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{ everett PERMIT PERMIT N0. 1665g <br /> CITY HALL 259�87�5 <br /> fVERETT.WA 98201 ❑ COMBINATION rxl BUILDINO ❑ MECHANICAL ❑ PLUMBINO <br /> OWNER MPIL ROOPE55 CIiY ZIP PHONE <br /> FRANK WILLITS 1023 Grand Everett WA 98201. 252-0936 <br /> � NITEC7 OR DESIGNER MRIL R�DRESS CITY ZIP PMONE <br /> DEN RAL CONTR�GTOR MAIL ADORE55 GITY ZIP PMONE LICENSE� <br /> Everett Buildere 5606 Evergreen Way Everatt WA 98203 353-7161 EVEREB3111 <br /> MEGMANICAL CONTR�CTOR MFII�fIDNE55 CITY ZIP PNONE LICENSE 1 <br /> PLUMBINQ CONTR�CTOR M�IL�O�RCSS CITY ZIP PHONE IICENSE I <br /> CLASS OF WORK <br /> O NEW ❑ ADDITION O ALTERATION Q REi AIR ❑ DEM�LITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALU�T�ON OF WORN <br /> s 3004.00 <br /> UESCRIBE WORN <br /> Reroof <br /> PROPOSED USE OF BUILOING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEG�L DESCRIPTION OF PP�PERTY�SHOW BELOW ON ATTACH FOIIR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT__BLOCN�F Bailev's Ad GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEflEIN OR NOT.THE GRANTING OF A <br /> Frac lots 5 & 6 PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW FEGULATING CONSTRUCTION OR THE <br /> PER RMANC CONSTFiUCTION. <br /> JOB A�DPESS SIC�NA RE OF f�ONi R P OR AUTMOR ZE GEN � DATE <br /> X � <br /> PLUMBIN(i MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSETITOILEn AIH COND.IINITS - H.P. EA. <br /> BATHTUB REFRIGERATION UNITS- H.P.EA. <br /> LAVATORY�WASH BASIN) BOILERS- M.P. EA. <br /> SMOWER GAS fIRED A.G. UNITS - 70NNAGE EA. <br /> KITCHEN SINK d DISP. FOPCED AIR SYSTEMS- B.T.U. M EA. <br /> DISHWASMER WALL MEATERS- P.T.U. M <br /> LAUNDRYTRAY UNIT HEA7ER5- 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 AIR MANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE -WOOD <br /> ROOF DRAINS- RAINLEADERS METAL FIHEPLACE 6 CHIMNEV <br /> SINKISERVICE - BAR.ETC.) FIREPLACEINSERT <br /> HEAT PUMP <br /> SUB TOTAL : SUB TOTAL f <br /> PERMIT S PERMIT f <br /> T0T11L FEE f TOTAL FEE f <br /> SIDE VARD SETBACK STREET SETBACY. REAR YARD SETBACK PLAN CHECK NUMBEfi PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> -.:VES � �NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING 11N1T5 State Bllll(�lll SllT hdTcJO 1 50 <br /> Bl11LDING 53004.00 63 00 <br /> S2E OF BLDG. N0. OP STORIES MAX. OCC. LOAD — <br /> PLUMBING <br /> FIRE20NE BASEMENT pEQUSRED KIERS MECHANICAL <br /> "_:YES ::NO <br /> APPROVALS BY DATE <br /> OTHEH /lOIBG S= OOORN043O tttt <br /> — U.B.C. <br /> i.ENVIRONMENTAL CHECK LIS7 PcNALTY <br /> Y.BUILOING PLANS TOTAL B SRCH f ..7� 64 SO <br /> 7.FIRE MYURANT <br /> I.FIREPROTECTIONSYSTEM PENMITVALIDATION • � <br /> WHEN PROPERLY VALIDATED(It�THIS IS YWR PEflM1T <br /> 5.GRADING 8 �,� f1..� � <br /> B.DMINAGE ��. ��� � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT �� ll�.� � <br /> B.HEALTH DIS7RICT � <br /> APPLICATION ACC. BY PLANS CHECKED BV APPR.FOR ISSUANCE BY <br /> ADDRESS FILE <br />