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ihe'Et�er�rcen <br /> ������ ' -^ONS�'RUCTIOt�' <br /> everett PERMIT PERMIT N0. 1�778 <br /> CITY HALL 259�87d5 <br /> EVERETT.WA98201 ❑ COMBINATIOM � BUILDING ❑ MECHANICAL Q PLUMBING <br /> OYMER MAILqO�FESS CITY ZIP PMONc <br /> Jerry Walker 2218 7ombard Everett 353-0444 <br /> ARCMRECT OF DESIGNER MAIL AOORE55 pTY ZIG PHONE <br /> GENEPAL CONTRAGTOP MAIL ADORE55 CITV ZIP PHONE LICENSE� <br /> DeLeon Custom Homes 29123 23rd S.E. Bothell 98021 397-1378 <br /> MEGHANiLAL CONTRACTOR MAIL ADORESS dTY 21P PHONE LICENSE Y <br /> DELEOCH*156JH <br /> �LIIMBING CONTRpGtOR MAIL ADOFE55 CITY ZIP PHONE LICENSE p <br /> GlASS OF YlOPK <br /> ❑ NEW O ADDITION ❑ ALTERATION CE�¢iEPAIR � DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD SiOVE/FIFEPLACE INSERT <br /> VALUATION OF WOflK <br /> S Z2�OOO.00 <br /> OESCRIBE WOFN <br /> Repair barhrooms, roof, foundation � <br /> PFOPOSED USE OF BUILOING n <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Four Plex AppLICATION AND KNOW THE SAME TO BE TRUE AND � <br /> LEGAL pESCRIPTION OP PROPERTY�SHO'N OELOW ON ATfAGM FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �3�-z4 e�ocK 476 oFEverett GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> — WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br /> — — OR CANCEL THE PROVISIONS OF ANY OTHER STPTF OR y � <br /> � LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. � � <br /> JOB AOOflESS SIG RE OF G05�T GTOR OR AUTHON12ED SG NT � TE � <br /> 2218 Lombard X ti � � � <br /> PLUMBING MECHANICAL � <br /> N0. TYPE OF fIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE � <br /> Q WATEFCLOSET�TOILET) B OO AIR COND.UNITS— H.P. EA. <br /> Z BATHTUB Q OO REFRIGEfiATION UNITS— H.P. EA. �p z <br /> Q LAVATORY(WASH BASIN) 8 QQ BOILERS — H.P. EA. ��yy <br /> 2 SHOVJER A OO GAS FIHEC A.C.UNITS— TONNAGE EA. j� � <br /> !} KITCHEN SINK 8 DISP. B OO FORCeD Alfl SVSTEMS— B.T.U. M EA. � �r�7 <br /> DISHWASHER WALL HEATERS— 6.T.U. M � y <br /> LAUNDRYTRAY UNIT HEATERS— B.T.U. M � � <br /> 1 CLOTHES WASHER 2 QQ EVAPOflATIVE COOLERS <br /> z WATER HEATER Q OO CLOTHES DRVERS H <br /> � <br /> UPINAL VENTILATION FAN [+ <br /> ORINKING FOUNTAIN RANGE HOOD Uj <br /> FLOOR DRAIN AIR HANOLING UNIT— C.F.M. N <br /> VACUUM BREAKERS STOVE—WO00 � <br /> ROOF�RAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP � <br /> i� <br /> x <br /> H <br /> SUB TOTAL i 3B OO SUB TOTAL S �Z <br /> PEflMiT S PERNIT S p <br /> TOTAL FEE 5 3 TOTAI. FEE S n <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CMECK NUMBER PLAN CHECK FEE � <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> i;YES :..NO FEES VALUATION FEE <br /> IYPE OF CONST. OCCUPANCV GROl1P NO.OF DWELLING UNITS <br /> BUILDING S Zz�OOO. ZSZ SO <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD <br /> Pt.UMBING 38 00 <br /> FIflE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> YES NO <br /> APPROVALS 8V DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEG.309(e) <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRANT TUTAL 190 50 <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5.GRADING �NHEN PROPERLY VALIDATEO pN THIS SPACE)THIS IS YOU{i PERMIT-— � <br /> � _ <br /> 6.DRAINAGE Chip Rehab �� � � <br /> ���. <br /> 7.ENVIRONMENTALIMPACTSTATEMENT <br /> `� <br /> 8.HEALTH�ISTRICT � . . `_ � <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY . <br /> ADDRF55 FILE � <br />