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"1e`"CI�YeOF �ONSTRUCTION - �� <br /> everett PERMIT Ptk;�nir No: 09347 <br /> CIiY HALL 259�8745 <br /> evERETf,WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEF hIAILAOURESS CITY ZIP PHONE <br /> Gertrude Bovnton 4730 Elm Street Everett 98203 259-2210 <br /> APCNItECT OR pE51GNER MAIL ADORE55 �ITY ZIP FNONE <br /> GENERALGONTHnGTOR MAILADDRE55 CIiY ZIP PHONE LICENSEI <br /> Everett Builders Inc. 5606 Everqreen Wav Everett 98203 353 7161 <br /> MECHANICALGONTRACTOR MAILAD�NE55 QTY 21P PHGNE LICENSEI <br /> PLUMpINGGONTRACTOR MAILADORE55 CITY 21P PHONE LICENSEI <br /> C1A550F WORK <br /> ❑NEW ❑ADDITION ❑ALTERAiION �[7EPAIH ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> YALUATION OF WORK <br /> s 2912.00 <br /> oe;ca�oe woaK <br /> re-roof--Composition and install gutters <br /> PflOPOSED USE Of BNLDING <br /> single family residence i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGALOESCFIPTIONOFPROPEFTY�SHOWBELOWORATTACHFOURCOPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS <br /> �or s�oc�oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> 3 6-2 9-4 PRESU M E TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH E PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGUf.�TING <br /> CONSTR CTION THE FERFORMANCE OF CONSTRUCTION. <br /> J08 A��RESS SIGNATURE F GON7RAC Ofi AUTNORR ENT DATE <br /> 4730 Elm Street X 6/9/81 <br /> PLUM8ING MECHANICAL <br /> � NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOl''.PMENT fEE <br /> WATER CLOSET(TOILEn AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED AA.UNIiS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FpRCED AIR SYSTEMS—0 T.U. M 6A. <br /> DISHWASHER WALL IIEATERS—�.T.U. M <br /> LAUNDRY TRAV UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATNE COOLERS <br /> WATER HEATER CLOTHES ORYERS <br /> URINAL VENTIL4TION FAN <br /> DflINl:ING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOYE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNFY <br /> SINK(SERVICE—BAR,ETG1 <br /> SUBTOTAL SUB TOTAL S <br /> PEHMIT S PERMIT S � <br /> TO7ALFEE S TOTALFEE S <br /> SIDE YARD SETBACK STREF7 SET�ACK FEAR VARD SEfBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECF.IPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> �YES ❑NO FEES VALUATION FEE <br /> TYPE OF CANST. OCCUPANCY GFOUP NO.OF DWELLING UNI7S <br /> oUILDING 52412. 38 50 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> i <br /> FI(7E ZONE pASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANIOAL <br /> (7YES ❑NO <br /> APPROVALS BY DATE O7HER <br /> t. ENVIRONMENTALCHECKUST PENALTV U.B.C. <br /> 2. BUILDINGPLANS SEC.303(a) <br /> 3. FIREHYDRANT TO7qi 36 $0 <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5. GRADING WHEN PROPERLY VALIDA7ED�IN 7HIS SPACE)THIS IS 1'OUR PERMIT <br /> �� � ,- � Si� � r. n _ � <br /> 6. DFAINAGE � '" ' � C. . '� <br /> � <br /> 7. ENVIRONMENTAL IMPACT STATEMENT (^n <br /> B. HEALTH DISTRICT � , �-,� � <br /> Ii � <br /> APPLICATION ACC.BY PLANS CHECKEO BY APPR.fOR ISSUANCE BV <br /> , ,J <br /> ..., <br /> - ^� ...� �: <br /> � �DRESS PILE <br />