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f <br /> !hd L�crr,lrccn <br /> ��T°°F �- - -�dNST'RUGTIOP' <br /> i everett PERMIT PERMIT NO. 1339� <br /> � CITV HALI 259�ft745 <br /> EVEREiT,WAg82c± � COMBINATION CY� BUILDIiVG ❑ MECHANICAL ❑ PLUMBING <br /> 01YNER MAq q0�RE5S CITY ZIP PHONE <br /> JIM FiSK 8731 Gothic Way Everett WA 337-2263 <br /> ARGMITECT OR OESIGNER MAIL A�ORE55 GTY ZIP PMONE <br /> GENERAL CONTflACTOfl MFIL A�DRE55 CITY 21P PMONE LICENSE N <br /> Everett Bldrs 5606 Evergreeri Way Everett WA 98203 353-7161 <br /> MECMANICAL LONTRqGTOR MAIL ADDRESS CITY ZIP PMONE LIGENSE N <br /> 223-01 EVEREB301PH <br /> PWM0ING CONTRACTOR MAIL ADORESS CITY ZIP PHONE LICENSE 1 <br /> CLASS OF WORN <br /> ❑ NEW ❑ ADDITION � ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSER7 <br /> VALUATION Of WORN <br /> s2925.00 <br /> DF.CRIBE WOPN <br /> Reroof, Install gutters <br /> PPOPOSED USE OF BUILDING <br /> Residence I i,EHEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGALOESGRIPTIONCFPflOGERTY�SHOWBELOWORATThLMFOIIRCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND �7DINANCES <br /> LOi__��OCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> 4391 616 016 0202 PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL fHE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW 'iEGULATING CONSTRUCTION CR THE <br /> PERFORMANG� OF CO STRUCTION. <br /> JO AD�FESS SIGN U OF CONTRqCTOP UTHO 12 qGENT OATE <br /> '�211 Everett Ave X ,� <br /> PLUM811;•2• MECHANICAL <br /> NO. TYPE OF FIXTUHE OR ITEM FEE NO. TYPE OF EUUIPMENT FEE <br /> WATERCLOSET�TOIIEn AIR COND. UNRS— H.P. EA. <br /> BA7H7U8 REFRIGERA710N UNITS— H.P. EA. <br /> LAVATORY�WASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C.UNIiS—TONNAGE EA. <br /> KITCHEN SINK&DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> - LAUNDf.Y 7RAY UNIT HEATENS— B.T.U. M <br /> CLO7HES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER � CLOTHES DRVERS <br /> URINAL VENTILATION FAN <br /> ORINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK(SERVICE— BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL S SUB TOTAL t <br /> PERMIT S PERMI7 : <br /> TOTALFEE f TOTAL FEE S <br /> SIDE YARD SETBACK STREET SE7BACK REFR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE �OT AREA VACANT SITE <br /> ;��,VES � :NO FEES VAIUATION FEE <br /> NPE OF CONST. OCCUPANCY GROUP NO.OF DWELIING UNITS <br /> BUILDING $2925.00 38 50 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD <br /> PLUMBING <br /> FIRE 20NE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> YES �-NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMEI�TAL CHECK LIST PENALTY U.B.C. <br /> 2.BUILDING PLANS SEC.303(al <br /> 7.FIRE HYDRANT T�TA� 3II 50 <br /> 4.FIRE PROTECTION SVSTEM PENMIT VALIDATION <br /> S.GRADII,u WHEN PROPERLY VALIDATED(IN THI� 2 iC�THIS�����F�i1�IT_� <br /> G.D9AINAGE � �� <br /> 7.ENViRONMENTALIMPACTSTATCMENT M <br /> B.HEAI.TH DISTRICT M <br /> -� 'l-� •�• ;- 1!1 <br /> APPLICATION ACC. BY PLANS CHECKED BV APPR.FOR ISSUANCE BY � . . . . _. � I{ T� <br /> . . U <br /> I I : .r �; , <br /> aDDkESS (II.F <br /> � <br />