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1heEvergmen � �*�NSTRUCTION 1 ^ <br /> GTY OF <br /> �everett PERMIT PERMIT NO. O93Z6 <br /> CITYHALL�59�874� � COMBINATION Iy�BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> EVERETT.\"A 9B20t <br /> MAIL AODRE55 LIiY ZIP PMONE <br /> OWNEP <br /> William Miller 3520 Everett Avenue Everett 98201 252-740 <br /> APCHttECi OP DESIGNER <br /> MAILAODRE55 QTV ZIP PHONE <br /> GENERALCONiRACTOR <br /> MAIL AD�RE55 CItY IIP PHONE UCENSE� <br /> 5 ame ��iY =�p PHONE IICENSE I <br /> MECHANICAL CANTRACTOR MAIL A�DFESS <br /> P W M�IRG CANTRAGTOR <br /> MAIL AD�BE55 Q7Y 21P PHONE UGENSE 1 <br /> C1A55 OF WORY. <br /> ❑NEW �ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION �ENCE ❑SIGN GARAGE <br /> VALUATION OF WORK <br /> s �. Q�O. �� <br /> ' �ESCAI�E\YORK <br /> install chain link fence <br /> PROPOSED USE OF 9UILDINO <br /> sin le family residence I HEREBY CERTIFY THAT I HAVE READ AND EX.4MINED THIS • <br /> IEGAl0E5CRIPTIONOFPfiOPERTY(SHOW�ELOWORATfAGNFOURfAPIE5) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> i�-2-3-�a�43oF Mitchells Land Co' s lst TYPE OF WORK WILL BE COMPLIED WITH WHEI'HER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAiU OF CONTHPGiOR OF AUTHORIZEQAGENi 6�2�B 1 <br /> JO�AOORESS X ' <br /> 520 Everett Avenue <br /> M HANICAL <br /> PLUMBING FEE <br /> _N0. TYPE OF FIXTURE OR ITEM FEE N�� qiR coNO.U Y 5E OH.p�AIPMENT <br /> WATEF CLOSET ROILET) <br /> I7EFRIGERATION UNITS—H.P.EA <br /> BATHTUB <br /> �OILEflS—N.P.EA. <br /> LqVATORY pVASH BASIN) <br /> GAS FIRED N C.UN:TS—TONNAGE EA. <br /> SHOWER FORCED AIP SYSTEMS—B.T.U. M EA. <br /> KITCHEN SINK d DISP. <br /> WALL H[ATERS—�T.U. ti� <br /> DISHWPSHER M <br /> _ UNR HEAiERS—�T.U. <br /> LAUNDRY TRAY <br /> EVAF'ORATIVE COOLERS <br /> CLOTHES WASHER CLOTHES UFYERS <br /> WATER HEATER VENTILATION FAN <br /> URINAL RANGE H00� <br /> DRINKING FOUN7AIN CF.M. <br /> AIR HANDLING UNIT— <br /> PL00�7 DRAIN STOVE <br /> VACUUM BREAKERS <br /> METAL FIREPLACE 8 CHIMNEY <br /> ROOF Df7AIN5—RA�NLEAOEFS <br /> SINK(SERVICE—BAR.E1C.) <br /> SUBTOTAL s <br /> SUB TOTAL pEHMIT S <br /> PERMIT S S <br /> TOTALFEE S TOTALFEE <br /> PLAN CHECK FEE <br /> SIDE YARD SETBACK STREET SET�ACK PEAR YARD SETBACK PUIN CHECK NUMBER FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> �YES ❑NO <br /> TYPE OF CANST, OCCUPANCY GROUP NO.OF DWE�LING UNITS — <br /> BUIL�ING $ 1 r 000. 00 17 50 <br /> 512E OF BLDG. NO.OF STORIES MA%.OCC.LOAD pLUMBING <br /> FIRE 20NE dASEMENT FIRE SPRINKLERS MECHANIGAL <br /> REOUIRED <br /> [IYES GNO <br /> APPROVALS <br /> BY DATE OTHER <br /> PeNALTY U.B.C. <br /> 1. ENVIRONMENTALCHECKLIST SEC.3031a) <br /> 2. BUIIDINGPLANS T�TA� 17 50 <br /> 3. �IRE HYDRANT <br /> PEpMIT VALIOATION <br /> a. FIRE PROTECiION SYSTEM WHEN PROPLRLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMI7 <br /> 5. GRADING � ' � n � ,'I I 7. C. (� __ � <br /> C. DRAINAGE <br /> J C) <br /> 7. ENVIRONMENTALIMPAC7STATEMENT . O�? <br /> 8. HEALTN CISTRICT � '� O <br /> --- Fui��d�L�AI.CL lit <br />