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�,".�'�.r`��", ; CONSTRUCTIO ' � <br /> ��r��. <br /> ever�tt PERMIT PERMIT N0. 15332 <br /> GTV HALL 259�B7A5 <br /> EVERETT,WA98201 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAIL ADDRE55 dTV Z�P PHONE <br /> C. Murray & J. Hastings 4626 Darlington Lane Everett WA 98203 347-4626 <br /> ARLtlITEGT OR OESIGNER MAIL ADDRESS CITY Z�P PHONE <br /> GENERALCONTRACTOfl IAAILADDRESS CITY ZIP PMONE IILENSEr <br /> Same <br /> MECNANICAL CONiRACTOF MAIL ADORE55 CITY ZIP PHONE IIGENSE� <br /> PLUMBING WNTRnCTOR MAIL ADDRESS CITV 21P PHOt1E LIGENSE• <br /> CUSS OF WORK <br /> Q NEW ❑ ADDI710N ❑ ALTERATION ❑REPAIR ❑ G_MOLITION ❑ FENCE ❑ SIGN O WOOD STOVEIFIREPLACE INSER7 <br /> VAWATION OF WORN <br /> S 5��.�� <br /> OESCRIBE WORN <br /> Construct arbor <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ .4ND EXAMINED THIS Z <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND o <br /> LEGAL DESGFIPTION OF PROPERtt�SNOW BELOW OR ATTACN FOUR COPIE51 , CORRECT. ALL PROVISIONS OF' LAWS AND ORDINANCES � <br /> H <br /> L0T_BLOCN_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH m <br /> Bl k 000 D-03 S 96 ft Of LOt 1 d5 meas dl WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A .. <br /> 9 PERMIT DOES NOT PRESUME TO GiVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR �� <br /> Everett per a�d file f10 7609070156 10/8/50 LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. "" "'i <br /> JOB ADDRESS SI �4URE OF 0n�TO UTMORIZEO AGENT DATE y R1 <br /> 4626 Darl i ngton Lane )(., ��(,� i(fv�� 9����85 m o <br /> PLUMBING MECHANICAL -�c <br /> om <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EDUIPMENT FEE � Z <br /> N'ATERCLOSET�701LEn AIR COND.UNITS- H.P. EA. _ "'� <br /> m <br /> BA7HTUB REFRIGERATION UNITS- H.P. EA. Q Z <br /> LAVATORY(WASH BASINI BOILERS - H.P.EA. n ,.,� <br /> SHOWER GAS FIREU A.C. UNITS- 70NNAGE EA, r = <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS - B.7.U. M EA. "'� � <br /> < <br /> DISMWASHER WALL HEATERS - B.7.U. M T <br /> LAUNDRY TRAY UNIT HEATfRS- B.T.U. M O 3 <br /> CLOTHES WASHER EVAPORATIVE COOLERS '� m <br /> S <br /> WATER HEATER CLOTMES DRYERS m'"' <br /> N <br /> URINAL VENTILATION FAN O r <br /> DRINKING FOUNTAIN RANGE HOOD n m <br /> C f/� <br /> FLOOR ORAIN AIR HANDLING UNIT- C.F.M. 3 N <br /> m <br /> VACUUM BREAKERS S70VE -WOOD = n <br /> �m <br /> ROOF DRAINS- RAINLEAOERS METAL FIREP�AGE 8 CHIMNEV D <br /> SINK ISERVICE- BAR.ETC.) FIREPLACE INSER7 p <br /> HEAT PUMP ""� <br /> 2 <br /> D <br /> 2 <br /> --1 <br /> S <br /> i--� <br /> SUB TOTAL i SUB TOTAL S N <br /> PERMIT S PERMIT f Z <br /> O <br /> TOTAL FEE S TOTAL FEE f „"'�„� <br /> SIDE YARD SE70ACK STFEETSE7BACK REAR YARD SETBACK PLAN CHECK Nl1MBER PLAN CHECK FEE n <br /> m <br /> FEE RECEIP7 NO. <br /> USE ZONE LOT AFiEA VACANT SITE <br /> .��.YES �. :NO FEES VALUATION FEE <br /> TVPE OF GONST. OCCUPANCV GROUF NO.OF OWELLING UNITS <br /> SIZE OF OLDG. NJ.OF STORIES MA%.OCC. LOAD BUILDING S SOO.00 �O OO <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS �AECMANICAL <br /> REt)UIRED <br /> YES . NO <br /> APPROVALS F1Y DATE OTHER <br /> 7. ENVIRONMENTAL CHECK LIST PENALTV U.B.C. <br /> SEC.3031a) <br /> 2.BUI�DINGPLANS O OO <br /> 3.FIRE HYDRANT 70TAL <br /> a.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5.GRACING WHEN PROPERLY VALIDATEO�IN THIS SPACEI THIS I Y U E (V <br /> 6.DRAINAGE Z 8 3 I � � ��•�� M� <br /> M <br /> 7.ENVIRONMEN7ALIMPACTSTATEMENT � <br /> B.HEALTH DISTRICT n'�J <br /> APPUCATION ACC. BY PLANS CHECKED BV APPR. FOR ISSUANCF BY �i� .1 l� n R L��I 1 1` � <br /> I I �.'\i�;l: YUU <br /> stg jef lc <br /> 17sEPs5 <br /> ADDRESS FIiE <br />