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--- . <br />' tl�e El•ergreen Cr"N�� R l!CT I O N <br /> �iTY�F <br /> everett PERMIl' FERMIT N0. 10498 <br /> CITV HALL 259�8745 <br /> eveaerr wn 9ezo� ❑ COMBINATION � BUILDING � MECHANICAL � PLUMBING <br /> ' OWNER IAAILAUDRE55 CIiY ➢{' PNGNE <br />� Austin A. Dwyer 1302 Hoyt Everett 98201 252�•9279 <br /> ARCHITELi OP pE51GNEP IAAIL ApDRE55 CITY 21P PHONE <br /> G@IERAL CONTAACTOR MAIL ADDRE55 Clrv 21P RIONE UCENSE♦ <br /> Same <br /> � MECHANICALGONTRACIOP MAILADDFES$ QiY ZIP PMONE LICENSEI <br /> PWMBiNGLONTRACTOP MAILAD�RE55 CrtY ZIP PHONE LiCENSEI <br /> GIA55 OF WORN <br />� ❑NEW C�f�DDITION ❑ALTEflAT10N ❑REPFIR ❑�EMOL�7iON ❑FENCE ❑SIGN ❑GARAGE <br /> VFLUATION OF WORK <br /> S 151QQ�. �O <br /> UESCRIBE WOdK <br />� Addition to existing residence <br /> I PROi'OSED USE OF 9WL�ING <br />� Single Family Residenr. I HEREBY CERTIPY THAT I HAVE READ AND EXAMINED THIS AP� <br />� iecn�oescnianor�oFaROFea*r�sNowee�owoennAci�Founcoaicsi � PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> I ��0-32 e�cek�4AF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> I HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />! PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL IAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOBADDi�E55 SIGNAiUREGF('qNiRACTORGPnt1iHORIZEDAGEN \ DFiE <br /> 1302 Hoyt X uC � L �ce J S- o- r <br /> PLUMBING MECHANICA <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 1 WATER CLOSET(TOILETI AIR COND.UNITS—HP.EA. <br /> PATHTUB REFRIGERATION UNITS—H.P.EA __ <br /> ]. LAVPTORY(YJASH BASIN) BOILERS—H.P.EA. <br /> SHOWEF GAS FlRED A.C.UNITS—TONNAGE EA. _ <br /> KITCHEN SINK&DISP. FORCED AIR SYSTEMS—P.T.U. M EA. <br /> DISHWASY.ER WALL HEATERS—9.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES VJASHER EVAPORATIVi CObLERS <br /> YlATER HEATER CL01HE5 DRYEPS <br /> URINAL VENTILATION FPN <br /> DRINKING FOUNiAIN RANGE HOOD <br /> fLOOFi DRAIN Alfi HAIJOLING UNIT— C.F.M. <br /> VACUUM BREAKEFiS STOVE <br /> Z ROOF ORAINS—AA�NLFADERS METAI FIPEPLACE 8 CHIMNEY � S O <br /> SINK�SERVICE—BAR,ETC.) <br /> SUB TOTAL SUB TOTAL S 1 O S O <br /> PERMIT f PEfiMIT f <br /> TOTAL FEE S 1 O O O TOTAL FEE S <br /> SIDE YARD SETBACK SiPEET SET�ACK flEAR YARD SETBACK PL4N CNECK NUM�ER PLAN CHECK FEE <br /> FLE RECEIPT NO. <br /> 82/10498 71. 83 57287 <br /> USE ZONE LOT AREA VACANT 51TE FEES YALUATION FEE <br /> L�YES ❑NO - <br /> TYPE OF CANST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> V—N Add' n R-3 1 BUILDING <br /> �j.5 ,000. 110 50 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC,LOAD . — <br /> I�Cjd� n 400 $Q. t. 2 PLUMOING ].� �� <br /> FIREZONE 6ASEMENT qEOUIREDKLERS MECH�NICAL LO SO <br /> CIYES ❑NO <br /> APPROVALS BY OATE OTHER <br /> 1. ENVIPONMENTALCHECKLIST pENA�jy UBC. <br /> SEC.3W(a� <br /> 2. BUILDING PLANS N <br /> 70TAL 130 00 <br /> 3. FIRE HYDRANT � �. <br /> 4. FIRE PROTECS�IN SYSTEbT €�p7��N,�T�y}A,� TI ON <br /> 5. GRADINC� L� �''�H �'�"^���AT (IN THIS SPACE)THIS IS YOUR PERMIT <br /> 235a S 1 10.5A —� <br /> ..y DRAINACE� 69 � <br /> . ENVIFONZdENTALIMPAClSTATEMENT ._ �� R RECEIP� ' � <br /> � <br /> a H��T�raSq�cT Q �;� R,.; 1'OU a'OUR RECEIfT�-+ <br /> ppPPLICATI AmPY NSCHECKEDBV APPR.FORISSUANCEBY TNA�IK YQU <br /> c�c� I xwn� r.c <br /> —+ � � u�Y H Z � <br /> � ADDRESS FILE ' ; _ � I �AY SZ i <br />