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a,; <br /> rhe Frc!TreoF ^O N ST R 11 C�•�O� <br /> �verett PE�M�� PERMIT NO. OgOOg <br /> C�TY HALL 259�b745 <br /> eveaeTT.v✓a 9ezoi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> �;;i��q IJpILADORp.55 CIiT ZIV PNO�IE �� <br /> John F. Bennett 1801 H�yt _ <br /> n�tUutFC10RGE5iGKER 4AiLADDRE55 Crtv ZiP PHONE <br /> G•_�l�Rnt fANiRACTOR knlL ADDRE55 Gl: 7iP PMOtIE UG'iNSE� <br /> Snohomish County Home Improvement Lake Stevens 98258 334-3683 <br /> 6�FGHFl�iChL CO'�iRrtCiOP MAiL AD�RESe GiiY La PnOJE LiGENSE� <br /> . SN 03 OC H308DZ <br /> PWMBIN4fANTRACiOR MFILADDRE55 CIiV ZIP �'HONE UCENS[� <br /> ClASS OF WORK <br /> ❑NEW ❑AO�I710N ❑ALTERATION ��,REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAR.+GE <br /> ::�I!��.iiOK Of'JlOFK <br /> 6500. 00 <br /> Ili'i�RIpE WORN <br /> re—side —Vinyl Siding <br /> r��„roceo use oc em�ou�e <br /> I HEREBY C.RTIFY THAT I HAVE READ AND EXAMINEU THIS AP� <br /> iEcn�oescmPnor+oFrr+a�eurr�e��.ow oe�ovoa urrncn Fa�ncoa�es PLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINA7JCES GOVERNING THIS <br /> ,,,, 1-2 �,�a�'�� Everett Div. L TYPF-. OF WORK WILL BE COMPLIED WI�H WHFTHER SPECIRED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DUES NOT <br /> PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> � VISIONS OF A OTHER STATE OR LOCAL LAJJ RSGULATINC <br /> CONST N THE P�,FqF�MA�CE OF CONSTRUCTION. <br /> ������� c F oF cor rn cro oe nur or+�b�(.�e'�( �/ onrc <br /> 1801 Hoyt �� -_ (Y���'' s/io/ai <br /> PLUMBING MEGHANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> l7ATER CLOSET(TOILET� AIR COND UNITS—H.P.EA <br /> �AiHTU9 RLFRIGFFlATIOIJ UNITS—H_P.EA <br /> LAVAWHV(WASH dA51N� BOILERS—HP.EA. <br /> SHOWER GAS FIPED A C.UNITS—TONNAGE EA. _ <br /> KITCHEIJ SINK 8 DISR FOPCE�AIR SYSi EA1S—B T.U. M EA <br /> DISHVlASHER _ WALL MLATERS—BI.0 M <br /> LAUNDRY TRAY UNii HEAT�RS—B T.U.M� <br /> CLOTN[5 WASHEfl NAPORATNE WCLERS <br /> WAiER HEATER GLOTHES DRYEFS <br /> URINAL VENTILAI'ON FAN _ <br /> DHINKING FOCNTAIN A/+NGE HCOD <br /> FLOOR DRAIN AIR HANDJNG UNIT— C F.M <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIR[PLACE 8 CHIMNEY <br /> SINK�SEBVICE—BAR.ETG� . <br /> SUB TOTAI. SUB TOTAL S <br /> PENMIT S PEHM�T f <br /> TOTALFEE S TOTAL FEE f <br /> SIi�L vARD SETBACH STREET SETF3ACK RAR YARD SEIBACK PUilJ CHECK NUMBER PLAN CHECK FEE <br /> F@E RWEIPT r:p <br /> UGf,ZONE LOT A9EA VACANT SITE <br /> l!YES ❑NO �EES VALUATION FEE <br /> �i i PL OF CANST. OCCUAANCV GROUP NO.OF UWEL�_ING UN�TS <br /> BUILDiNG 5 6500. 62 50 <br /> GIZE OF BLDG NO.OF STORIES MAX.OCC.LOAD — <br /> PLUMBING <br /> FlRE ZONE BASEMENT FIpE SPRINKLERS <br /> REOUIFE6 MECHANICAL <br /> rYES IlNO <br /> APPROVALS BV DATE OTHER <br /> t. ENVIRONNENTALCNFCKLIST pENnLTY U.BC. <br /> SEC.303(a) <br /> ' ftUILDINGPLf�t1S — <br /> : FlRF HY�RANT TOTAL E 2 S O <br /> : IIRE PROTECTION SYSTEM PEflMIT VALIUATION <br /> — \vHEN PROPERLV VALIDATED(IN T4115 SPACE)THIS IS YOUR PERMIT <br /> 5 GPFDING <br /> 5 DAAINAGE i . � j � �� �7 L. � � —� � <br /> ENVIRONMENTALIMPACTSTATEMENT d <br /> H HEALTH�ISTRICT C7 <br /> t.PP�ICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANC[�Y � , ,� .., I i� <br /> � � .. , : <br />