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. <br /> �heEvergrecn r�NSTRUCTION � <br /> CITY OF <br /> everett PERMIT PERMIT NO. 09199 <br /> GTY HALL 259�8745 <br /> EVERF.TT,WA 9B201 ❑ COMBINATION I—xbtBUILDING ❑ MECHANICAL ❑ Pi.UMBING <br /> OWNEP. AINILAO�PESS CIiY ZIP PIIONE <br /> 252-9305 <br /> A. F. Svenson 521 Pilchuck Path Everett 98201 <br /> APCNttECT OR DESIGNER `.�A�l AD�RE55 CITY ZIP FMONE <br /> GENE�/LCONiRACiOR MAILAOpRE55 GTY ZIP PHONE LICENSE� <br /> Sno Co. Home Improvement Lake Stevens SN OH OC H308DZ <br /> MECMANICAL GONTfiAC10R MAIL ADOPESS QTY ZIP FHONE IICENSE♦ <br /> PLUMBINGGONiRAGTOR MFILAOpRE55 GIiY ZIP PHONE UCFNSEI <br /> C1A550F WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION }G�ZREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUAilOIJ OF WORN <br /> = 46��.�0 <br /> DESCRIBC WORK <br /> Re-side residence-Vinyl siding <br /> PROPOSED USE OF OUIL�ING <br /> single famil residence i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �EGNLDESGRiPiIONOFPPOFERiY15HJ5YBELOYlGRATTACMiOURCOf'iE51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL FROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior 96 oiaK_oc Bridgeway TYPE OF WORK WILL BE COMPLIED WITH �NHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF AN OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTI T`E�O�E OF CONSTRUCTION. <br /> J00 R��RE55 SiGN ri F RACT(ri OR i U ED G �AtE <br /> 521 Pilchuck Path X � 5/1/81 <br /> PLUMBING MECHANICAI � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPL OF E�UIPMENT FEE <br /> WATER CLOSET QOILET) Ail:COND.UNITS-H.P.EA. <br /> BATHTUB RLFRIGERATION UNIT:-H P.EA _ <br /> LAVATORY pYASH BASIN) BOILERS-H.P.EA. <br /> SHOWER GAS PIRED A.C.L'NITS-TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FO?':ED AIR 5`BTEMS-B.T.U. i!EA. <br /> D!SHWASHER YlFLL HEATEflS-B.T.U. M _ _ <br /> U+UNDRY TRAY UNIT I{E�TERS-O.T.U. M <br /> CLOTHES WASHER EVAPORATIVE CUOLERS <br /> WAT[R HEATER CLOTfiES DRYERS <br /> URINAL VENTIlAT10N FAN <br /> DRINKING FOUNTAIN RANGE HOOD _ <br /> PLOOR DRA�N AIR HANDLING UNIT- C.F.M11 <br /> VACUUM BREAHERS STOVE <br /> . ROOP ORAINS-RAINIFJ+DERS 61ETAL FIREPUICE 8 CHIMNEV <br /> SINK ISEFVICE-BNR.EfC.I <br /> SUB TOTAL SUB 70TAL S <br /> PERMIT S PEHMIT f <br /> TOTALFEE S TOTAL FEE S <br /> SIDE VARD SETBACK STREET SLTDACK REA(7 YAPD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIP7 NO. <br /> USE 20NE LOT AREA VACNNT SITE <br /> ❑YES ❑NO FEES VALUA710N FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> SIZEOFBLDG. NOOFSTORIES MA%.00C.LOAD BUILDING 54600. 50 SO <br /> PLUMBING <br /> FIRE 2GNE 6h5EMENT qEOUIRED KLERS MECHANICAL <br /> ❑YES ❑NO <br /> APPHOVALS BY DATE OTHER <br /> f. ENVIRONMENTALCHECKLIST PENAITY U.BC. <br /> SEC.303(a) <br /> 2. BUILDING PLANS <br /> TOTAL S O S O <br /> 3. FIR7 HYDRANT <br /> 4. FIRF PROTECTION SYSTEM PEHMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN iHIS SPACE)THI$IS YOUR FERMIT <br /> 5. GRADING � i� [ � r ;� 5 O. J '�1 — � <br /> 6. DRnINAGE rn <br /> 7. ENVIRONMENTALIMPACTSTATEMENT � <br /> � <br /> B. HEALTH DISTRICT � � ,� � ��'� � <br /> i <br /> APPUCATION ACC.BY PIANS CHECKED BY APPR.FOR ISSUANCE BY . �� <br /> . . �� <br /> i <br />