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the Evrrgrem -�O N S�R lJ CT10� <br /> �iT��F r.. <br /> everett pERMIT PERMIT N0. 14400 ; <br /> CITY HALL 259A745 <br /> EVEHET7,WA 9H2O1 ❑ COMBINATION ❑ BUILOING � MECHANICAL ❑ PLUMBING <br /> OMMER MAILADDflE55 CITY ZIP PHONE <br /> uRVILLF�LYON 1911 - 73rd St F:verntt Wn 9B?0� 747-14z2 <br /> ARCNITECT OR�ES�GNER MAIL AOORE55 CITY ZIP PHONE <br /> OENERALCONTMCTOp MAILADDRESS QTV ZIP PMONE LICENSE� <br /> $� <br /> MEGMANIGAL CONTRACTOR MAIL ADOflESS CITY 21P PMONE UCENSE I <br /> PLUM6ING CONTNAGTOR MnIL�OORESS CITY ZIP r 'E LICENSE� <br /> CLFSS OF WORN <br /> �NEW ❑ ADDITION ❑ ALTERA7ION ❑REPAIR D DEMOLITIO� ❑ FENGE ❑ SIGN ❑ WOOD S?OVE/FIREPLACE INSERT <br /> VALU�TION OF WORK <br /> f <br /> DESCRIBE WORN <br /> WOOC� 6tOVC <br /> PROPOSED USE OF E JILDING <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIVTION OF PROPERTY�SHOW BELOW OR ARRCM FOUfl COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BIOGK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERM�T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTIOM OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRE55 SIGN F.OF CONTRACTOR Ofl THOflRE AGENT DATE <br /> 7414 Heather Way X 5 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPM NT FEE <br /> WATER CLOSET(TOILE'f) AIR COND.UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORV(YJASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS —TONNAGE EA. <br /> KITCHEN SINK&DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> OISHWASHER WALL HEATEFS— B.T.U. M <br /> LAUNDRVTRAY UNIT HEA7ERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN FIR HANDLING UNI7— C.F.M. <br /> VACUUM 9REAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE&CHIMNEY <br /> SINK(SERVICE— BAR,E7C.) FIREP�ACE INSER7 <br /> HEAT PUMP <br /> SUB TOTAL S SUB TOTAL f 7 50 <br /> PENMIT 5 PEpMII' S <br /> TOTAL FEE S TOTAI FEE S 7 50 <br /> SIDE YARD SETBACK STFEETSETBAGK REAR YARD SE7BACK PLAN CHEGK NUMBER P�AN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> �,YES ,-:NO FEES VALUATION FEE <br /> TVPE OF CONST. OC��UPANCY GflOUP NO. OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCQ LOAD <br /> PLUMBING <br /> PIPE ZO4E BASEMENi FIRE SPRINKLERS MECHANICAL <br /> REOUIRED 7 SO <br /> i'VES CiNO <br /> APVROYALS BY DA7E OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTV U.B.C. <br /> SEC.303(a) <br /> 2.8UILDING PLANS — <br /> 3.FIREHYDRANT TOTAL 7 50 <br /> q.FIRE PROTECTION SYS?EM PEflMIT VALIDATION <br /> 5.GRADING WHEN PROPERU'VALIDATED pN TMIS SPACE)THIS IS.YOUR PEAMIT`_ f") <br /> 6.DRAINAGE . , � � '. ; . ' _ �I <br /> �' <br /> 7.ENVIRONMENTALIMPACTSTATEMENT �. <br /> 8.HEALTH DISTRIC7 ;-- � <br /> APPUCATION ACC. BY PLANS CHECKED BY APPR.FOF ISSUANCE BY ' ' � <br /> ADDRESS FILE <br />