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� --- . � <br />;.. <br /> !hc L'rrr,¢reen - -�p N ST R U C T I O I`' � <br /> ��r��F �� � <br /> everett PERMIT PERMITNO. 14039 <br /> CITY HAL:259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILADORE55 CITY IIP PNONE <br /> WALTER VAN HEUKELEM 6411 Elliott Way Everett WA 98203 None <br /> ARCMITEGT OH DESIGNER <br /> MAIL AODRE55 CITY ZIP PMONE <br /> GENERA�CONTRACTOR MAIL ADDRESS CITY ZIP PMONE LICENSE� <br /> Same <br /> MECMANICAL CONTRACTOR MAIL AD�RE55 CITY 21P PHONE LICENSE/ <br /> PLUMUING GONiRAGTOR MAIL ADDRESS CITY ZIP PHONE LIGENSE� <br /> CLASS OF WORN <br /> � NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> 5 ����.Q� <br /> DESCRIBE WORK <br /> Carport <br /> PROPOSEO USEOF BUIL�ING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Carport APPLICATION AND KNQW THE SAME TO BE TRUE AND <br /> LEGA�OESCRIPTIONOFVRUPERTY�SHOWBELOIYORFTTACMFOURCOPIES� CORRECT. ALL PROVISIONS OF L�WS AND ORDINANCES <br /> 9 008 Beverly Hi11 s P�o. 2 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCK_OF 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 STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCEOFCONSTRUCTION. <br /> JOB AUORESS SIGNATURE OF LONTRACTOfl OR AU7HORIZEU AGENT DATE <br /> 6411 Elliott Way X � /7 " <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATEFiCIOSET�TOILEn AIR COND.UNITS— H.P. EA. <br /> �4THT�g REFRIGERATION UNITS — H.P. EA. <br /> LAVATORY�YASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C. UNI'iS—TONNAGE EA. <br /> KITCHEN SINKB DISP. FORCED AIR SVSTEN,S— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> �AUNDRV TP.AY UNIT HEATERS— B.T.U. M <br /> CLOTMES WASHEfi EVAPORA7IVE COOLERS <br />� WATE(i HEATER CLO7HE5 DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE&CHIMNEY <br /> SINK�SEqVICE— BAF,ETC.) FIREPLACEINSERT <br /> HEAT PUMP <br /> SUB TOTAL S SUB TO7AL S <br /> PERMIT 5 PERMIT S <br /> TOTAL FEE S TOTAL FEE S <br /> SIOE YARD SE7BACK STREE7 SETBACK REAFiYApD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 5 f '� 84/14039 FEE �� 38 RECEIP7 NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> :�:VES �. �.NO FEES VALUATION FEE <br /> R-2 <br /> NPE OF CONS7. OCCUPANCY GROUP NO.OF DWELLING UNI7S <br /> BUILDING IOOOiO <br /> SIZC-OF BLDG. NO.OF STOHIES MA%.OCG. LOAD � <br /> PLUMBING <br /> FIRE 20NE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> YES C:NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECi(LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS <br /> 9.FIRE HYDRANT TOTAL �� 5 <br /> 4.FIRE PRO7EC710N SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED�IN THIS SPBCF)THIS S.YGUfj P�RrAIT � <br /> S.GRADING , � ) � iJ � f � �� <br /> 6.DRAINAGE � <br /> 7.ENVIRONMENTA�IMPACTSTATCMENT � <br /> B.HEALTH DISTRICT ' '� �� "%' � <br /> APPUCATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE 8Y � ' ' � -' �� � <br /> . . L� <br /> stg lnc <br /> � � ...,i i ; <br /> ADDRESS FILE <br /> L <br />