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die Erergrcen � �`O N ST R U CT I O N - '��� <br /> CITY OF <br /> evei��l.� PERMIT PERMIT NO. 09710 <br /> CITY HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> O\':N[R MAILAC�DRE55 CIiY ZIP PMONE <br /> Carl Aiichaelson 632G Elliot Way Everett 98203 353-1483 <br /> ARCM17ECT OR OESIGNER MAIL AppRE55 CITY ZIP PMONE <br /> GENEf�ALCONTflAGTOF MAILAD�flE55 CIiY 21P PMONE UGENSEr <br /> Same <br /> MEGNANICAL t'ANiMCTOR MAIL ADDPE55 CITV ZIP PHONE V.ENSE� <br /> vLUM81NGCONiRAGIOR AIAIIA�DPESS CITY ZIP PHONE LILENSEI <br /> CLA55 OF WORK <br /> ❑NEW ❑ADDITION ❑AL7ERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION Oi\VORK <br /> S <br /> OESCRIBE WORK <br /> install wood stove <br /> PPOi'OSED USE OF OUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEGALDESCRIPiIONOFPflOPERtt�SHOW BE�OWORATTACHFOURCAPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORREGT. <br /> ALL PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS <br /> ior BI.OGIL_OF TYPE OF WORK WI�L 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 STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE Or CONSTRUCTION. <br /> SIGN UFE 0 CON A TOP OR iNOR12- GENT OlTE <br /> J'JB ADDPE55 ~ B�Z�J�B]. <br /> 6326 Elliott Way X <br /> PLUMBING MECHANICAL <br /> • N0. TYPE OF FIXTURE OR ITEM PEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H,P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN) BOILERS—H.P.EA. <br /> SHOVJER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALL HEATERS—BT.U. M <br /> LAUNDRY TFiAY UNIT HtATERS—0 T.U. M <br /> CLOTHES WASHER EVAPORATNE COOLEflS <br /> WATER HEATER CLOiHES DRYERS <br /> URINAI VENiILAT10N FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING 11NlT— QF.M. <br /> VACUU6IBREAKERS STOVE <br /> ROOF DRAlIJS—RAWLEADERS METAL FIREPLACE 8 CNIMNEV <br /> SINK(SERVICE—�AR,ETC.1 <br /> SUBTOTAL SUBTOTAL S � <br /> PERMIT S PERMIT S <br /> TOTALFEE S 70TALFEE f <br /> SIDEYARD SETBACK STREET SE7BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> ❑VES ❑NO <br /> TYPE OF CANST. OCCUPANCY GROUP N0.OF DWELLING UNITS I <br /> BUILDING S <br /> SIZE OF BLOG. NO.OF S70RIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMEN7 REOUIRED KLERS MECHANICAL ],t} S 0 <br /> ❑YES ❑NO <br /> APPHOVALS BY DATE OTHER <br /> i. ENVIRONMENTAL CHECK LIST pENq�Ty U.B C. <br /> SEC.303�a) <br /> 2. BUILDING PtANS <br /> TOTAL 14 S O <br /> 3. FIHE HYDRANT <br /> 4. FIRE PROTEC710N SVSTEM PERMIT VALIOATION <br /> WHEN PflOf ERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING i � �� I C 1 I L C � __(--11 <br /> �. i ' �4 <br /> 6. DRAINAGE <br /> � <br /> 7. ENVIRONMENTAL IMPACT STATEMENT � <br /> B. HEALTH DISTRICT � � •� � ��� � O <br /> APPLICATION ACC.BY PU+NS CHECKED BY APPR.FOR ISSUANCE BY . � . � t'� � � <br /> . � ' � C I <br /> ADDRE55 FILE <br />