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``,�. `'�,�e�� � ;or�sT�ucTior� <br /> everett PERMIT PERMIT N0. ? 5 � �� � <br /> CITY HALL 259�87a5 <br /> EVEtiE7T.WA 98201 � COMBINATION ❑x BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> 0\YNER MAIL ADDRE55 CITY ZIP PXONE <br /> Pete E. A. Pirkle 5706 Commercial Ave Everett 98203 353-1073 <br /> APGMITEGT ON OESIGNER �AIL ADDRE55 GITY ZIP PMONE <br /> GENEflAL CONTFAGTOR IAAIL A��RE55 CITY 21P PHONE UCENSE 11 <br /> same <br /> MECMANICRL L(.NTRACTOF MAIL AD�RE55 CITY Z1P PHONE LICENSE� <br /> PWMBING CGNTRAGTOR <br /> MAII.AD�HE55 l ITl ZIP PHONE LICENSE� <br /> C1A55 OF\YORK <br /> ❑NEW � AODITION ❑ ALTERATION O PEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOO�S70VFJFIREPLACE INSER <br /> VALUATION OF WORN <br /> 5��. Y� 3i�0�.�� <br /> DESCRIBE WORK <br /> gpk�p}��X}U{��ygkk�E15lXXYl€�6%X Install concrete deck <br /> z <br /> PROPUSEDUSEOF BUIL�ING I HEREBY CERTIFY THAT I HAVE READ AND EXAMWED THIS � <br /> Sinqle family residence qppLICATION AND KNOW THE SAME TO BE TRUE AND .. <br /> LEGALUESCRIPTIONOFPROPEHTY(SHOVlBELOWORATTACMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES � <br /> m <br /> ior20_2 eiocrc 13 0� Loral Heights WHETHEIR SPECIF ED H RE N OR OIT.THE GRANTING OIF A <br /> PERMITDOESNOTPFESUMETOGIVEAUTHORITYTOVIOLATE � � <br /> OR CANCEL THE PROVISIONS OF AN OTHER STATE OR <br /> LOCAL LAW REGULATING CONS CTION OR THE vi m <br /> PERF ANCE OF CONST N <br /> JOB AOORESS SIG TOFj.Qq AUi AG� DATE m O <br /> 5706 Commercial Ave � ' �'< < - 3/ 8� � <br /> O 3 <br /> PLUMBING MECHANICAL m <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE m -� <br /> WATERCLOSET(TOILET) AIR COND.UNI7S -- H.P.EA. p = <br /> 6ATHTUB REFRIGERATION UNITS- H.P.EA. <br /> BOILERS- H.P.EA. r = <br /> LAVATORY(WASH BASIN) �y <br /> SHOWER GAS FIRED A.C.UNITS -TONNAGE EA. � <br /> FORCED AIR SYSTEMS- B.T.U. M EA. � <br /> KITCHENSINKBDISP. � 3 <br /> DISHWASHER WALL HEATERS - B.T.U. M <br /> UNIT HEATERS- B.T.U. M _ � m <br /> LAUNDRYTRAY = <br /> EVAPORATIVE COOLERS m � � <br /> CLOTHES N'ASHER N <br /> WATER HEATER CLO7HES DRYERS <br /> o m <br /> VENTILATION FAN C 1n <br /> DRINK NG FOUNTAIN RANGE HOOD = � <br /> AIR HANOLING UNIT - C.F.M. � - <br /> FLOOR DRAIN • m <br /> VACUUM BREAKERS STOVE-WOOD a <br /> METAL FIREPLACE 8 CHIMNEY p <br /> ROOF DRAINS- RAIN�EADERS � <br /> SINK(SERVICE- BAR, ETC.) FIREPLACE INSERT x <br /> a <br /> HEAT PUMP Z <br /> 1 <br /> x <br /> .-. <br /> N <br /> SU8 TOTAL t Z <br /> SUB TOTAL S � <br /> PERMI7 S � <br /> PERMIT S n <br /> TOTAL FEE S TOTAL FEE S m <br /> PLAN CHECK FEE <br /> SIDE VARD SE78PCK STREET SETBHCK REAR YARD SETBACK PLAN CHECK NUMBER RECEIPT N0. <br /> 3B 6 20 -6- 20 85/15085 FEE 6,50 � <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATIO!1 FEE <br /> R-1 N A � -.vES ,JNo <br /> 7VPE OF CONST. OCCUPANCV GROUP NO. OP DWELLING UNITS �-�. 38 SO <br /> V-N R-3 1 BU!LDING ��6 <br /> SIZE OF BIDG. NO.OF STORIES MA%.OCC. LOAD <br /> N A PLUMBING _ <br /> N/A N A <br /> FIRE20NE BASEMENT REOUSflED KLERS �,�ECHANICAL <br /> YES X NO <br /> BY DATE OiHER <br /> APPROVALS U.B.G. <br /> t. ENVIRONMENTAL CHECK LIST PENALTY SEC.3031a1 <br /> 2.BUILDIN�PLANS TO7AL <br /> 3.FIRE HYDNANT <br /> 4.FIRE PROTEGTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED IIN TMIS SPACE)THIS IS YOUR FERMIT-- �(") <br /> 5.GRADING � <br /> 6.DRAINAGE $3.90 due on Plan Check Fee. p <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � � � <br /> B.HEALTHDISTRIC7 , � <br /> APPLICATION ACC. BV PLANS CHECKED BY APPR.FOF ISSUANCE BV <br /> g,g, J.E.F. L.C. <br /> ADDRESS FILE <br />