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IheEvergrecn .- C�STRUCTION � �-�� <br /> CITY OF <br /> everett PERMIT pERMIT NO. OH31Z <br /> CIiY HALL 259�8745 <br /> EVERETT.WA 98201 ❑ COMBINATION �.,�} BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OYlNEP MAILA005L55 CItY ZIP PNONE <br /> Richard Benson 1711 Lumbard <br /> ARCHRECT OR pE51GNEH MAIL AOORESS CITY ZI� PHONE <br /> GENERALCONTRn��J� lAAII.ADORE55 CITY ZIP PMONE LICENSEY <br /> Alpha Contracting 5325 SR92 , Lake Stevens 98258 <br /> M[CMANICALCONiMCTOR MAILAp�flE55 CITY 21P PHONE LICENSEI <br /> � <br /> PLU�ABINGCONTRACTOR MFILADDRE55 C17Y ZIP PHONE LICENSEI <br /> LLA55 OF WORK <br /> ❑NEW ❑AD�ITION ❑ALTERATION g}FiEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORN <br /> E 5 � ���. �� <br /> �ESCRIBE wORN <br /> Foundation repair <br /> PROPOSED USE OF BUILDI�G <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGALOESCPIPTIONOFPROPERTY�SHOWBELOWORA'TACNFOURCAPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 5-6 351 Everett Di ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or BLQ:�OF T'!PE O� WORK WILL BE COMPLIED WITH WHETHER SPECIFIFD <br /> HEREIN OR NOT. THE GRANTING OF A FERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> _ :ADDFESS SIGNFTURE OP CONTRFCiO AUTHOqIZ.D AGENi �ATE <br /> 1711 Lombard X � � � , .,,,n-.y /is/ao <br /> PLUMBING MECiiANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOS[T(TOILEf) AIR COND.UNITS—H.P.EA. <br /> BAT�iTUB RFFRIGEFATION UNITS—H.P.CA <br /> LAVATORY�WASH BASIN) 60RER5—H.P.EA. <br /> SHOWER CAS'rIRED A.C. UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISR FORCED A:R SVSTEMS—B T.U. M EA. <br /> DISHWASHER WALL HEATERS —B.T.U. M <br /> LAUNDRY TRAY UNIT HEAiERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRVERS <br /> URI4AL VE�:fILATION FAN <br /> DPINKING FOUNTAIN RANG[HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL F!REPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR,EfG' <br /> SUBTOTAL SUBTOTAL S <br /> PERMIT S PEqMIT 5 <br /> TOTAL FEE S T07ALFEE S <br /> SIDE YARD SET9ACK STREET SETBACK REAR YARD SEiBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LO7 AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPL nF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS .� <br /> BUILDING a 5 , 000. 32 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE tlASEMENT FIRE SPRINKLERS <br /> RE�UIfiED MECHANICHL <br /> ❑YES ❑NO <br /> APPpOVALS BY DATE OTH[R <br /> 1. ENVIRONMENTAL CHECK UST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2. BUILDING PLANS <br /> 3. FIFEHYDRANT TOTAL 32 00 <br /> 4. FIRE PROTECTION SVSTEM PERI�i1T VALIDATION <br /> — WHEN PROPERLV VALIDATEO QN THIS SPACE)THIS IS VOUR PERMIT <br /> S. GRACMG � g31 � O Z ^, U0 • <br /> 6. DRAINAGE � L _-� <br /> 7. ENVIRONMENTAL IMPAf,I STATEMENT M <br /> B. HEALTN DISTFICT �i `. � �-� Il �r"C_I PT O <br /> 11� <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOf�ISSUANCE BY <br /> , ' . l1t�ll1 <br /> YCU <br />