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ihe£rergreen � � C O N ST R U CT I� • <br /> C�iv OF <br /> everett PERMIT PERMIT NO. 1S7O7 <br /> GTV HALL 259�BM5 <br /> EVERETT,WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNE MA,LA�OHESS GTY 21P PNONE <br /> `�reg Thody 2125 Grand Avenue Everett 98201 259-2478 <br /> 11RCHITEGT OR DESIGNER MAIL AD�RE55 GITY ZIP PHONE <br /> GENEPFL CONTF�GTOR MAIL AD�RE55 CITY 21P PHONE LICENSE I <br /> Same <br /> MECM�NICAL CONTRACTOR MRIL ADORE55 GTY :�P PMONE LICENSE� <br /> PLUMBINGCANTRACTOR MAILADDPE55 QTV [Ip PMONE LICENSEI <br /> CLASS OF WOPM. <br /> ❑NEW ❑ ADDITION O ALTERATION �XIEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN D WOOD STOVEIFIREPLACE INSERT <br /> VALURTION OF WORN <br /> = XSYB� 50.00 <br /> DESCRIBE WORK <br /> Install brace material from floor joists to posts <br /> PROPOSED USE OF BUILDING � <br /> I HEREBY CERTIFY iHAT I HAVE READ AND EXAMINED THIS <br /> sinqle familv residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LE6AL DESCRIPTION OF PROPERTY(SMOW BELOW OF ATfACH FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOGN_OF GOVERNING THIS iYPE 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 REGI'LATING CONSTRUCTION OR THE <br /> PERFORMAN E OF �STRU TION. <br /> JOBADDRE55 SIGNATURF NT A�C71F0y�AU Z DATE <br /> 2125 Grand Avenue X ,/ / 11/18/85 <br /> PLUMeIN6 I�VECHA CAL <br /> N0. TYPE OP FIXTURE OR ITEM FEE NO. TVPE 0- E�UIPMENT FEE <br /> WATERGLOSET(TOILEn AIR CON�.UNITS— H.P. EA. <br /> 9ATHTUB REFRIGERATION UNITS— H.P.EA. <br /> LAVATORV�WASHBASIN) 601LERS— H.P. EA. <br /> $HOWER GAS FIFED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS— B.T.U. M E.4. <br /> DISHWASHER WAIL HEATERS— B.T.U. M <br /> LAUNDRV TRAY UNIT HEATEAS— B.T.U. M <br /> CLOTMES WASHER EVAPORATIVE COOLERS <br /> WATER MEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> ORINKING FOUNTAIN RANGE HOOD <br /> FLUOR DRAIN AIR HANOLING UNIT— C.F.M. <br /> VACUUM BFEAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAI FIREPLACE 8 CHIMNEV <br /> SINK�SERVICE— BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMf <br /> SUB TOTAL f SUB TOTAL f <br /> PEHMIT t PERMIT f <br /> TOTAL FEE S TOTALFEE f <br /> SIDE VARD SETBACK STREETSETBACK REAR YARD SETBACK PLAN CHECK NUMnER PLAN CHECK FEE <br /> Fj�].570� FEE 6.SO I RECEIPTNO. <br /> USE ZONE LO7 AREA VACANT SITE <br /> :_YES i.NO FEES VALUAT'ON FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING E 50.00 ZO 00 <br /> SIZE OF BLDG. NG.OF STORIES MAX.OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIFE SPRINKLEPS MECHANICAL <br /> REOUIRED <br /> ,-:VES ;-NO <br /> APPROVALS BY �ATE �THER <br /> 1.ENVIRONMENTAL CHECK LIST pENALTV U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRANT TOTAL 10 O <br /> 4.FIqEPRC�ECTIONSYSTEM PEPMITVAl1011TION � <br /> 5.GRADING WHEN PROPERLV VALIDATED pN THIS SPACE)1HI I Y IT <br /> 6.DRAINAGF �� <br /> 7.ENVIRONMENTAL IMPACT STATEMENT 1� � �� i� I: �C r I PT � <br /> B.HEAL7HDISTRICT `._ � <br /> APPLICATION ACC. BY PLANS CHECKED BV APPR.FOR ISSUANCE BV • - �. .I�'�i� Y l� �.I <br /> I $ IuUV �j <br /> ADDRESS FILE <br />