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�r '� <br />� `"e�'��T'�°F r CONSTRUCTIOr ' <br /> r everett <br />, GTVHALL259�B7d5 PERMIT PERMIT N0. 12436 <br /> I EVERETT,WA 98207 ❑ COMBINATION X� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAIL�ODRESS CITV ZIP PI'ONE <br /> �I.ARENCE POTTERS 2672 F ('rand FvP +t oR7ni S7 17•�1 <br /> APLHITECT OR DESIGNER MAIL FDORE55 CITY ZIP pqqryE � <br /> GENER4L CONTHAGTOP MAIL�DDRE55 CITY ZIP PHOVE LIGENSE/ <br /> �ERMA-BILT IND. 3416 FVF.RFTT AVF FvorP++ QR7f11 9SR-d771 PFRirtART17q.TR <br /> MECHANIG�L CONiRACTOR MAIL AD�RESS CITY ZIP PNOI.E LICENSE• <br /> PLUMBING GONTFACTON MAIL ADDRE55 CITY ZIP PHON° LIGENSE• � <br /> � <br /> 1 <br /> CLA55 OF WORK <br /> �F1EW O AD�ITION ❑ ALTERATION ❑REPAIR G DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WORK <br /> ' 4,400. 00 <br /> DESCRIBE WORK � <br /> Construct ara e <br /> PROFOSEO USE OF BOILDIHG —� <br /> Gara e I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL OESGRIPTION OF PROPERTY�SHOW BELOW OR ATfACH FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �o���iZ�e�oc�92 oF MITCHELL LP.ND GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB AODRE55 SIGNF R GO TR TOR OR A�iHORI1ED r1GENT O�TE <br /> 2612 E. Grand X <br /> PLUMBINfi MECHANICAL <br /> N0. TYPE OF FI%TURE OR I i EM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILE7) AIR COND.UNITS— H.P. EA. <br /> BATHTUB REF(iIGERATION UNITS— H.P.EA. <br /> LAVATORY�WASHBASINI BOILERS— H.P.EA. <br /> SMOWER GAS FIRED A.C.UNIiS—TONNAG: EA. <br /> KITCMENSINKBDISP. FORCEDAIHSYSTEMS— B.T.U. MEA. <br /> �ISHWASMER WALL HEATERS— B.7.U. M <br /> LAUNDRV TRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASMER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTMES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE MOOD <br /> FLOOR DRAIN AIR HANDLING UNI7 — C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS ME7AL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUS TOTAL i SUS TOTAI f <br /> � PERMIT t PENMIT f <br /> TOTAL FEE f i T0TI1L FEE f <br /> SIDE YARD SE7BACN S7REETSETBACK REAF YARD SETBACK PLAN CMECK NUMBER PLAN CHECK FEE <br /> 5' 20' N/A 83/12436 FEE 28 . 93 ��r,��No. <br /> USE ZONE LOT AREA VACANT SITE <br /> [t—Z I-YES �'NO FEES VALUATION FEE <br /> TYPE OF GONST. OCCUPANCV GROUP NO.OF OWELLING UMITS <br /> V-N M BUILDING 54,400. 44 50 <br /> SIZE OF BLDG. NO.OF STORIES MAl(.OCC. LOAD <br /> 24x24 1 PLUMBING <br /> FIFE20NE BASEMENT FIRESPRINKLERS MECHANICAL � <br /> � FEOUIPED <br /> CVES :�NO <br /> APPROVALS EY DATE �7MER <br /> 1.ENVIHONMENTAL CHECK IIST PENALTY U.B.C. <br /> 2.BUILDING PLANS SEC.J03�a1 <br /> J.FIREMVORANT TOTAL 44 SO <br /> 4.FIHE PROTECTION SYSTEM PENMIT VALIDATION <br /> � 5.GtiADING WHEN PROPERLY VAUORTED(IN TII,�S�S�5E1 THI�1�!'�R� �MI_— � <br /> 6.DRAINAGE � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � � <br /> B.HEALTM DISTRICT �v � <br /> APPUCATION ACC.BY PLANS CHECKED BY APPR. FOR ISSUANCE BY YO U R REC E IPT � ' <br /> STG DAB pg + ��ANK YOU <br /> � <br /> qnDRE55 FILE 2 j � 83 <br /> 1 � <br /> � <br />