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lheb��Pr;rPert �� OCO �ISTRI�CTlO� � <br /> everett pERMI'T PERM�r No. 1 � 490 <br /> GTY HALL.^59B7d5 <br /> EVERE77.WA90201 � COMBINATION X7C BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> ON'N[R NFIL FDORE55 CRY ZIP PMO4E <br /> Lee G. Johnson Jr. 1702 Hoyt Avenue Everett 98201 252-5858 <br /> ARCHIiEGT OR pE51GNER MAiL AD�RE55 �ITY ZIP PHONE <br /> GENEFAL CONTRPLTOR MAIL AOORE55 QTY 21P PMONE LICENSE• <br /> Same <br /> MECHANIG^l CONTFFCTOP MAIL F�ORE55 LRY 21P PMONE LI�ENSE� <br /> PLUMflING LVNTRACiOF MFIL AOpflE55 CITY Zlp PHONE LiCENSE� <br /> CLA55 OF WOFN <br /> ❑NEW ❑ ADf71TION ❑ ALTERATION �¢iEPAIR ❑ DEMOLITION ❑ FENCE C SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORF <br /> S 8�0.0� <br /> DESCRIBE YlOFN <br /> repair car-port and garage -oof <br /> PROPOSED USE OF BUILOING <br /> I HEREBY CERTIFY THAT � HAVE READ AND EXAMINED THIS <br /> Sinqle Famil Residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESGRIPiIONOFPROPERIY�SMOWBELOWORATTACNFOURGOPiES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> i�Q,31,���K 395 oF Everett Div. L GOVERNING THIS TYPE OF WORK WILL BE COMPL!ED WITH <br /> WHETHEF SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOF:S NOT PRESUME TO GIVE AUTHORITY TO VIOIATE <br /> OR CANCE; THE PROVISIONS OF ANY OTHER STFTE OR <br /> LOCAL LAW REGUiATING CONSTRUCTION OR THE <br /> PEH�A� STFUCTIO�. <br /> JOB ADOPE55 SIG� E'OF CO, iA AUTNORI F" 7 OAIt <br /> _ '_702 Hoyt (�=�Q� 9 27 85 <br /> PLUMBINC. MEC ANICAL � <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. YpE OF E�UIPMENT FEE <br /> WATERCLOSET�iOILET� AIR COND.UNITS— H.P. EA. <br /> BATHTUB REFRIGERAiION UNITS — H.P.EA. <br /> LAVATORV�WASH BASIN� BQ'1_ERS — H.P.EA. <br /> 3HOWER GAS FIRED A.C.UNITS — iONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCE�AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER VJALL HEATEFS— B.T.U. M <br /> LAUNDRI'TRAY UNIT HEATERS— B.i.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> flOOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTl:L S SUB TOTAL f <br /> PEPMIT S PERMIT S <br /> TOTALFEE S TOTAI FEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACN PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE LONE LOT AREA VACANT SITE — <br /> .YES .�NO PEES ypLOpTION FEE <br /> TVPE OF COM1ST. OCCUPANCY GflOUP NO.OF DWELLING UNITS <br /> BUILDING s 800.00 14 50 <br /> SIZE OF BLDG. NO.OF STORIES IAA%.OCC.LOAD <br /> PLUMBING <br /> FIHE ZONE BASEMENT FIPE SPRINKLERS MECHANICAL <br /> FEOUIRE� <br /> VES NO <br /> APPROVALS BY DATE OTHEfl <br /> 1. ENVIRONMENTAL CHECK UST PEPIALTV U.6.C. <br /> 2.BUILDING PLANS SEC.309(a) <br /> 3.FIREHYDRANT TOTAL 14 SO <br /> 4.FIRE PROTECTION SYSTEM PEflMIT VALIOATION <br /> 5.GRADING bVHEN PROVERCt YAUDATE�pN THIS SPACE�THIS IS VOUR PERMIT Q <br /> _6.DRAINAGE 3 3 !I n � 0 I �'. C O __ �� <br /> o � <br /> 7.CNVIRONMENTALIMPACTSTATEMENT <br /> B.HEaLTM DISTRICT _f - � <br /> APPLICATION ACC. BV PLANS CHECKED 6Y APPR. � .A ISSUANCE BY `' ' <br /> ��� � I �-� � -�•i-�� .�• <br /> ..� � . � ��. . . . 1 <br /> . . . ... � �. . �/ <br /> A�li��.: =l. � �I I � � �._i� U � <br />