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, <br /> '"�E''C�YeOF C�NSTRUCTION � <br /> everett �ERMIT PERMIT NO. OH�74 <br /> pTY HAiL 259�8745 <br /> EVERETf,WA 98201 ❑ COIICBINATION � BUILDING ❑ MECHAN{CAL ❑ PLUMBING <br /> OWNER MAILAOORE55 CIiY Z�P P�10NE <br /> Walter E. �lson 2505 Lombard Avenue Everett 98201 259-3357 <br /> ,1RCHIiECTORD�5IGN[P MAILA�DFESS CITY ZIP PHONE <br /> GENERAL CONTRACTOF MAIL ApDRE55 CITY ZIP PHONE LICENSE/ <br /> Same <br /> MECMANIGALCONtPAGTOR MMLADORE55 QTY ZIP PHONE UCENSEI <br /> PLUMBINGCONTPACTOR AIAILFDDFE55 C:TY 21? PHONE LIGENSEI <br /> CLASS OF W ORK <br /> ❑NEW ❑A�DITION QI�TERHTION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN OGARAGE <br /> VALUATION OP WORN <br /> E ZrJU. �� <br /> DESCRIBL WORK <br /> add porch deck <br /> PPONSED USE OF�UILDIRG <br /> single family residence I HEREBY CERTIFY THAT I HAVE FEAD AIJD EXAMINED THIS AP� <br /> �ecn�oEscaiaTioruocarioPearr�sNowoe�owoannncNFouAcoaiEs� PLIC4TION AND KNOW THE SAME TO 6E TRUE AND CORRECT. <br /> 3-4 566 Everett ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING Tl11S <br /> ior BLOC'C_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECiFIED <br /> HEREIN OF NOT. THE GRANTING OF A PEHMIT DOES NOT <br /> PRESUME TO GIVE AUTHOHITY 70 VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LCCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> $�G�I�TURE OF CONTRACTOR OR FUiry(1�i12E�AGENt / D�T� <br /> JOB FDLPE55 <br /> ( � / / . � 8 27 8� <br /> 2505 Lombard Avenue X �,,, .�/, � , � n2- <br /> PLUMBING �N�ECHANICAL <br /> NO_ TYPE OF FIXTURF OR IS'EM FEE NO. TYPE OF ECUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND. UNITS —H.P.eA. _ <br /> RATHTUB REFRIGERATION UMITS—H.P. EA <br /> . V�VATGRV ryJASH BASIN) BOILERS—H.P.FP. <br /> SHOWER GAS FIRED H.C.UNITS—iONNAGE EA. <br /> KITCNEN SINK 8 DISP. FOPCED AIR SYSTEMS—8 T.U. M EA. <br /> DISH1'JASNER WALL HEATERS—B.T.U. M <br /> LAUIJDRV TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATNE WOLEPS <br /> WATER HEATER CLOTHES DFYERS <br /> URINAL VENTILATION FAN <br /> . DRINKIN�FOUNTAI�� RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BRiFKERS STOVE <br /> ROOF DRNfJS—FAMLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SEPVICE—BAR.ETC1 <br /> SUB TOTAL SUBTOTAL S <br /> PERMIT S PERMIT a _ <br /> TOTALFEE S TOTAL FEE S <br /> SIDE YARD SETBACK STREET SFTBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK`E� <br /> FEE I RECEIPT NO. <br /> USE ZONE �OT AREA VACANT SI7E <br /> �VES ❑NO FEES VALUATION FEE <br /> TYPE OF CqNST. OCCUPANCY GflOUP N0.OF DWELLING UNITS <br /> BUILDING s 150 . 00 S 00 <br /> SIZF OF BLDG. NO.OF STORIES MAX.OCC.LOAD --- <br /> PIUMBING <br /> FIRE ZOfJE BASEMENT FIRE SPPINI:LERS MECHANICAL <br /> REOUIREO <br /> ❑YES ❑NO <br /> APPROVALS BY DATE OTHER <br /> i. ENVIRONMENTAICHECKLIST PENALTY U.B.C. <br /> 2. �UILDING PLANS SEC.303(a) <br /> �� <br /> 3. FIREHYDRANT TOTAL � OO <br /> d. FIRE PROTECTIOId SYSTEM PERMII'VALIDATION <br /> . WHEN PROPEflLV VAL�DATED pN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING G 9 G I � � O J. O O '�� <br /> 6. DRAINAGE N <br /> 7. ENVIRONMENTAL IMPACT STATEMENT � <br /> 8. HEALTH DISTRICT , .. .i ,`� R G C[(P °1�° <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � i,;-�I:'�'',.��� Y C} U <br /> V. C. <br /> � ] d{!G �� <br /> ADDRE55 FIL� <br />