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Ihe Ll•erArren <br /> everett �� �� NSTRUC�'10 � <br /> � <br /> CITYHALL259�8745 PERIIIIIT PERMIT NO. 15455 <br /> EVERE7T,WA 98201 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNE�R AND AfRS C DUKE 1624 L����Ess EVREETT `AA 98�d1 259-3`�i'�9 <br /> FMONE <br /> ARGHREGT OR DESIGNEq MAIL AOORE55 CITV <br /> Z�P PHONE <br /> GENERAL CONTRAGTOR MAIL ADDRESS CITY <br /> EVBRETT BUILDERS 5606 EVERGREEN WAY EVERETT WA 353-7161ZP223-01-EVEBER301PH �ICEI�SEI <br /> MECHANICAI CONTRnGTOR MAIL A�DRESS CITY <br /> Z�P PHONE LICENSE M <br /> PLUMBIYG CONTqACTOR IdAIL ApDRESS CITV <br /> Z�P PHONE LIGENSE x <br /> CLA55 OF YlORK <br /> ❑NEVJ ❑ ADDI'ION ❑ ALTERATION (�REPAIR ❑ DEMOLI710N ❑ FENCE O SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> Va!UATION OF WORK <br /> S ie2a.00 <br /> DESCR'BE WORK <br /> Reroof <br /> PROPOSED USE OF 9UILDING <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL�ESLRIPTION�F pROPERTY�SMOW OEIOW 0�'.AT7qCH FOUR COPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOi_BLOCK�ZOF Fvara+r ��H�� GOVERtJiNG THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> Lots 21 & S� of 22 WHETHER SPECIFIED HEREIN OR NUT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCj�, THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL ,CAUV REGULATING CONSTRUCTION OR THE <br /> JOBA PEFiFO 6A IJCE OF ONSTflUCTION. <br /> g`b`zs� Lom�ard SIGNA7UR OF NTFACTO ❑i}IONIZEDAGENT OFTE <br /> X � �� 9/20/85 <br /> PLUMBING MECHANICAL � <br /> N0. lYPE OF fIXTURE OR ITEM FEE N0. TYPE OF EUJIPMENT FEE <br /> WATER CLOSE i�701LET) AIR COND. UNI75— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATpRY�WqSH BASIN� BOILERS — H.P. EA. <br /> SHOWER GAS FIRE7 A.C.UNI7S— 70NNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS — B.7.U. M EA. <br /> DISHWASHER <br /> WALL HEATERS— B.T.U. M <br /> LAUNDRYTRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHEF EVAPORA7IVE COOLERS <br /> WATER HEATER CLOTHES DRVERS <br /> URINAL VEN71LA710N FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.f.M. <br /> VACUUM BREAKERS STOVE— WOOD <br /> ROOF DflAINS— FAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE — BAR, ETC.) FIREPLACEINSERT <br /> HEAT PUMP <br /> SUB TOTAL 5 SUB TOTAL S <br /> PERMIT 5 <br /> PEHMIT 5 <br /> 70TAL FEE 5 TOTAL FEE 5 <br /> SIUc Y�D 3ETBACK $TR=ET SF7BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONF. LOT AREA VACANT SITE <br /> ::�.YES �;NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING UNITS <br /> SIZE OF BLDG. N0.OF STORIES MAX.OCC. LOAD BUILDING 5 1800.00 31 00 <br /> PLIIMBING <br /> FIRE ZONE BASEMEN7 FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> YES NO <br /> APPROVALS 9Y DATE �7HER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2.BUILDING PLANS SEC.303(a) <br /> 3.FIRE HVDRANT TO7AL 31 00 <br /> 4.FIRE PROTECTION SYS7EM PEqMIT VALIDATION <br /> 5.GRAOING WHEN PROPERLV VALIDA7E0�1N THIS SPACEI THIS IS YOUF PERMIIT <br /> fi.DRAINAGE 3 O Z O � O Z I. 0 fl � � <br /> o .J �l <br /> 7.ENVIRONMENTALIMPAG7S7ATEMENT <br /> 8.HEALTH DISTRIC7 ���� <br /> APPLICATION ACC. 6Y PLANS CHECKED BY APPR. FOR ISSUANCE BV - � <br /> . I) �: ��C; � �i('-� <br /> , , ,. ,�v �• i <br /> , :�„�... i �.:� �) <br /> �..,.�__ � _,. � �I ��° S� <br />