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U I i v� <br /> everett PERMIT PERMIT NO. 09297 <br /> CITY HALL 259�8745 <br /> EVERETf.WA sezoi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> UWNER MPILA�DriE55 CITY ZIP PHONE <br /> O. K. Owens 1049 Crown Drive Everett 98203 259-2572 <br /> ARLNITEGT OR DESIGNER MAIL A�DRESS C17Y 21P PMONE <br /> GENERALLONiRACiOR AIALLAODRESS CITY ZIP PNONE UCENSE� <br /> 5ame <br /> MECMANICALCONtHAG7UR MAIIADDRc55 CITY 21P PHONE LICENSEI <br /> PLUMBINGCANTRACiOR MAILADDRE55 CITY 21P PHONE LIGENSE/ <br /> CLA55 OF WORK <br /> ❑NEW ❑A�DITION ❑ALTERATION ❑R[PAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> s 400.00 <br /> DESCRIpE WORK <br /> erect car-port <br /> PROPOSEO USE OF BUILDING <br /> cover for Mini-Home I HEREBY CERTIFY THAT � HAVE RE�aD AND EXAMINED THIS AP• <br /> IEGALDESLRIPTIONOFPFOPEflTV(SMOWBEIOWORATTAGNFOURCAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS <br /> �or ZS BIOC�C—OF Harbor View TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> 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 GTATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF CONTFAGTOR OR AUTNORIZED AGENT DATE <br /> JOB ADORE55 �� G • <br /> 1049 Crown Drive K� r�� � C• 5/26/81 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILETI AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN) BORERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN$INK 8 DISP. PORCED AIR SYSTEMS—B.T.0 M EA. <br /> �ISHWASHER WALL HEATERS—B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER MEATER CLOiHES DRYEflS <br /> URINAL VENTIIATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS SiOVE <br /> ROOF DRAINS—RAINLEADERS MEiAL FIREPLACE&CHIMNEY <br /> SINK 15ERVICE—BAR.ETC.1 <br /> SUBTOTAL SUBTOTAL S <br /> PENMIT S PENMIT = <br /> TOTALFEE S TOTALFEE S <br /> SIDE YARD SET&4CN STREFT SETBACK REAR YARD SEfBACK PIAN CHECK NUMBER PLAN CHECK FEE <br /> g2g7 FEE 6.50 FEc�i�p�y�o6 <br /> USE ZONE LOT AREA VACANT SITE VALUATION FEE <br /> l7YES ❑NO FEES <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF�WELLINCa UNITS <br /> V-N M'I BUILDING $ 400 .00 10 00 <br /> SIZE OF BIDG NO.OF ST091ES MAX.OCC.LOAD <br /> 14 �X24 ' PLUMBING <br /> FIRE ZONE BASEMENT FIRESPRINKLERS MECHANICAL <br /> REOUIRED <br /> ❑YES <br /> APPflOVALS BY DATE OTHER <br /> t. ENVIRONMENTALCHECKLIST pENALN U.BC. <br /> SEC.303(a) <br /> 2. BUILDINGPLANS �VTA� lO 00 <br /> 3. FIRE HYDRAN7 <br /> a. FIRE PROTECTION SYSTEM PEflM1T VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)TNIS IS YOUR PERMIT <br /> 5. GHADING (� �' <br /> 6. DRAINPGE � . � 7 t� �,� I ll. n ��� N <br /> 7. ENVIRONMEN7ALIMPACTSTATEMENT � <br /> 8. HEALTH OISTRICT , O <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � � � � � �'� � <br /> �. . i) <br /> V. C. . .. . . . . _ <br /> ADDRESS FILE � � � �'� `' � <br />