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Ihe Ere.ereen <br /> everett � � CONSTRU�TI0�1 � ___ <br /> PE�MIT PERAAIT NO. 15� 3� <br /> CITY HALL 2598745 <br /> EVERETT.WA9820t V COMBINATION C� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> 01YNEA MAIi AOpRE�S C�iV Z6� PHONE <br /> �lvan Sand Castello 2023 Hoyt Evarett 258-1689 <br /> NRCMIiECt OR DESIGNER MhLL<DDRESS CiTV iJP PHONE <br /> GENERAICONTRACfOR IdAILt�DRE55 CITY ZIP PHONE UCENSE� <br /> MECMANILA�WNTFAf,fOR MAILADORE55 CITV ZiP PHONE LICENSEM <br /> Valley NatuLal Gas <br /> PLUMBING CONTFAf.TOF MAIL AO�RE55 CiTY ZIP PMONE LICENSE� <br /> CLA55 OF Y/ORK <br /> ❑ NEW ❑ ADJITION � ALTERATION Q REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> vn�uanorv oF woaK <br /> s <br /> DESCPIBE WORK <br /> � <br /> PROPOSED USE OF 9UILDII:G <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIo <br /> APPLICA710N AIJD KNOW THE SAME TO BE TRUE ,AND <br /> �EGAL�ESCRiPTIDNOFPFOPEFiY�S'101"BELOYJORAiTpCHFOUflCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> iar_e�ocK_oF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRAIJ'lING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY' OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THt <br /> PERFORMANCE OF CONSTRUCTION. <br /> J06 ADDRE55 SIGNATORE OF CONiRACTOF OR UTMORIZ[0 FGEl1i DATE <br /> 2023 Hoyt X r 9/18/85 <br /> PLUMBING MEC NICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPNcNT FEE <br /> WATERCLOSET(TOILET) AIR COND.UNRS — H.P. EA. �— <br /> BATHTUB REFRIGERAiION UNITS — H.P.EA. <br /> LAVATORY�WASH BASIN) BOILERS - H.P. EA. <br /> SHOWEP GAS FIRED A.C. UNITS—TONNAGE E�. <br /> NITCHEN SINK H DISP. FORC��D AIR SYSTEMS— B.T.U. M EA. <br /> DISMWASHER WAL'.HEATERS— B.T.0 M <br /> LAUNORYTRpY UNIT HEATER�— B.T.U. ' M <br /> CLOTHES WASHER EVAF�RATIVE COOLERS <br /> WATER HEATEF CLO'rIES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RAN6E HOOD <br /> FLOOR DRAIN AIR HANDLING l�N1T— C.F.M. <br /> `/ACUUM BREAKERS STOVE —WOOD <br /> ROOF DPAINS— RAINLEpDERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE — BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> 1 Gas Pi in 2 00 <br /> SUB TOTAL a SUB TOTAL S 8 00 <br /> Y:�PMIT S PLRMIT 5 lO OO <br /> T�TALPEE S TOTALFEE S B O <br /> SIDE VARD SEl"AACK STF'-Ei SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AflEA VACANT SITE <br /> ; .YES . .NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPhNCV GROUP NO.OF DWELUN�UNITS <br /> BUILDING S <br /> SIZF^F BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUM9IVG <br /> FIRE ZONE BASEMENT FIflE SPRINKLERS MECHANICAL <br /> RE�UIflED 1$ OO <br /> YES NO <br /> APPROVALS BY DAiE OTMER <br /> 1.ENVIPONMENTAL CHECK LIST PENALTY U.B C. <br /> — SEC.30J(al <br /> 2.BUILDING PLANS ZB OO <br /> 3.FIRE HYORANT T�TA� <br /> A.FIRE PROTECTION SYSTEM PERMIT VALI�pTION <br /> 5.GRADING �M1'HEF PROPERLY VALIDATED(IN THIS SqA6L-hTH15 I$YlD�QEfOArt ...--CQ� � <br /> [ Ob I ,pU o � <br /> 6.DRAINAGE <br /> �' <br /> 7.ENVIPONMENTALIMPACTSTATEMENT <br /> 8.HEALTH D�STRICT V;� � I n � <br /> .: �. �Ccri���-� <br /> APPLICATION ACC. BY PLANS CMECKED BV APPR. FOR ISSUANCE BV <br /> '. ;."_''�li: YC: U <br /> � ] SEP �S <br /> F,o�r<Ess r�iE <br />