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(he£vcrgmen ' 1�"ONCTR�(:to�N <br /> I;ITY OF r <br /> everett PERMIT PERMIT N0. 09304 <br /> CITY HALL 259�8745 <br /> EVERETf.\NA 98201 ❑ COMBINATION ❑ BUILDING �MECHANICAL PLUMBING <br /> OWNER MNIIAD�RE55 GITY ZIP PHONE <br /> Patrick Reams 2311 Everett Avenue Everett 98201 <br /> ARGHITECTOROESIGNER MAILADDRESS Q7Y ZIP PMONE <br /> GGNERALCONTRACiOR MAILADDRE55 QTY ZIP PMONE LICENSE� <br /> MCGHANICAICONTFACTOR MAILAODFE55 LITV ZiP PMONE LICENSEI <br /> Natural Gas Equipment 1611 East Grand Everett 98201 256-2441 <br /> PLUMBING CONTRAGTOP MAIL R�DRE55 CIiY ZIP PMONE LICENSE� <br /> C1A55 OF 1YORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VFLUATION OF WORK <br /> S <br /> DESGRIOE WORN <br /> PROPoSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LtGALDESCflIPT10NOFPROPEPTY�5NOW8ELOWORAnACHFOURCOPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or eioc�_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHEFi SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TI1E PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> � SIGNFTURE FC � t PORAUi IZEDAGENT OATE <br /> �oencoaess Z311 Everett Avenue X J � <br /> PLUMBIN6 � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEF CLOSET QOILEn AIR COND. UNITS—H.P.EA. <br /> BATHTUB REFFIGERATION UNIiS—H.P.EA <br /> LAVATORY IWASN BASIN) OOILERS—H.P.EA. <br /> SNOWER GAS FIRED A.G UNITS—10iJNAGE EA. <br /> KITCHEN SINK 8 DISP. �. FORCED AIR SYSTEMS—B T.U�S O�O�� G.OO Y YB <br /> DISHWASHER WALLHEAiERS—�.i.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER 1 EVAPORATIVE COOLERS <br /> WA7ER HEATEP C:0T4E5 DRYERS <br /> URINAL VENTIUITION FAN <br /> DRINKING FOUNTAIN FANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— QF.M. <br /> VACUUM BREAKERS S10VE <br /> ROOF DRAINS—FIAINLEADEFS METAL FIREPLACE&CHIMNEY <br /> SINK(SERVICE—BFR,ETG) <br /> SUBTOTAL S 6 00 <br /> sue Torn� S 3 0 0 <br /> PERMIT S PERMIT <br /> TOTAL FEE 5 TOTAL FEE S 9 00 <br /> PLAN CHEU:FEE <br /> SIDE YARD SE1ki:.�K STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER pECEIPT NO. <br /> FEE <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> TYPE OF CONS7. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> DUILDING $ <br /> SIZE OF BLDG. NO.OF STGRIES MA%.OCC.LOAU <br /> PLUMBING <br /> FIRE ZONE BASEMENT REOUIRED KLERS MECNANICAL 9 00 <br /> ❑YES ❑NO <br /> APPHOVALS BY UATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2. BUILDINGPLANS 9 00 <br /> TOTAL <br /> 3. FIRE HYDRANT '— <br /> 4. FIHE PROTECTION SYSTEM PEflMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 6. GRA�ING � � 1. � �` �� �� � � —' � <br /> � . 0 <br /> 6. ORAINAGE M <br /> 7. ENVIRONMENTALIMPACTSTATEMENi � <br /> 8. HEALTH��STRICT . � Ii� I O <br /> APPLICATION ACC.BV PLANS CHECHED BY APPR.FOFi ISSUANCE OY � � , � ; � <br /> i <br />