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Ihc/il•rr,erce�i � O N ST R U CT�O � 7 <br /> atv oF � <br /> everett PERMIT PERIVIIT N0. �-3•� � � <br /> CITV HALL 259�8745 <br /> EVERET7.WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAIL P�ORE55 CITV 21P PHONE <br /> Dixie RamUerg 1504 Park Drive Everett 98203 353-8100 <br /> ARCHITEGT OR pE51GNEP MAIL ADDRE55 CITY 21P PMONE <br /> GENEflRL WNTRALTOR MAIL AODRE55 CITY ZIP FMONE LICENSE� <br /> Same <br /> MEGHANICAL GONTRACTOP MFIL AOOFESS GTY ZIP PHONE LICENSE• <br /> PWMBING CONTRACTGP MAIL AOOR[SS CITY 21P PMONE LICENSE N <br /> ClASS OF WORN <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WORY <br /> S <br /> pESCRIBE WORN <br /> Demolish existing garage <br /> PFOPOSED USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI� <br /> APPI.ICATION AND KNOW TI1E SAME TO BE TRUE AND <br /> LEGAL OESCRIPTION OF PROPERIV�SHOW DELOW OR ATTACH FOUR COPIES� �ORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 1 g Beverly Park GOVERNING 'fHIS TYPE OF WORK WILL BE COP�P�IED WITH o <br /> �oT_e�ocK_oF WHETHER SP[CIFIFG HEREIN OR NOT.THE GRANTING OF A -i <br /> West 78' of Lot 1 and Wet 78' of North half f P�11T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE ci <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR !',' <br /> LOCAL LAW REGULATING COn!�7RUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB AODRESS SiGNA �qE OF CONTRAL BOij UTHOPIZ A4EN i DATE '"'� <br /> 1504 Park Drive X \ �� � T <br /> .. � <br /> �n x <br /> PWMBING N.cCHANICAL o m <br /> N0. TYPE OF PIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE c o <br /> m o <br /> WATERCLOSE7�TOILEn AIR COND.UIlITS - H.P. EA. .� ' <br /> BATHTUB REFRIGEfiATION UNI(S- H.P.EA. � "' <br /> m <br /> �AVATORV�WASHBASIN) BOILERS- H.P. EA. _ ? <br /> SHOWER GAS FINED A.C. IINITS -TONNAGE EA. m �., <br /> KI7CHEN SINK S DISP. FORCED AIR SYST[MS- B,T.U. �d [A. 'C = <br /> DISHWASHER WALL HEATEfiS - B.T.U. M r = <br /> LAUNDRY TRAV UNIT HGATERS- U.T.U. M � y <br /> CLOTHES WASHER EVAPORATIVE Cu01 ERS � <br /> T <br /> V/ATER HEATEF CLO7HES DRYEt75 � n <br /> UFI�JAL VENTILATION FAN -{ m <br /> DRIIIKING Fli'JN7AIN RANGE HOOD = <br /> m � <br /> FLOOF DRAIN AIR HANDLING UNIT- QF.M. N <br /> — o r <br /> VACUUM BFEAKERS SiOVE -WOOD C) rr <br /> FOOF GFAINS- RAINLEAOERS METAL FIREPLACE 8 CHIMNEY C v <br /> ci <br /> SINK�SEfiVICE- BAR,ETG.) FIREPIACE INSERT � � , <br /> HEAT PUh'P • m <br /> a <br /> � <br /> - -- � <br /> x <br /> n <br /> SUBTOTAL S SUB TOiAL S z <br /> PEHMIT 5 Pe".'�IT S = <br /> TO7AL FEE 5 TOT,1L FEt 5 N <br /> SIDE YAflO SETBACK STREET SETBACK REAR YARD SETBACK PLAN CMECK NUMBER P�:."CHECK FEE Z <br /> FLE '.QCEIPT NO. � <br /> USE ZONE LO�AREA VACANT SITE - -- ---- -- n <br /> . YES NO _ FEES VALUATION FEE m <br /> TYPE OF CONST. OCCIIPANCV GROUP NO.OF DV�ELLING JNITS <br /> BUILDI1lG 5 00 00 <br /> S12t UF BLDG. NO.OF STORIES IdAX.OCC.IOAL� - <br /> ` PLUMOING <br /> FIRE ZONE BASEIAEP''T FIPE SPRINKL9RS �.1ECHANICAL <br /> REOUIRED <br /> VGS NG - <br /> APPfiOVALS BY DATE O7MER _ <br /> 1. ENVIRONA7[NTAL CMECK LIST PENALTY ��RC' <br /> SEC.907(a) <br /> 2.BUIL�ING PLANS — <br /> 3.FIFEHYDRANT TOTAL 0�� inn <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDA710N <br /> 5.GRADING WMEN PROPERLY VAl 10ATCG�iN iHIC I P� IF)THI�IS,YOU�P�1'�,11T � <br /> � �� �� <br /> 6.DRAINAGE <br /> t � <br /> � 7.ENVIRONMENTALIMPAGTSTATEMENT <br /> �7 <br /> B.HEALTH PISTRICI � i p �;'-r+'- ;;'I � <br /> APPLICHTION ACC.BY PLANS CHECKEO BY APPR. FOR ISSUANCE BY ' � ' ��' <br /> . . . i . . . . . i t <br /> � ' <br /> .. � i. v <br /> dli)L�.. ��._ . <br />