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!hc Et�er,Grcen � � � O N ST R U CT I O N � <br /> UTv OF ' <br /> everett PERMIT PERMIT NO. 1454� <br /> CITY HALL 259�8745 <br /> EVERETT,WA98201 � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OYJNER MqIL AO�RESS CIiY 21P PMONE <br /> AnAT�TtSE ROIINDS 2"t07 TnMRARiI EVERETT WA 98203 <br /> ARCHITEGT OR OESIGNEP MAIL ADDRESS GTY ZIP PMONE <br /> GEtlERAI :ONTRAGTOR IAAIL AODRE55 CITY 21P PHONE LIGENSE M <br /> RESIDENTIAL ENERGY HOMES 80 COLUMBIA MARYSVILLE 98270 259-1616 EVERESN205K <br /> MECMANICAL CONiRALTOfl MA:L AODRE55 CITY ZIP PMONE LILENSE Y <br /> PLUMBING CONTRAGiC' MAIL AD�RESS CITY ZIP PHONE LICENSE N <br /> CLA55 OF WORK <br /> ❑NEW ❑ ADDITION ❑ ALTERAiIJN �},[REPAIR O DEMOLITION O FCNCE ❑ SIGN O VJOOD STOVFJFIREPLACE INSERT <br /> VALUA'iION OF WORK <br /> f 1$yAR1dXldRXX 13050.00 <br /> DESCRidE VlORH <br /> Repair damaged door, cabinets, windows, carpets - repair roof � <br /> PPOPOSED USE OF BUILDING <br /> Re�idence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS �n" <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND �;7 <br /> LEGAL DESLRIpTION OF PROPEflTY(SHOW BELOW OR ATfACM FOUR WPIES� CORRECT. ALL PROV�SIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCN_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIFD 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 H H <br /> LOCAL LAW REGULATWG CONSTRUCTION OR THE "3 'T� <br /> PERFORMANCE OF CONSTRUCTION. r-i � <br /> JOB AD[1RE55 SIGNATUFE OF ONTRACTOR OR AUTMOPIZED AGEt1T pATE � <br /> 2307 LOMBARD X .y � <br /> PLUMBING MECHANICAL y <br /> NO. TYPE �F Fli(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE � <br /> 1 WATER(:LOSET�TOILET) AIR COND. UNITS - H.P. EA. <br /> � BATHTUB REFRIGERATION UNITS- H.P. EA. iy <br /> LAVATORY�WASH BASIN) BOILERS- H.P. EA. �y zy <br /> SHOWEP GAS FIRED A.C. UNITS-TONNAGE EA. [+ x <br /> KITCHEN SINK 8 DISP. FORCE�AIR SYSTEMS- B.T.U. M EA. .~-] (~J) <br /> �C <br /> _ DISHWASHER WALL HEATERS- B.T.U. M O � <br /> LAUNDRY TRA'f UNIT HEATERS- �.T.U. M 'rJ <br /> � CLOTHES WASHER EVAPQRATIVE COOLERS Ny� <br /> WATER HEATER CLOTHES ORYERS [xj �-1 <br /> URINAL VENTILATION FAN � <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT - QF.A1. � <br /> VACUUM BREAKERS STOVE-WO00 � ([)� <br /> ROOF�RAINS- RAINLEADERS METAL FIREPLACE 8 CHIMNEV [rJ <br /> SINK(SERVICE- BAfl. ETC.) FIREPLACE INSERT ,��7 <br /> _ HEAT PUMP � <br /> � <br /> SUB TOTAL } Z OO SUB TOTAL S VI <br /> PERMIT 5 PERMI7 S � <br /> TOTAL FEE E 2 O TOTAL FEE 5 <br /> SIOE VARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE ('~j <br /> FEE RECEIPT NO. <br /> C9 <br /> USE ZONE LOT AREA VAGANT SITE <br /> "-.YES ..:NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANGY GROUP NO.OF DWELLING UNITS <br /> BUILDING S1_�,Q50.0 1 <br /> SIZE OF BL�G. NO.OF STORIES MA%.OCQ LOAD L SCkHASCa <br /> PLUMBING <br /> FIREZONE 6ASEMENT FIHE SPRINKLERS MECHANICAL <br /> REOUIR'cD <br /> YES NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST U.B.C. <br /> PENALTV SEC.303(a) <br /> 2.f1UIL01NG PLANS ' <br /> 3.FIREHYDRANT TOTAL $AAXX RR <br /> 4.fIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5.GRADING WHEN PROPERLV VALIDATED pN THIS SPACE�THIS IS VOUR PERMIT ('�,� <br /> �6.DRAINAGE ' ' � , . ' � . ..._ �i <br /> �- 7.ENVIRONMENTALIMPAGTSTATEMENT �-� <br /> B.HEALTHDISTRICT �-�' �� <br /> ��APPLICATIDN ACC. BY � PLANS CHECKED BV APPR. FOR ISSUANCE BV �. . . , , , � ` <br /> r <br /> � . , Stg , lc <br /> � <br /> I <br /> � � � <br /> ADDR[SS Flle <br />