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� <br />L <br />`�"�`�'`r�;`��f` � CONSTRUCTIO�" <br />everett PERMIT PERVIIT N0. 12712 <br />GTV HALL 259�9745 <br />EVERETT,WA90201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILADOPE55 CITY 21P PMONE <br />David W. Dykeman 905 Grand Avenue Everett 98201 259-1545 <br />AflGNITEGT OR OESIGNER MnIL A��RE55 CITY 21P PMONE <br />GENERAL GONTFACTOR A'�IL AO�RESS QTY ZIP PHONE LICENSE M <br />Same <br />MECNANICAL CONTRRCTOR MAII AD�RESS CITY ZIP PMONE LICENSE N <br />PLUM9ING CONTflACTOR MAIL ADOPE55 QTY ZIP PHONE UCENSE � <br />ss oF woHn <br />C NEW P�AOUITION ❑ ALTERATION ❑ REPAIR ❑ �EMOLITION O FENCE ❑ SIGN ❑ WOOD STOVHFIREPLAGE INSERT <br />.UATION OF \YORK <br />s 1496.�0 <br />11'x17' Addition to existing carport <br />storage <br />�or3-4 �LOCN 17�F <br />PLUMBINO <br />OF FIXTURE <br />WATER GLOSET ITOILt i 1 <br />BATHTUB <br />LAVATOflY (VJASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATFR <br />URINAI <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SLRVICE — BAR. ETG) <br />SUB TOTAL <br />PEHMIT <br />TOTAL FEE <br />IIDE YARD SETBACK STREET SEfBAi <br />1' (Variance G anted) <br />ISE ZONE LOT AREA <br />R-2 <br />�il <br />L1�X17� <br />APPHOVALS <br />1. ENVIRONMEN7AL CHECK LIST <br />2.9UILDING PLANS <br />3. FIRE NYDRANT <br />4. FIRE PRO7EC710N SVSTEM <br />S.GRADING <br />7.ENVIRONMENTAIIMI <br />B. HEALTH �ISTFICT <br />APPLICATION ACC. BY <br />�7 <br />M <br />1 <br />� <br />S <br />S <br />IEAR VARD SETB� <br />5' <br />'ACANT SITE <br />YES X�JO <br />10. OF DWELLIN( <br />i <br />nnx.occ.�ono <br />�IRE SPRINKLEfl: <br />7EOUIRED <br />YFS }C1N0 <br />BY DA1 <br />1ECKED BY APPR. FOR ISSUANCE BY <br />hwm lc <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE 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 Pi OVISIONS OF ANY O'(HER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATWI� OF GOMF/tj1TOR OR AUT�i�RR�O AGENT �p� � <br />i� A7-D'L'�'c'L� �.�. � <br />MECHANICAL <br />N0. TYPE OF EDUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERFTION UNITS — H,P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNI75 — TONNAGE EA. <br />FORCEO AIR SYSTEMS — 7.T,U. M EA. <br />WALL HEATEFS — B.T.U. M <br />UNIT HEA7ERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES OFlYERS <br />VENTILATION FA� <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STO�E — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />TOTAL <br />TOTAL FEE <br />83/12712 IFEE 16.2$ <br />FEES � VALUATION <br />BUILDING $ 1996.00 <br />PLUM8ING <br />MECHANICAL <br />O7HER <br />U.B.C. <br />PENALTY SEC. J03 (a) <br />TOTAL <br />f <br />S <br />5 <br />RF:.EIPT NO. <br />PENMIT VALIDATION <br />WHEN PROPERLV VALIOATED (IN THIS,Sa 5 O THIS 1$ yOUP,pE8t+�7 __� <br />,ou�5 � <br />� <br />N <br />1' `:� '�J � R E C � I PTr-+ <br />.• �,. ,.� � <br />, '� ��'� �, i �. <br />ADDRESS FILE <br />- � 17�.0 8 � <br />J <br />� <br />