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ds Ercrg/ern F �� 1 <br /> GTY OF <br /> everett PERMI� PERMIT NO. 09477 <br /> CITY HALL 259�8745 � COMBINATION ❑ BUILDING ❑ MECHANfCAL Gc�tFLUMBING <br /> EVERETT.'JJA 9bZ�� Zip aHor�E <br /> Mna Rconess crtr <br /> OWNER Everett 98203 <br /> Brian Medler 308 Heather Way Z�p oHONe� <br /> MPIL ADDRE55 GITY <br /> FflCMITECT OR DESIGNER <br /> Z�P PHONE LICENSE/ <br /> MAIL ADDRE55 CItV <br /> GENEPPL�NTRACTOR , <br /> ZIP -.. PMONE LIGENSE/ <br /> MAIL AD�PE55 ��TM <br /> MECHANiGALCONTPAGTOR <br /> Z�P PMONE IICENSE I <br /> MAI�AD�FESf+ ��TM <br /> PLUMOINGCANitVAC10A 201 7th Snohomish � 568-3197 <br /> Allied Spraying and Landscaping <br /> LV.55OF WORN <br /> ❑NEW ❑AUDITION ❑ALTFRATION ❑REPAIR ❑OElAOLITION ❑FENCE ❑SIGN GARAGE <br /> yq�UAT10N OF WORK <br /> b <br /> DESCRiBE WORK � <br /> PROPOSEO USEOF BUILDING � HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT. <br /> LEGAI.OESCRIFTION OF PFOPEAT�'(SHOW BELOW OF ATTACH FOUfl COPIES) ALL PROVISIONS OF tAWS AND ORDINANCES GOVERNING THIS <br /> TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED <br /> iaT BLOGIL�OF HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTR�UCTION. <br /> SIGNATU OF fANiRA�OR UT OPIZED^�E'+' ��13/81 <br /> JOB A�DAESS J( ��0,��� <br /> 308 Heather Way <br /> MECHANICAL FEE <br /> pLUMBING FEE NO. TYPE OF EOUIPMENT <br /> NO. 7YPE OF FIXTURE OR ITEM pIR WN�.UNITS—H?�EA_ <br /> WATER CLOSET(TOILEn pEFRIGERFTION UNITS—H.P.FA <br /> BATHTUB BOILERS—H.P.EA. � <br /> LAVATORY(WASH BASIN) GAS FIRED AG.UNITS—TONNFGE EA._ _ <br /> SHOWER FORCED AIF SYSiEMS—B.T.U. M EA <br /> KITCHEh SINK&DISP. WpLL HEATERS—B T.U. N' <br /> DISHH'ASHER UNIT HEATERS—B.T.U. M <br /> LAUNORYIRAY EVAPORAiIVE COOLERS <br /> CLOTHES WASHER CLOTHESORYERS <br /> WqTER HEATER VENTILATION FAN � <br /> URINAL RANGE HOOU <br /> DRINKING FOUNTAIN q�p HANDLING UNIT— C.F.M. <br /> FLOOR DRAIN STOVE <br /> 1 VACUUM BREAKERS META�FIREPLACE 8 CHIMNEY <br /> ROOF DRAINS—RAINLEADERS <br /> SINK ISERVICE—BAR•ET��) <br /> SUB TOTAL s <br /> SUBTOTAL PERMIT s <br /> PERM�T s 3 00 70TAL FEE f <br /> TOTAL FEE f PLAN CHECK FEE <br /> pEAN YARD SETBACK PLAN CHECK NUMBER qECEI�NO. <br /> SIDE YARD SETBACK STflEEi SETBACK FEE <br /> VACANT�ITE VALUATION FEE <br /> USE ZONE ��T AREA ❑YES ❑NO FEES <br /> TYPE OF CANST. OCCUPANCY GROUP N0.OF DWELLING UNITS $ <br /> BUILDING — <br /> NO.OF STORIES MAX.00C.�OAD S 00 <br /> SIZE OF BLDG. PLUMBING <br /> FIPE SPRINKLERS � <br /> FIRE 20NE BASEMENT qEOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> gy DATE OTHER <br /> APPROVALS U.B.C. <br /> t. ENVIRONMENTALCHECKLIST <br /> PENALTY SEC.303(a) <br /> 5 0� <br /> 2. BUILDING PLANS TOTAI <br /> 3. FIRE HYDRANT pERMIT VALIDATION <br /> 4. FIRE PflOTECTION SYSTEM WHEN PROPEflLY VALIDATED(IN THIS SPACE)THI515 YOUR PERMIT <br /> 5. GRADING l: �: i 7 ~ � O l. O V � `� <br /> � <br /> 6. DRAINAGE � <br /> 7. ENVIRONM,ENTAL IMPACT STA7EMENT , . , Q <br /> �i� � <br /> 8. HEALTH DISTRICT . „ , � � <br /> APPR.FOR ISSUANCE BY � � � ,.J <br /> APPLICATION ACC.BY PLANS CHF.CKED BY . . <br /> i i. <br /> i ' . �. � <br /> ADDRE55 FILE <br />