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1 <br /> �he Ll�erereen i �� �\V�e ■� � ■ �� � � <br /> ;.t� �.• <br /> everett PERMIT PERMIT NU. =-2�SG <br /> CITY HALL 259�B745 <br /> EVERETT.WA98201 ❑ COMBINATION ❑ BUILDING .�i� MECHANICAL ❑ PLUMBING <br /> ' OYlNER MAIL FO�RESS CITY ZiP PMONE <br /> � KEN HARVEY 2423 LO.iBARD EV�RETT 98201 252-8289 <br /> APCHITECT OR pE51GNE11 MAIL AODPESS f.ITV ZIP PHONE <br /> GENERAL WNTPACTOR IdAIL AODPE55 GTV ZIP PMONE LICENSE X <br /> MECMANICAL CONTRALiOR IdAIL ADDRESS CITY ZIP PMONE LICENSE I <br /> SELF <br /> .. PLUNBING CONiRFJiOF MFIL ADDRESS CI7Y ZIP PMONE LICENSE N � <br /> CLP55 OF 190RK <br /> ❑ NEW ❑ ADOITION ❑ ALTERATION ❑REPAIR ❑ DEtAOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WORK <br /> S <br /> DESCRIBE WORK <br /> INSTALL WOOD BURNING APPLIANCE. <br /> PPOPOSED lISE OF Bl11LDING <br /> I HER[BY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATIUN AND KNOW THE SAME TO BE TRUE AN� <br /> LEGAL DESCRIPTIG'�OF PROPERtY ISHOYJ 9ELOW OR ATTACM FOUP COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDIIJANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCK__OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIO�ATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB FODFESS SIGNATUHE OF GONiRACTOR OR AUiNO IZED AGENT OATE <br /> zazs r.or�sAan X lV, ii/i�/as <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. �, TYPE OF EOUIPMENT FEE'. <br /> VlATERCLOSETjTOILET) P�R COND. UNITS — H.P. EA. _� <br /> BATHTUB REFRIG:RA710N UNITS— H.P. EA. _ <br /> LAVATOFY�WASHBASIN) BOILERS— H.F. EA. <br /> SHOWER GAS FIRED A.C. UNITS— 70NNAGE EA. _ <br /> KITCHEN SINK 8 CISP. FORCED AIR SYSTEMS— B.T.U. M FA. _ <br /> DISHWASHER WP.LL HEATERS— gT.U. M <br /> LAUNDRY TRAY UNIT HEATERS— B.T.U. M _ <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WAT'cR HEATER CLOTHES DRYERS _ <br /> URINAL VENTILATION FAN <br /> DRINY.ING FOUNTAIN RANGE HUOD _ <br /> FLOOR DRAIN � A�R HANDLING UNIT— C.F.�d. <br /> VACWh7 BREAKERS .3 STOVE —WOOD <br /> ROOF DRAINS— RAINLEADERS METAIFIFEPLACE 8 CHIMNEV <br /> SINK(SERVICE— BAR, ETC.) , FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOT LL a SUB TUTAL 5 <br /> PERMIT 5 PEFIAIT f 10 0 <br /> TOTALFEE � TG7AL FEE E • <br /> � o �i PLAN CHECK FEE <br /> SIDE VARD SETLACN STREET SETBACK REa�.'.1'ARD SET9ACK . LAN CHECK NUMBER <br /> I �EE RECEIPT NO. <br /> USE ZONE LOT AREA VP::ANT SI7E FEES VALUATION FEE <br /> YFS NO <br /> TYPE OF CONST. OCCUPANCY GRO�1P NO.UF DWELLING UNITS <br /> BUILDING g <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> PLUMBING <br /> ��EZON[ BASEMENT FIRE SPRINKLERS MECHANICAL � <br /> _, REOUIRED <br /> YES NO <br /> APPfiOVALS 9Y OATE O7HFP _ <br /> 1. ENVIRONMENTAL CMECK UST PENALTY U.B.C. <br /> SEC.909(al <br /> 2.BUILDINGPLANS TOTAL ],� SO <br /> 3.FIRE HY�RANT 7 p — � ^ <br /> d.FIRE PR07ECTION SVSTEM y8ry ryITpROPERLYOVALIOATED(IN THIS�PP.�cgTHIS 1�1'�ll�i qF�F�1V — �QQ�{ <br /> - �.GRADING � <br /> 6.DRAINAGE (� <br /> 7.ENV:RO-.IMENTALIMPACTSTATEMENT _ .' � . _ '. '-) U � REC�IF�'; <br /> 8.H�ALTH OIS7RICT ' � � <br /> APPLICATION FCC. BY PLANS CHECKE?' i �' :.�''��R ISSUAWCE BV ' + t' <br /> I -: i�n.1 V I �j �.� <br /> LC ZC <br /> --- - I 5 �;o'� &3 <br /> ,a��t«ss ri�=_ <br /> r <br />�,�t'�`;��'j!,^S7�?,�yr�i.':Y+�.�'�N,�bt'�.*.�'ri�.'�"...+�", t�1C'�i.-,�.�i .�` �'.. _. ....- t'�.St�'�� ,.i`�'t'�,'r+'i'�r,'r'+-...a =:-.. . . .' ....rrsrx _.__ . . .. - . . . "'' <br /> .'.�:.,.:ix:.w'v�.e�_'vie�Af..+....:� .d.-.n <br />