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� <br /> the Erer,�rcen <br /> ��T��� r ;ONSTRUCTIOn <br /> everett P�RMIT PERMIT NO. 1391g <br /> CITV NALL 259�87a5 <br /> � EVERETT,WA 98201 � COMBINATION �XI BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEN M.11LA�DRE55 CITY ZIP PHONE <br /> DSRS ORVILLE K OWENS 1049 Crown Or FvPrPtt WA qA2n4 9�,q �579 <br /> ARCMITECT OR DESIGNEIi M!IL AO�FE55 CITY 21P PNONE <br /> ' GENERAL CONTRACTOR MAIL ADDRE55 GITY ZIP PMONE UCENSE r <br /> Same � <br /> MECMANICAL CONTRRCTOR MAIL A�DRE55 QTY 21P PHONE LICENSE� <br /> PLpMBING CONTRACIOR MAII A�DRE55 CITY 21P PHONE LICENSE� <br /> CLA55 OF WORK <br /> O NEW O ADDITION ❑ ALTERATION �REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD S70VE/FIREPIACE INSERT <br /> VALUATION OF WORK <br /> S ZrJ��.00 <br /> DESCAIBE\YORR <br /> Reroof - convert flat roof to pitched roof <br /> PROPOSED LSE OF BUILDING <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLDESGRIPTIONOFPFOPERttI5NO1YDEL0\YORATfACHFOURCOPIES! CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 25 BLOCK_OF Harbor Vi ew Addn GOVERNING THIS TYPE OF WORK WILI BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGNATURE OF C TFAGTOR OR AUTHO AGENT OATE <br /> 1049 Crown Drive x <br /> rPLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILE� AIR COND. UNITS— H.P. EA. <br /> BATHTUB REFRIGERA710N UNITS— H.P. EA. <br /> LAVATORY(WASH BA.iIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK A DISP. FOflCED AIR SYSTEMS — B.T.U. M EA. <br /> DISHWASHER W�LL HEATERS— B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS— B.T.U. M <br /> CLOTMES WASHER EVAPORATIVE COOLERS <br /> WATER HEA7ER CLOTHES DRYERS <br /> JRINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE Ii00D <br /> FLOOR DRAIN AiR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE— WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE&CHIMNEY <br /> SINK�SERVICE — BAR,ETC.) FIREPLACEINSER7 <br /> HEAT PUMP <br /> SUB TOTAL i SUB TOTAI. S <br /> PEFMIT S PERMIT S <br /> TOTAL FEE S TO7AL FEE 5 <br /> SIDE�ARD SEiOACK STREETSETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AflEA VACANT SITE <br /> �. .YES .. NO FEES �AlUAT10N FEE <br /> TYPE OF CON57, OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 525�0.�0 38 50 � <br /> SIZE OF BLOG. NO.OF S70RIES MAX.OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> .-.YES : -Nn <br /> APPROVALS BV DA'.F OTHEH <br /> 1.ENVIRONMENTAL CHECK IIST PEN,\LTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS TOTAL 38 5O <br /> L 3.FIREHYDR.NT <br /> 4.FIRE PROTECTION SVSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS,SPACE+THIS IS YO;F�P�h�{T__(,`(� <br /> S.GtiADING � � 1 ; � I r� ��) � <br /> - Y�. <br /> 6.DRAINAGE <br /> 7.ENVIRONMENTALIMPAGI'STATEMENT Engineerad trusses @ 24�� �'� � <br /> ��1 <br /> B.HEALTH�ISTRICT ' � <br /> � I����i <br /> APPLICATION ACC.UY PLANS CHEGKED BV APPF. FOR ISSUANCE BY � � <br /> , . � I <br /> � <br />