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die Erergmen r����J�������Y <br /> CITY OF r <br /> everett PERMIT pERMIT N0. 09560 <br /> CITY HALL 259�8745 <br /> EVEREii.WA 98201 ❑ COMBINaTiON ❑ BUILDING � MECHANICAL PLUMBING <br /> crtr zia vnone <br /> OW NiR MAIL AODRESS 2 5 g-2 9 7 3 <br /> Joseph R. Twardoski 327 Crown Drive Everett 98203 <br /> qRJMIiECi OR DESIGNER � <br /> AIAIL ADDRE55 QTY ZIP PMONE <br /> MAIL A�ORE55 <br /> QTY Z�p PHONE UGENSE 1 <br /> GENERALCONiRACtOR <br /> MEGHANiGAI CANTPACTOR AIAIL AOORESS <br /> GITY 2IP PNONE LICENSE� , <br /> S ame ��T, Z�p PNONE LICENSE 1 <br /> PLUM�IHG WNTRACTOP <br /> MAIL ADDRE55 <br /> CIASS CF 1:ORK <br /> ❑NEW ❑ADDITION ❑ALTERA710N ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VAWAT;NOF WOPK <br /> E <br /> �ESGRIBE WORK <br /> install wood burning stove <br /> PROPOSED'.io!OF BUILOING <br /> i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS • <br /> PLICATI�N AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> LEWL�ESCR�PTIUiJ OF PROPERTV ISNO'N BELOW OR ATTACH FOURCAPIES) ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or a�oc�_aF TYPE OF WORK WILL BE COMPLIED WITH V:HETHER SPECIFIED <br /> HEREIN OH NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO• <br /> CON�STHU�CTION OFl THE PERFORMANC�E OF ONSTRUCT ONNG <br /> GIGNR L OF CANTPACTOR Ofl AUiHOR12ED AGENT <br /> DATE <br /> JOB PDDRESS X B�1 7�B 1 <br /> 327 Crown Drive <br /> � M HANI AL <br /> �LUMBIN6 FEE <br /> N0. TYPEOFE�UIPMENT <br /> Np, TYPE OF FIXTURE OR ITEM FEE qIR COND.UNITS—H.P.EA. <br /> �;IATER CLOSET(iOILET) qEFRIGERATION UNITS—H.P.EA — <br /> BATHTUB BOILERS—H.P.EA. - <br /> LAVAIORY(WASH BASIN) GAS FIRED A.C.UNIiS—TONNAGE EA. <br /> SHOWER FORCED AIR SYSTEMS—B.T.U. M EA. <br /> KITCHEN SINK&DISP. WALL HEATERS—B T.U. M <br /> DISHWASHER UNIT hiEATERS—B T.U. M <br /> LAUNDRV TRAY EVAPORATIVE COOLEPS <br /> CL07HES WASHLR CLOTNES DRYERS <br /> WATER HFATER VENTILATION FAN <br /> URINAL RANGE HOOD <br /> DRINHING FOUNTAIN qIR HANDLING UNIT— C.F.M. <br /> FIOOR DRAIN STOVE <br /> VACUUM BREAKERS METAL FIflEPLACE&CHIMNEY <br /> ROOF DRAINS—RAINLEA�ERS <br /> SINK(SERVICE—BAR.E?C.) <br /> sue rora� s 4 5 0 <br /> SUB TOTAL pERMiT S <br /> PERMIT s S ' <br /> TOTALFEE <br /> TOTIIL FEE S pLAN CHECK FEE <br /> SIDE YAFiD SE7BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER qECEIPT NO. <br /> FEE <br /> USE ZONE LOT AREA VACANT SI7E FEES VALUATION FEE <br /> C]VES ❑NO <br /> TYPE OF CANST. OCCUPANCY GA�UP N0.OF DWELLING UNITS $ <br /> BUILDING <br /> SIZE OF BIOG. NO.OF S70RIES MN(.OCC.LOAD <br /> PLU'dBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL 14 S O <br /> REQUIRED <br /> ❑YES ❑NO <br /> APPROVALS <br /> BY DATE OTHER <br /> PENALTV U.B.C. <br /> 1. ENVIFONMENTAL CHECK LIST SEC.303(a) <br /> 2. BUILDING PLA.NS TOTAL <br /> 3. FIFE HYDRANT <br /> PERMIT VALIDATION <br /> 4. FIRE PROTECTION SYSiEM WHEN PROPERLY VALIDATED(IN THIS SPACE)THI515 YOUR PERMIT O <br /> 5. GRADING � r - �, �` ". I �� f ^ _ . �l <br /> CD� <br /> 6. DPAINAGE . � <br /> 7. ENVIRONMENTAL IMPACT S7ATEMENT � <br /> i ' �� <br /> 0. HFALTH DISTRICT � ' � ' <br /> qppLICAT10N ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY . . , . � � I <br /> ' ', . .,. c �� <br /> ADDRESS FILE <br />