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the Evcrkreen � � C O N ST R U CT I� • <br /> cirv OF <br /> everett pERMIT PERMIT NO. 14O1S <br /> CITY HALL 259�8745 <br /> EVERETT,WA98201 � COMBINATION ❑ BUILDING �] MECHANICAL ❑ PLUMEING <br /> OWNER MAIL ApJPE55 CITY ZIF PMONE <br /> STEPHAN WESCOTT 1022 GRAND AVE, EVERETT WA. 98201 252-5973 <br /> pRCHITEGT ON OESIGNEP MRIL ADORESS CITY ZIP PHONE <br /> GENERAL GONTRACTOR MAIL A�ORE55 CIiY ZIP PHONE IICENSE Y <br /> MELM�NICAL GONTRACTOR MAIL A�Df1E5S CITY ZIP PHONE LICENSE� <br /> CUSTOM GAS 2232? 57th AVE B.E. BOTHELL W.A. 98011 481-5515 <br /> PLlIM81NG CONTRACTOR MAIL A�ORESS CITY 21P PHONE LICENSE� <br /> CUSS OF WORK <br /> ❑ NEW ❑ ADOITION �] ALTERATIqN ❑REPAIR O DEMOLITION ❑ FENCE O SIGN O WOOD STOVE/FIREPLACE INSERT <br /> VALURTION OF WOHK <br /> S <br /> DESCRIBE WORN <br /> PROPOSED USE OF BUILDING <br /> SINGLE FAMILY RESIDENCE I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCFIPTION OF PROPERTY�SMOW BELOW OR ATfACH FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCN_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.'('HE 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 TI E <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGNAT OF CONTRACTOR OR AUTl�O;REO iC.ENT OATE <br /> 1022 GRAND AVE, X 10/8/84 <br /> PLUMBIN6 MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPME T FEE <br /> WATERCLOSET�TOILEf) AIR COND.UN�TS— H.P. EA. <br /> BATHTUB REFRIGERATION UYI75— H.P. EA. <br /> LAVATORY(VJASH BASIN) BOILERS— H.P.EA. <br /> SHOWER GAS FIRED A.C. UNITS—TONNAGE EA. <br /> KITCHEN SINK d DISP. FORCED A�R SYSTEMS— B.T.U. M EA, <br /> OISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> �RINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANOLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—W000 <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK(SERVICE— 2AR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL f SUB TOTl1� i <br /> PENMIT S PEflM1T S <br /> TOTAL FEE S TOTAL FEE t <br /> SI�EYARD SETBACK STREET SETBACK REAR YARO SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> [:VES I;NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUIL�ING S <br /> SIZE OF BLDG. NO.OF STOF 5 MAX.OCC. LOAD <br /> F:UMBING <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> � YES LNO <br /> APPROVALS BV OA7E ��THER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS <br /> 3.FIRE HYORAN7 TOTAL <br /> 4.FIRE PP�TEGTION SYSTEM PERMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDA7ED pN THIS SPAOE)THIS�I�Y�Uq P�EqM1T � <br /> 7 U <br /> 6.DRAINAGE <br /> � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> 8.HEALTH DISTRICT ' �� ; I��� � <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> �J <br /> lc lc <br /> _ �� •'�.� L -i <br /> ADDRESS FILE <br />