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r,,��t,��"f�"� CONSTRUCTIO�' <br />�:�t,�o� ; � � <br />nverett PERMIT PERMIT NO. 13��i� � <br />CITY HALL 259�B7a5 <br />EVERETf,WA9820t � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ApOPE55 GTY ZIP VHONE <br />Roy J. Thorsen 1310 Pacifi� Avenue Everett 98201 259-5101 <br />ARCMITEQ OR DESIGNEfl MqIL ADDRE55 CITT ZIP PMONE <br />GENERALCONTRnCTOR MAIL..ODRE55 CITY ZIP �'NONE UGENSEM <br />Same <br />MEGHANICRL GONTRAGTOR MAIL ADORESS dTY 21P PHONE LICENSE M <br />PLUMBING CONTRALTOR �tAIL AD�RESS CITY 21V PMONE LICENSE � <br />� NEW ❑ ADDITION O ALTERA710N ❑ REPAIR X� DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />t <br />Demolish Sin31e Family Residence <br />PROPOSEO USE OF OUILDING <br />Single Famii� Residence <br />7-8 <br />�or_ <br />COPIES� <br />734 Everett Div. H <br />3113 Grand <br />PLUMBING <br />FI <br />TYPE OF FI%TURE OR ITEM <br />W ATER CLOSET (TOl l ET) <br />BATHTU6 <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISH W ASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />WATER HtATER <br />URINAL <br />ORINKING FOUN7AIN <br />FLOOP DhAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEADER$ <br />SIN6 (SERVICE - BAR, ETQI <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />LOT <br />NO. OF STORIES <br />1.ENVIRONMENTAL CHECK LI57 <br />2. BUILDING PLANS <br />J. FIRE HYDRANT <br /><. FIIiE PqOTECTION SYSTEM <br />5. GHADING <br />6.DRAINAGE <br />7.LNVIRONMENTA�IMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPUCATION ACC. 6V PLANS CHE <br />I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THc SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND O�DINANCES <br />GOVERNING THIS TYPE OF WORK WILI 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 OTHcR STATE OR <br />LO_G,4t-'L-AW REGULATI.RlG CONSTRUCTIOPI OR THE <br />aGENT oATE <br />FEE N0. TYPE OF E�UIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNI7S — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRE� A.C. UNITS — 70NNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UIJIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLER$ <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLIN� UNIT — C.F.M. <br />570VE — WO00 <br />METAL FIREPLACE 8 CHIMNEV <br />FIflEPLACE INSERT <br />i HEAT PUIdP <br />S <br />5 <br />S <br />VACANT SITE <br />Y[S NO <br />MA%. <br />NO <br />FORISSUANCE DV <br />SUB TO7AL S <br />PERMPf f <br />TOTAL FEE S <br />FEE I RECEIPT NO. <br />FEES I VALUA710N I FEE <br />BUIL�ING <br />PLUMDING <br />MECHANICAL <br />OTHER <br />PENALTY <br />S <br />U.B.C. <br />SEC.90J <br />TOTAL I I 00 I 00 <br />PERMI7 VALIDATION <br />6YHEN PROPERLY VAIIDATEO QN TF'I� $PPC,�) THI�SnYQ�Ua P�yR�11T � <br />� � � J �� �� �� <br />� <br />� <br />,,;_�,�R RcC�:IPT•—� <br />. t (i v vl <br />i\ i ' <br />/-1n��.'��J (-�li- <br />� I i E❑ r <br />U 'i <br />-� <br />z <br />0 <br />� <br />c <br />m <br />n-� �--� <br />—i T <br />..� <br />tn x <br />m <br />0 <br />C o <br />m o <br />n <br />O 3 <br />m <br />—1 Z <br />S —1 <br />m <br />.. <br />.O Z <br />C <br />D � <br />rx <br />�--� N <br />K <br />T <br />-�-, n <br />1 m' <br />_ <br />m � <br />N <br />a <br />o m <br />c in <br />� N <br />2 C') <br />�� <br />• m <br />n <br />� <br />-a <br />s <br />a <br />Z <br />� <br />S <br />N <br />Z <br />O <br />--I <br />n <br />m <br />