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_ -t <br /> the EverKrcen - .. ♦O���' 1���I O�� <br /> GTv OF � <br /> everett PER�AIT PERMIT NO. 143 �H <br /> CITY HALL 259�B7a5 <br /> EVERETT,WA98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILADDRESS GITY ZIP PHONE <br /> 3515 Everett Avenue Everett 98201 252-4504 <br /> Rnli.h Kerr Z,P pHONE <br /> ARGHITECT OR DESIGNER <br /> MAIL ADDRE55 ��ry <br /> � MAIL ADDRESS CITY ZIP PMONE LICENSL/ <br /> GENEHALGONTflACTOR <br /> SLII�e ��T� 21P PHONE LICENSE M <br /> MECMANIGAL COIITPAGTOR MAIL ADDRE55 <br /> PWMBING CONTRACTOP <br /> MAIL FOOPESS GITY ZIP PMONE LICENSE N <br /> CLASSOF WORK � <br /> O NEW � AODITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD S70VEIFIREPLACE INSE <br /> VALUATION OF WORK <br /> _ �J��.00 <br /> OESCRIBE WORN <br /> Cover over fire wood <br /> PROPOSED USEOF BUILOING I HCREBY CERTIFY THAT I HAVE READ AND EXAMINED THiS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGAL DESCRIPIION OF PFOPEdTV ISMOW BELOW OR ATIACN FOUN COP E5� CORRECT. AI.L PROVISIONS OF LAWS AND ORDINANCES <br /> 1-2-3 594 Mitchel First Adci. GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> l0T__BLOC1(__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 STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERF ANCE OF CONSTRUCT�ON. onrE <br /> JOB ADDRE55 SIG UFE F ONT ACT OR ORIZEO AbENT 1�9�BS <br /> X <br /> 3515 Everett Avenue <br /> MECHANIC <br /> PLUMBIN6 FEE <br /> TYPE OF EQUIPMENT <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. _ <br /> WATERCLOSET(701LET) AIR COND. UNITS— H.P.EA. _ <br /> REFRIGERATICN UNITS— H.P. EA. <br /> BATHTUB <br /> LAyATORY�WASM BASIN� _ BOILERS— H.P. EA. <br /> GAS FIRE�A.C.UNITS —70NNAGE EA. <br /> SHOWER <br /> KITCHEN SINK&DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> — WALL HEATERS— B.T.U. M <br /> DISHWNSHER <br /> UfllT HEA7ERS— P.T.U. M <br /> LAUNDRY��PAY <br /> EVAPORATIVE COOLERS <br /> CLGTMES WASHER CLOTHES�RYERS <br /> WAiER HEATER <br /> VENTILAiION FAN <br /> UFINAL <br /> DRINKING FOUNTAIN RANGE HOOD <br /> AIR HANDLING UNIT — C.F.M. <br /> FLOOR DRAIN - <br /> VACUUM BREAKERS STOVE—�'�'OOD <br /> ROOF ORAINS— RAINLEADEFS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE — BAR,ETC.) FIREPLACE INSERT <br /> HEA7 PUMP <br /> SUB TOTAL 'a SUBTOTAL S <br /> PERMIi S PERMIT S <br /> TOTAL FEE S TOTAL FEE S <br /> pL W CHECK FEE <br /> SIDE YARD SET6ACK STREET SETBACK REAR YARD SETBACK PLAN CMECK NUMBER FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VAIUATION FEE <br /> : ,YES i �.NO — <br /> TYPE OF CONST. OCCUPANGY GRpUP NO.OF DWELLING UNITS <br /> BUILDING S SOO.00 lO OO <br /> SIZE OF BLDG. NO.OF S70RIE5 MA%.OCG LOAD pLUMBIWG <br /> FIRE ZONE BASEMENT FIRE SPHINKLERS MECHANICAL <br /> REOUIRED <br /> YES i NO <br /> APPROVALS BY DATE <br /> OTHER <br /> U.B.C. � <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY SEC.30J(a� <br /> 2.BUILDING PLANS TOTAL ZO OO <br /> 3.FIRE HYDRANT � <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIOATION ' �� <br /> WHENPROPERLYVALIOATEO(INTHIS'�SPADE�THISVSVO�I�PEP�dIT—� N <br /> 5.GRADING <br /> 6.DRAINAGE M <br /> 7.ENVIRONMENTALIMPAGTSTATEMENT „ I� <br /> L B.HEALTH DISTRICT � t� <br /> APPLICATION ACC.BY PLANS CNECKED BY APPR. FOfi�SSUANCE BY . � <br /> DAB D AB <br /> ADDRC .S FlLE <br />