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� _ . <br /> � <br /> � • <br /> theEvergreen CON�`�RUCTION � <br /> GTY OP <br /> everett RERMIT pERMIT NO. 06870 <br /> GTY HALL 259�87d5 � COMBINATION Lx�tBUILDING ❑ MECHANICAL ❑ PLUMBING � <br /> EVERETT.WA 9820t <br /> CITY Z�P PNONE <br /> OWNER MRILAODNE55 98Z�1 ZS'Z-45'�rj '. <br /> Charlea H. Anderaon 1130 Colby <br /> AqCNITEGT OH DESIGNER <br /> MAIL AD�RE55 CITY ZIP PHONE <br /> MAIL AUORE55 GTY 21P PHONE UCENSE I <br /> GENEPFLfANTMCTOR 98203 353-6427 <br /> Ayer Construction 6525 Beverly Blvd. PHONE LICENSE 1 <br /> MECNAWCAL CANiRAGTOR <br /> MAIL ADDRE55 CITV 21P <br /> PLUM?ING CANTHAGTOR <br /> MAIL A�DRESS CITY 21P PNONE IICENSE� <br /> CUS.i OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERA710N �EPAIR ❑DEMOLITION ❑FENCE ❑SIGN GNRAGE <br /> VALUATION OF WORK <br /> y12�000.00 <br /> DESCHIBE W W11( <br /> RE-ROOF, REMODEL KITCHEt3, REPAIR STEPS <br /> P'�]POSED USE OF BUILDING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEGALOESCN�PT�ONOfFRO?ERTV(SMOWBELOWORATTAGHFOUflfAPIE51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 15-16 242 Everett Div. R ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �oT e�x�--oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR f70T. THE GRANTING OF A PEFMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br /> V�SIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTIC�J OR THE PERFORMANCE OF CONSTRUCTION. <br /> , SiGNAT RE F NTRACTO ORAU ORIZEDAGENT lO�`0�79 <br /> .pB ADURE55 S .. _� <br /> 1332 Grand Avenue X <br /> ' PIUMlING MECHANICAL <br /> FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EDUIPMENT _ . <br /> AIR CAND.UNI7S—H.P.EA. <br /> WATER CLOSET OIL — <br /> REFRIGERATION UNITS—H.P.EA <br /> BATNTUB <br /> U�ATORV ASH BASIN) BOILERS—H.P.EA. <br /> GAS FIRED A.G UNI7S—70NNAGE EA. <br /> SHOWEfi FORCED AIR SYSTEMS—B.T.U. M EA. <br /> ' KITCHEN SINK 6 DISP. M <br /> � WALL HFATERS—B.T.U. <br /> ' DISMWASHER M <br /> � UNIT HEATERS—D.T.U. <br /> � UUNDRY TRAY EVAPORA7IVE COOLERS <br /> � CLOTMES W�HER CLOTHES DFYERS <br /> � WATER HEAT[R <br /> � VENTILPT�ON FAN <br /> URINAL RANGE HOOD <br /> � DRINKING FOUNTAIN Qf.M. <br /> � � AIR HANDLING UNII — <br /> � FLOOR DMIN STOVE <br /> � VACUUM BqFAKERS METAL FIREPLACE 8 CNIAiNEY _ <br /> i ROOF ORAINS—MINLEADERS _ <br /> SINK(SERVICE—B4R.EfC.) _ ' <br /> � SUSTOTAI = <br /> 8UlTOTAL <br /> PERMR i PENMiT t <br /> T0T11L�EE t TOTAL FEE �� <br /> PLAW CHECK FEE <br /> � SIDE YARD SETBACK STREET SETBACK PEAR YARD SETBACK PLAN CHECK NUMBER FEE RECcIPT N0. <br /> USE 20NE LOT AREA VACAN I SITE FEES VALUATION FEE <br /> CIYES ❑NO <br /> TVPE OF CON5T. OCCUPANGY GROUP NO.OF DWELLING UNITS <br /> BUILDING b12,000.00 60 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUTABING <br /> FIRE 20NE BlSEMENT FIRE SPRINKLEFS MECHANICAL <br /> REOUIRED <br /> �YES CJNO <br /> /Y D�� OTHl:R <br /> MPIIOVAlS <br /> 1. ENVIRUNMENTAL CHECK L15T pEryq�Ty U.B.C. <br /> SEC.303(a) <br /> 2. BUILDING PLANS TOTAL (i0 00 <br /> 3. FIRE HY�RANT <br /> PEIIMIT VALIDATON <br /> 4. FIRE PFiOTECT�ON SYSTEM WHEN PROPERLV VALIDAiED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> S. GMDING 3��� =o6D.�V ��!•� <br /> 6. DRAINAGE - • ' <br /> f i � �: • �: <br /> 7. ENVIRONMENTAL IMPACT STATEMENT • • , <br /> B. MEP�L�T �au`R RECEIPT�� � . <br /> �pp�;pq710N ACC.BY PLANS CHECKED BY APPF.FOR ISSUANCE BY 7HANK YO U <br />