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`,7eEY��Yeo° , �ONS�RUCTION <br /> everett PrRMIT PERMIT NO. O9H37 <br /> CITY HALL 259�8745 <br /> EVEriETT,WA 98201 ❑ COMBINAT;ON C�hBUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILADpqE55 GITV ZIP FHONE <br /> Walter Elson 2505 Lombard Everett <br /> ARCHRECTORDESIGNER MAILApDPE55 GIiY ZIP PHONE <br /> GENERAL CONTRACTOR 1dAllA0DRE55 CIiY ZIP PHONE �ICENSE I <br /> Snohomish County Home Improvement Lake Stevens 334-3683 <br /> MECHANICALCONTRACiOR MAILAD�RE55 CRV 21P PHONE LICENSEI <br /> SN OH OC H308DZ <br /> PLUMBINGCONTRFCTOF MAILApORE55 CIiY 21P PHONE LICENSEI <br /> GlASS OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION $i{7EPqlR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAWATION OF WORK <br /> s 1900. 00 <br /> �ESCRI�E VlORK <br /> re-roof composition <br /> PROPOSED USE OF BUIl01NG <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ qND EXAMINED THIS AP� <br /> LEGALDESCRIPTIONOFPROP[RTV�SMOWBELOWORATiACHFOURGOPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> �o., 4 B��K 566oF Everett ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL i HE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CO�JSTRUCTION O HE PERFORMANCE OF CONSTRUCTION. <br /> J00 q00RE55 SIGNAiU�G�ETLS�qq� q qUiH IZ AG DATE <br /> 2505 Lombard � <br /> X � _ 9/25/81 <br /> PLUMBING MECHANICAL ` � <br /> NO• 1'YPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H.P,EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY ryJASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED AC.UNITS— <br /> TONNAGEEA. <br /> _ KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WA��HEATERS—B.T.U. M <br /> _ LAUNDRY TRAV UNIT HEATERS—B.T.U. M <br /> _ CLOTHES'NASHER EVAPORATIVE COOLERB <br /> WATER HEATER CLOTHES DRYERS <br /> _ URiNAL VENTILATION FAN <br /> DRINKING FOUN7AIN RANGE HOOD <br /> _ FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> _ ROOF DRAINS- RAINLEADERS METAL FIREPIACE 8 CHIMNEY <br /> _ •SINK�SERVICE—BAR,ETG) <br /> SUe TOTAL SUBTOTAL S <br /> PERMIT S PERMI7 S <br /> � TOTALFEE TO7AL FEE S <br /> SIDE YARD SETBACK STRE[T SET�ACIC .RD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOi AREA VhCANT SITE <br /> L7YE5 ❑NO FEES VALUATION FEE <br /> TYPE OF CONS7. OCCUPANCY GROUP NO.UF DWELIING UNITS <br /> �UILDING $19p0. 0� 31 00 <br /> 512E OF BLDG. NO.OF STORIES MAX.OCQ LOAD <br /> PWMBING <br /> FIRE ZONE BASEMENT FIRL SPRINKLERS <br /> REOUIRED MECHANICAL <br /> I7VE5 ❑NO <br /> APPROVALS BY DA7E OTHER <br /> L ENVIFONMEN7AL CHECK LIST <br /> PENALTY U B.C. <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIREHYDRANT TOTAL 31 On <br /> 4. FIRE PRO7ECTION SYSTEM PERMIT VALIDATION <br /> 5. GRADING WHEN PFOPERLY VALIDATED(IN THIS SPACE)THIS IS�OUR FERMIT <br /> 6. DRAIIJAGE � <br /> 7. ENVIRONIdffNTl.LIA1PACTSTATEMENT � ' ' ' +M <br /> — �I: ' _. —— _._ _ ' .. - - .. _ ._ <br />