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N•c f��cr,treen <br /> everett � �°�ONgTRUCTIOI� �� <br /> CITVHALL259�B745 PERMIT PERMIT N0. �i%�6H <br /> EVERETT,WA9B201 � COMBINATION ❑ BUILDING ❑ MECHANIr,AL ❑ PLUMBING <br /> OWNER MAIL pD�RE55 CITY ZIP oHONE <br /> —ALAN OSTMAN e0 ROX 73�7 ��quy� •�� qu_p36 77� 0000 <br /> ARCHITECT OR pESIGNER MAIL ADpRE55 CITY ZIP PNONE <br /> GENERAL WNTRAr,Tpq MAIL ADOREdS CITV Z�p PMONE LICENSE� <br /> Same <br /> MECMANICAL CONTRACTOR MAIL A�ORESS CITY ZIP PNONE LICENSE 11 <br /> PIUMBING CONTRACTOP MAIL AODflESS CITY ZIP PHONE LICENSE Y <br /> CLA55 OF WORK <br /> I� NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOlITION ❑ FENCF ❑ SIGN ❑ iY00D STOVE/FIREPLACE INSERT <br /> \ALUATION OF WORK <br /> 3 rJ�����. <br /> DESCRIBE WOflK <br /> New home <br /> PROPOSED USE OF Bl11LDING <br /> Si ngl e family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGALDESCRtPTIUNOPPFOPEFTY�SMOWBELOWORATfApHFOURCOPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_e�ocn�0 oF ueen Anne GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> E 10' Of LOt 15, LOt 16 LOt 17 W 10' L t 1 PERMITDOESNOTPRESUMETOGIVEAUTHORITYTOVIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> — PERFORI NCFOF CONSTRUCTION. <br /> JOBAOORESS SIGN>iU�CpNTRACT O1�NTM EDAGENT DATE <br /> 1717 En land Avenue X ��> � — <; � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIxTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> 3 WATER CLOSET(TOILEn AIR COND.UNITS — H.P. EA. <br /> � BATHTUB REFRIGERATION UNI75— H.P.EA. <br /> 3 LAVATORV�WASH BASIN� BOILERS— H.P. EA. <br /> � SHOWER GAS fIRED A.C.UN�TS— TONNAGE EA. <br /> � KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. AI EA. <br /> � DISHWASHER WALL MEATERS— B.T.U. M <br /> LAUNf7FY 7RAY UNIT HEATEHS— B.T.U. M <br /> � CLOTHES WASHER 2 EVAPORATIVE COOLERS <br /> � WATER HEATER 2 00 � CLOTHES ORYERS <br /> URINAL VEN7ILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> F�OOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BFEAKEFS S70VE— WOJD <br /> ROOF DPAINS— RAINLEADEFS � METAL FIREPLICE 8 CNIMNEY <br /> _ SINK(SERVICE— BAR, ETC.) FIREPIACE 11�,ERT <br /> HEAT PUMP <br /> sue rora� s 24 00 sus rora� s <br /> PEHMIT S PENMIT S <br /> TOTAL FEE S Z4 OO TOTALFEE S <br /> SIDE VARD SETBACK STREET SE7BACK REAR YARD SETBACK PLAN CHECK NUMBER �23�� ���1E� �$ <br /> 6' 20� 20� 86/16568 FEE RECEIPTNO. <br /> USE ZONE LO7 AREA VACANT SITE ��'95 fi <br /> R-� BQOO Sf , �'ES . �.NO FEES FEE <br /> 7VPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS Stn <br /> V-N �� <br /> R-3, M-1 � BUILDING 000 S2 '� 283 0 <br /> SIZE OF BLDG. NO.UF STORIES MAX.OCC. LOAD <br /> 1944+576 3 PLUMBING '24 00 <br /> FIREZONE BASEMENT REOUSRED KLERS MECHANICAL � ,Q� <br /> :�-.YES . 'NO � 9 50 <br /> APPROVALS BY DA7E OTHER Driveway ZO O <br /> 1. ENVIRONMENTAI CHECK LIST PENAL7Y ��y@� ,� <br /> 2.BUILDING PLANS �C'�03(a� <br /> 3.FIRE HYDRAN7 TOTAL <br /> 4.FIRE PROTECTION SYSTEM PEHMIT VALIDATION ��i i7;�n�'m i <br /> 5.GRADING IYMEN PROPERLY VALIDATED(INYf�fS$PACE�T��f $POUN PERMIT ap <br /> 6.OPAINAGE � <br /> 7.ENVIRONMEN7ALIMPACTSTATEMENT LC� <br /> B.HEALTH DISTHIC7 <<� <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR. FOR ISSUANCE BY � ' <br /> S9 Jef lc <br /> ` ADDP.ESS FlLE <br />