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, <br /> theEvergrren � CO�,STRu�TION � <br /> CITY OF <br /> evere�:� PERMIT pERMIT N0. OS157 <br /> CI7Y HALL 259�9745 � COMBINATION Ix.�. BUILDINO ❑ MECHANICAL ❑ PLUMBING <br /> EVERETT,WA 90201 <br /> ' MFIL ADDRE55 GITY ZIP PHONE <br /> owNea Everett 98203 355-6529 <br /> Dan Pederson 516 Pecks Drive PMONE <br /> ApCNIiECT OR UESIGNER <br /> MAllAU0PE55 CITY Z�P <br /> GENERnLCONTRACiOR <br /> MRIL ADDRE55 l'ITY ZIP PNONE UCENSE� <br /> 353-7161 EV ER EB 30 PH <br /> Everett Buildera Inc. 5606 Ever reen Wa cirr ziP PMONE LIGENSE/ <br /> MECMANICAL CANTPACTOR MAIL AUURE55 . <br /> MPIL A��RESS CITV ZIP PHONE IICENSE/ <br /> FI.UMBING CANTR�CTOR ', <br /> _ I <br /> CU55 OF WORK � <br /> ❑NEW ❑ADDITION ❑ALTERFTION }GZAEPAIR ❑UEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VAlWT10�.OF WOPK � <br /> = 3900.00 <br /> oescaiae wonK <br /> 16' x16' patio slab-reroof with comp. <br /> PPOPOSED USE OF BUILOING <br /> sin le famil residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS • <br /> �ecv,�oescnivnor+oFaaoreFn�sNowee�owoanTrncNFouRcoaiesi� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> Pecks BayView Tracts �L� PROVISIONS GF LAWS AND ORDINANCES GOVERNING THIS <br /> �or e�xic_.oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> W� N� of Lot 12 Less N. 6 ' HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESU ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br /> CONSTRU�CTION OR THE PERFORMANC�OF 0 S RUCT ONNG <br /> SIGNRT E OF CA iHA R OP AUIMO �AGENT DATE <br /> JOBADDRE55 X B�ZS�BO i <br /> 516 ecka Drive <br /> PLUMBINO MECHANICAL ' <br /> FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT . <br /> AIR CAND.UNITS—H.P.EA. � <br /> WATER CL0.SET(TOiLE7) �. <br /> REFRIGERATION UNITS—H P.EA , <br /> BATH7UB <br /> BOILERS—H.P.EA. , <br /> UVATORY ASH UASIN) � <br /> � � � GAS FIRED A.C.UNITu—TONNAGE EA. <br /> , SHOWER FORCED AIR SYSTEMS—B T.U. M E0. �., <br /> KITCMEN SINK 6 UISP. - <br /> - WALL HEATERS—O.T.U. M <br /> DISHWASHER <br /> UNIT HEATERS—B.T.U. M � <br /> � � LAUNDRY TRAY �. <br /> - � � CLOTHES WASHER EVAPOMTIVE COOLERS il <br /> ,. CLOTHES DRYERS <br /> � � WATER HEATER <br /> � . VENTILATION FAN � <br /> . � � . URINAL RANGE HOOD , <br /> � � . DRINKING FOUN7AIN GF.M. <br /> � � AIR HANOLING UNIT— , <br /> . � � ' FLOOR DRAIN STOVE <br /> , �. -� ' VACUUM BREAKERS META�FIREPLACE 8 CHIMNEY <br /> - ROOF DRAINS—FiAINLFADERS � <br /> I <br /> SINh ISERVICE—F3AR.ETC.1 - <br /> SUBTOTAL = <br /> gU!TOTAL PEHMIT S <br /> �RMrc = TOTAL FEE 1 <br /> 10TAL FEE = pLAN CHECK FEE <br /> SIDE YARD SETBACK STREET SEfBFCK REAR YARD SETBACK PLAN CMECK NUMBER FEE RECEIPr NO. <br /> USE ZONE LOT AREA VACAN7 SITE FEES VALUATION FEE , <br /> OVES ❑NO <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> BUILDING s3900.00 28 00 � <br /> SIZE OF BLDO. NO.OF STORIES MA%.OCC.LOAD pLUMBING <br /> FIRE ZONC BASEMENT FIRESPRINKLERS MECHANICAL <br /> REOUIRED <br /> DYES ❑NO <br /> APPROVALS <br /> !Y DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U B.C. <br /> SEC.303(a) <br /> 2. BUILDING PLANS �T�� 2 8 00 <br /> 3. FIRE HYDRANT <br /> PERMIT VAUDATION <br /> 4. FIRE MiOTECTION SYSTEM WHEN PROPERLY VALIDATED(IN TNIS SPACE)THIS IS YOUR PEpRMIT <br /> 5. GRADING 6 8 7 6 S Q � 0. O O �� � <br /> � <br /> 6. DMINAGE � <br /> � 7. ENVIRONMENTALIMPACTSTAfEMENT �;�_�.i��R RECCIPT � <br /> B. HEALTH DISTRIC7 � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY i i`1 F�N K Y O U <br /> 2 6 AU� 8 0 <br /> ADDRESS FILE <br />