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rhr L n�rcr��erv <br />��,.<< <br />everett <br />CITY HALL 259�P745 <br />� "�CONSTRUCTIO��' <br />PERMIT <br />PERMIT NO. �-� f 5"-! <br />EVERETT, WA 98201 ❑ COMBINATION � BUlLDItJG ❑ MECHANICAL ❑ PLUMBING <br />OIYNEN MFIL FDORESS '..iTY ZIP PMONE <br />GREG KZLIAGfi 1813 tdadison Everett tdA 98203 353-5071 <br />ARCNREGT Oii �ESIGNER MAIL ADORE55 CITY ZIP PHONF. <br />GENEHPL LONIRFCTON MAIL ADDRE55 CITY ZIP PHONE LIL'ENSE � <br />MECHANICFL WNTRACTOH MAI! AODRE55 GITY 21P PMONE LICENSE N <br />PLUMBING CONTRAGTOR MFIL AD�RE9: GITV ZIP PHONE LICENSE N <br />❑ IJEW C}� ADOITION ❑ ALTEFATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD S70VE/FIREPLACE INSERT <br />VALUATION OF Y.ORK <br />S SOO.00 <br />DESGRIBE WORK <br />Constr��ct carport <br />Carport <br />�or.2La�ocn_oF <br />1813 Macii�on <br />PIUMBING <br />FIXTURE OR ITEM <br />6YATER CLOSET ROILET) <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRRIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEA�ERS <br />SINK (SERVICE — BAR, ETC.) <br />n <br />V—N <br />SIZE OF ! <br />16X20 � <br />POUR COPIES� <br />FEE <br />SUB TOTAL a <br />PERMIT 5 <br />TOTAL FEE 5 <br />. STREETSETBACK REAR VARD SETE <br />20' 20' <br />LOT AREA VACANT SITE <br />f-,YES iXNO <br />OCCUPANCY GROUP NO. OF DWELLIN <br />h� 1 <br />NO. OF STORIES MA%. OCC. LI�AD <br />1 <br />BASEMENT FIRE SPRINKLERI <br />REOUIRED <br />�.-.YES ;.-�.NO <br />APPPOVALS BY , DA' <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HY�RPNT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTAI <br />B. HEALTH DISTFICT <br />APPLICATiON ACC. BY PLANS CHECKEO BV APPR. <br />stg sty/jef lc <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAM NED THIS <br />APPLICATION AND KNOW THE SAME TO BF ;RUE AND <br />CORRECT. ALL PROVISIONS OF LAWS ANiJ ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHEA SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PENMIT DOES NOT PRESUME TO GIVE AUTHURITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />l.00AL LAW flEGULATING CONSTRUCTION OR THF <br />FERFORMAIJ F�9F CONSTRUCTION. <br />sir.uevmc n�r M�/hT(1Pl1F Al1TIN1ROFO M.FNT / I OACE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYS7EM5 — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORA7IVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RaNGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE & CHIMNEY <br />FIFEPLACEINSERT <br />HEAT PUMP <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />rnt <br />SUD 707AL S <br />PERMIT S <br />TOTAL FEE 5 <br />PLAN CHECK FEE <br />FEE RECEIP7 NO. <br />VALUATION FEE <br />5500.00 10 <br />U.B.C. <br />SEC. 3W lal <br />TOTAL I I 10 I 00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THISGSPf,qEjTHI51��Q�R�E¢�7 __rc—i+� <br />3i,y u �iu <br />1 � � <br />.. �� ..•'�^r-:1 I'-° <br />. .;`...., . <br />ADDRES5 FILE <br />— ! " c7 <br />, ..�� <br />