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�hrf.�rerrrreri � -CONSTRUC�I�OP, <br /> everett PERMIT PERMIT NO. 15312 <br /> CiTY NA�{,p59�B7d5 <br /> EveaeTT.waeezai r� COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MFIL ADDRE55 CITV ZIP PMONE <br /> D�lEW NIELSEN �311 HOYT AVE EVERETT WA 98201 259-6184 <br /> AAC1117ELT OR OESIGNER MAIL ADORESS CITY 21P PNONE <br /> GENERPL GONTRPGTOR MAR ADORE55 GITY ZIP PMONE LIGENSE� <br /> Quantum/Paul Vexler <br /> MECNANtLAL CONiRACTOR MRIL POOFESS GITY ZiP PHONE LICENSE/ <br /> PLl1M6�NG GONiRRLiOfl MAIL AO�RE55 CITY ZIP PMONE IJCENSE� <br /> CLA55 OP WORK <br /> ❑ (JEW L� ADDITION [�] ALT'cRAiION O HEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ W007 STOVEIFIREPLACE INSERT <br /> VAWRTION OF WORK <br /> s 10,000.U0 <br /> DESCRIBE WORK <br /> Kitchen remodel - new cabinets, wiring <br /> PROPOSEO USE CF DUILDiNG <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AtJD EXAMiNE7 THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESCRIPTIONOFPROPERTY�SMOWBEl01YONATfAGMFOURCOPIES� CORRECT. ALL PROVISIONS OF IAWS AfaD ORDINANCES <br /> 5&6 245 Everett "R" GOVERNING THIS�fYPE OF WORK WILL BE COMPLIED WITH <br /> �or__e�ocK_oF WHETHER SPECIFIED HEREIN OR NOT.THE GRAPJTING OF A <br /> PERMIT DOES NOT PRESUME TO GNE AUTHORITY�fU VIOLATE <br /> — OR CANCEI. THE PHOVISIONS OF ANY OTHER STPTE OH <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFO MANCE OF CON TRUC710N. <br /> JOB ADDAESS SIGNAT❑ '�CO P� R i CH2ED FGENi g�29�g5 <br /> 1311 Hoyt X <br /> PL�:ABING MECHANICAL <br /> NO. TYPE OF FIX�fURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> VlATERCLOSET�TOIIEq AIR COND. UNITS— H.P. EA. <br /> BATHTUB REFFIG[RATION UNITS— H.P. EA. <br /> LAVATORY�WASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GPS FIRED A.C.�1NITS—TONNAi3'c EA. <br /> � NITCHEN SINK 8 DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRYTRAY UNIT HEATERS— B.T.U. M <br /> CIOTHES WAFHER EVAPORATNE CGOLERu <br /> WATER MEATER CLOTHES DRYERS <br /> URINAL � VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT — C.F.M. <br /> VD,CUUM BR[AKERS STOVE —WOOD _ <br /> RDOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CMIMNEY <br /> SIRK(SERVICE — BAR, ETC.� FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL S 4 OO SUBTOTAL 5 <br /> PERMIT S � PERMIT S <br /> TOTAL FEE S Q QO ���TA�FEE f �_ <br /> SIDE YARD SETBACK STREET SETBACK REAR YARO SFTBOCK PLAN CHECK NUM6ER PUN CMECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE 8y �53�Z 52_33 �9 � <br /> � YES �.x1J0 FEES VALUAiION FEE <br /> R-2 <br /> TYPE OF CONST. OCCUPANCV GflOUP NO.OF DVJELLING 11NIT5 <br /> V-N R-3 � BUILDING s 10 000 00 0 ` <br /> SIZE OF BLDG. N0.OF STORIES MAX.OCC. LOA� <br /> PLUMBING 4 <br /> FIREZGNE BASEMF.NT REOUIFED KLERS MECHANICAL — 9 Q <br /> YES NO <br /> qPPN0VAL5 BY �ATE OTHER <br /> 1. ENVIRONMENTAL CHECI:LIST PENALTY U.B.C. <br /> SEC.J09 la) <br /> 2.BUILDING PLANS .o TOTAL 93 � <br /> 3.FIPEMVDNANT �"� <br /> 4 FIRE PROTECTION SYSTE PERMIT VALI�ATION <br /> Vi(HEN�R�OP��Y VALID�D(IN THIS,6Fi.4�E)THI�IaY�l�i fLEF�+11T Q�,� <br /> '5.�G_RADING � �o � i� 7 � U b U J U �:..� <br /> 6,�DhA1NAGE' - --�� _ ('n <br /> jyEN\'IFiONMENTALIMPAGT` AT�EMENi I.�;� <br /> �MEALTHQI$T91QT � - " I, �I�_� U I� RECGIPT �� � <br /> _nNPLIGATIOF{ACC. 6Y �LANS CHECKED 8Y APPR.FOR ISSUAKCE HV �� �: REC E I PT <br /> •,; - ; o ����� •i0U 1 ' I,^,RK YOU <br /> 'eti: jef lc <br /> A 2 9 AUG 8 5 2 9 AUG i;j <br /> iAUfaR[55 f-IlF <br />