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thc£��crRreen �;� �CONSTRUCTIO� � <br />�.i�vo� <br />everett PERMIT PeRMir No. 13665 <br />CITY HALL 259 A7d5 <br />eveaer. wn eezoi � COh1BINATICN � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MF'LAO�PE55 QTY ZIP PMONF. <br />Orlo K. Williams 4417 Crescent AvenuF Everett 98203 252-7922 <br />APGHITEGTORDESIGNER MAILAODRESS GITY ZIP PMONE <br />GE�iEflFL CONTRALTOF MAIL FDORE55 GTY Zla PMONE LICENSE I <br />Same <br />MEGHANICALCONTRHCTOF MAILAODPE55 CITY LIP oHCIlE LICENSE♦ <br />PLUMBING CONTPAGTOR Ml.iL RODRE55 GITY ZIP 1'MONE UGENSE M <br />❑ NEW C ADDITION ❑ ALTERATION C��iEPAIR ❑ DEMOLITION ❑ FENCE U SIGN ❑ WOOD STOVFJFIR'cPLACE INSERT <br />VALURTION OF VIORK <br />= 400.00 <br />DESCRIOE WORF <br />repair existing foundation and porch <br />PPJPOSE� USE OF BUILDING <br />Single Fnmily Residence <br />EGAL O�ES�CR�IPTION OF PROPERTY �SMOW BELOW C <br />�or!rae�ocK 56zoF Evezett <br />3p � <br />3306 Hoyt <br />PLUMBING <br />N0. — TYPE OF FIXTURE <br />W ATE7 CLOSET ;TOILEn <br />3ATHTL'B <br />LAVATORY (WASH Bf.SIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM 6REAKERS <br />ROOF DRAINS — FAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SU0 TOTAL <br />PERMIT <br />TO TAL FEE <br />SIZE OF BLOG. IJO. Uh <br />FIRE 20NE BASEN <br />APPROVALS <br />L FNVIRONMENTAL CHECK US7 <br />2. BUILDING PLANS <br />3. FIRE HYDPANT <br />4. FIRE PROTECTIOI <br />S. GRAOING <br />6.ORAINAGE <br />7. ENVIRONMENTAI <br />SYSTEM <br />NEALTH DISTRIGT <br />�PLICATION ACC. BV PLANS CHECKED BY <br />FEE <br />� <br />S <br />S <br />REAR YARD SETBA( <br />VACANT SITE <br />;:YES .�.NO <br />NO. OF DWELLING � <br />MFX.00C.LOAD <br />FIRE SPRINKLERS <br />HEOUIFEO <br />YES NO <br />BY OATE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUC AND <br />CORRECT. ALL PROVISION:� OF LAWS AND ORDINANCE� <br />GOVERNING THIS TYPE OF `NORK WILL BE CO��APLIED WITH <br />WHETHER SPECIFIED HERE�N OR NOT. THE GRANTING OF A <br />PEFMIT DOES NOT PRESUME: TO GIVE AUTHORITY TO VIOLAT[ <br />OR CANCEL THE PFOVISiONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATIflG CONSTRUCTION OR THE <br />PERFO�tvIpNCE OF CONSTRUCTION. <br />SIGNafupe od c6[:TRpCiBA QR AUTyJRRED FGENT , DATE <br />X `�7riC�L� i�/.�'-��•-e--v.�� <br />e <br />MECHANICAL <br />N0. TYPE OF EQUIPMENT <br />AIR CONO. UNITS — H.P. EA. <br />R�FRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRE� A.C. U^IITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />N:A�L HEATERS — B.T.U. M <br />U�lIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HAN7LING UNIT — C.F_M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREF'LACE INSERT <br />ree <br />SUB (OTAL 5 <br />PEHMIT S <br />TO7AL FEE 5 <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />FEES VALUA710N FEE <br />BUILDING $ 400.00 10 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY SEC 303(a) <br />TOTAL ZO OO <br />PERMIT VALIDATION <br />WHEN PROPeRLY VALIDA'�ED pN TH S SPACE) THI$ IS,V U P Fj IT �[j <br />i � ; � ��.: p �. � ,J" � � <br />CD <br />__ M <br />1R ISSUANCE BY � �'� I I��T � <br />DAB , �� <br />,'�DDRESS FILF <br />