOPEflTY�SHOWUELOIYORATfqCHFOURCOPIES) APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> l0T_BLOCN__OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOt 5 + por Lot 4 Snowview Ridge WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROV�SIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGN T E OF CONTRAGTOR O HOR E AGENT DATE <br /> X i ! / iL <br /> PLUMBING MECHANICAL � <br /> N0. TYPE OF FIxTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERGLOSET�TOILEn AIR COND.UNITS- H.P.EA. <br /> BATHTUB REFRIGERA710N UNITS- H.P.EA. <br /> LAVATOFlV�WASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS-- TONNAGE EA. <br /> KITCMEN SINK 8 OISP. FOHCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASMER WALL HEATERS— B.T.U. M <br /> LAUNDRYTRhV UNIT HEATERS— B.T.U. M <br /> __ CLOTHES WASHER EVAPOf1ATIVE COOLEFS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUN7AIN RANGE HOOD <br /> FLOOF ORRIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BR::AKERS STOVE— WOOD <br /> _ ROOF DRAINS — RAINLEADERS ME7AL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE �— DAR, ETC.� FIREPLACE INSERT <br /> HEAT PUMP <br /> _ __ SUB TOTAL f SUB TOTAL S <br /> PERMIT 5 PEHMIT S <br /> 70TAL FEE f TOTAI FEE 5 <br /> SIDE YAPD SETBACK STHEET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPi NO. <br /> USE 20NE LOT.4REA VACANT 51T[ . <br /> �.�.YES i ��NO FEES VAWATION FEE <br /> 7VPE OF CONST. OCCUPANGY GROUP NO.OF DWELLING UNI75 <br /> SIZE OF BLDG. NO.OF STORIES IdA%.OCC. LOAD BUILDINC s3235.00 aQ 5Q <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> ..YES '. NO r. <br /> APPROVALS 9V DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENAL7Y U.B.C. <br /> 2.�lU�LDING PLANS SEC.303(a) <br /> 7.FIREHYDRAN7 70TAL 44 5� <br /> d.FIRE PFOTECTION SYSTEM PEHMIT VALIDATION <br /> 5.GNADING l4HEN PROPERIY VALIOATED�W TMIS SPACE)THIS IS VOUR PERMIT (,(] <br /> fi DRAINAGE : � i � ° �' �� �t [� �1 T <br /> c'I� <br /> �, 7.ENVIRONMENTALIMPACTSTATEMENT N <br /> 8.HEALTH DIS7RICT M <br /> APPUCATIOM ACC. BV PLANS CHE(`KED BY APPR. FOR ISSUANCE BV ' ��� �� �i�� �� <br /> " � i <br /> . � U <br /> _ I � <br /> i..J V � <br /> �DDRE55 FILE ' <br />