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, . <br /> �,,eE,.�����e., CC"JSTRUCTION - <br /> CITY OF <br /> everett PER��Y PERMIT NO. OS144 <br /> CITV HALL 259�8745 <br /> evEaErr.wn ee2oi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> owHcn uo-unoonEss air zia vHone <br /> S. F. Swain 11301 West Zbberson 98204 <br /> pqCHrtEGTOR0E51GNER MAILAODRESS CITY ZIP PMONE <br /> GENERALGONTRACTOF MARAODRE55 LIiY ZIP PHONE LICEtISEr <br /> Same <br /> MECHANI(:ALCANTRACTOfl hIPIIADDPE55 CITY ZIP PHONE LICENSEI <br /> GLUME3INGCANTRACiOH MAILAD�PE55 CIiV ZIP PNONE L�CENSE� <br /> C1A55 OF WONN <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑FIEPAIR ❑DEMOLITION }[�,FENCE ❑SIGN ❑GARNGE <br /> VALUATION OF WORK <br /> xaaxaa soo.00 <br /> E <br /> DESCRIBE WOFK � <br /> erect 92' fence AND e <br /> PROPOSEO USE OF BUiLDING <br /> single family residence I HEREBY CERTIFY THAT I HAVE FEAD ANL' ti�AMINED THIS AP- <br /> �ecn_oescaianor+oFcaoPearvisr�owae�owonnrrnuiFouaeovies� PLICATION AND KNOW THE SAIAE TO BE �TRUf AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDiNANCES GOVERNING THIS <br /> io�2 � 23 m�_oF Ibberson Park TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTWG OF A PEh'MIT DOES iJOT <br /> PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORM,vNCE OF CONSTRUCTION. <br /> SIGHATUR EB CONTRAGiOR OR AUTM IZEO FGENi �ATE <br /> J00 ADDPE55 � <br /> 11301 West Ibberson Drive X 8/2� 2/80 <br /> PLUMBING M HANICAL <br /> NO. TYPE OF FIXTURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET ITOILET) AIR COND. UNITS—HP.EA. <br /> BATHTUB REFRIGERATION UNITS—HP.[A <br /> lAVlQOii�PNFSH BASIN) �OILERS—HP.EN. <br /> SHOWER GAS FIRE�A.C.UNITS—TONNAGE EA. <br /> KITCHF.N SMK R DISP. FORCED AIR SYSTE67S—B TL. M EA <br /> DISHWASHEF WALL HEATERS—B T.LL M <br /> LAUNDRV TRAY UNIT HEATEFS— BS.U. M . <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENiILAT10N FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> Pl(�OR DRAIN AIR NANDLING U��IT— GF.M. __ <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAMLEA�EP.S METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE—BAR,ETC.1 <br /> SIIB TOTAL SUB 70TAL S <br /> P[flM1T S PERMI7 5 <br /> TOTAL FEE 5 TOTAL FEE S <br /> SIDE YARD SET04CK STPEE.T SETBACK F7EAR YARD SET�ACX PLAN CHECK NUMBER PLAN CHWK FEE <br /> FEE I RECEIPT NO. <br /> USE ZONE LOT AREA VACANT S�7E FEE, yq�UATION FEE <br /> ❑YES ❑NO <br /> TVPE OF CANST. OCCUPANC`.'GflOUP NO.GF OWELLING UNITS <br /> eui�ciNc $200. 00 5 00 <br /> SIZG OF BLDG. M1O.OF STORIES tdA%.�x.IOAD <br /> PLUMBING <br /> FIRE ZONF BA:i9MENT R1EOUIRED RLERS MECHAHICAL <br /> ❑YES C1N0 — <br /> APPROVhLS BY DATE OTHFR <br /> 1. ENVIRONMENTAL CHEG:ll5i p�Nq�Ty U.B.C. <br /> _- SEC.303(a) <br /> e. BUILOINGPLANS S OO <br /> - TO7AL <br /> 3. FIRE H'i DRANT <br /> 4. FIRE PROTEf,TION 5"STEM PERMIT VALIUATION <br /> . WHEN PROPERLY VALIOAiED pN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GPADING � I � S ,�r O O l. O C i� � <br /> 6 ORAINAGE <br /> 7. ENVIRONMENTALIMPACT STATEMENT � <br /> � <br /> e. HEALTH D�STRIC7 -7 `��'p� <br /> `i . _ i� (," � � <br /> APPLI�ATIOP' ACC.BY — PLANS CHECKEO�Y- - APPR.FOR ISSUANCE BY <br /> ",�JK YOU <br /> v.c. <br />