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�hc C•�•cr¢recn <br /> everett r �ONSTRUCTIOP' <br /> PERMIT PERMIT NO. 1424� <br /> CITY HALL 259�8765 <br /> EVERETT,WA98201 � COMBINATION CX� BUILDING C� MECHANICAL � PLUMBING <br /> OWNER �.�ychais ASSO. MAIL AODRE55 CITY ZIP PHONE <br /> I(?��4�$ 1429 Broadway Everett 98201 252-1166 <br /> ARCMITECT OR�ESIGNER MAIL ADONESS CITY 21P PMONE <br /> gG�ENEHFL(G�ONTRA�CTOR �y�y��y IAAI�ADDBESS Cltt 21P PNONE IICENSE I <br /> P G T'B dildVOld 57n7—T7�}'h—S:o9'nRR. c M. 9H ������ <br /> MECN�NICAL..ONTRACTOP MAILApOPE S& sne 8��8 l�CITY 9"�ia s68 9 "��E u�ENSE, <br /> D(�R7�171CM <br /> PLUMBING CONTRACTOR MAIL AOORE55 CITY ZIP PHONE LICENSE� <br /> CUSS OF 140RK <br /> �NEW ❑ AODI710N ❑ AL7ERATION O REPAIR ❑ DEMOLITION ❑ fENCE O SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VAIWTION OF WORK <br /> S 34���De�O <br /> DESCRIBE WORK Construct � <br /> OC�pmWCXOt Single Fnmily Residence <br /> PROPOSEO USE OF BUILDING � <br /> Single Family REsidence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIVTION OF PROPERTY�SHOW BELOW Ofl ATfACH FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 3-4 280 Everett Div. T GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCIc_OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE � M <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOGAL LAW REGULATI ONSTRUCTION OR THE �"' � <br /> Q 17 29 5 17 29 5 PE FOR A CE OF CON ION. Nn <br /> JOBADDRE55 SIG RE F NTR�CTOROR M RIZE AGEN DATE � <br /> 1405 Pine X <br /> PLUMBINO ME MANI AL o <br /> NO. TVPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE � <br /> 1 WATERGLOSETITOILET) AIR COND.��:'�S— H.P. EA. � z <br /> 1 BATHTUB 2 00 REFRIGFRATIOC UIIITS— H.P.EA. <br /> 1 LAVATORY IWASH BASIN) Z OO BOILERS— M.P. EA. � <br /> H <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. � U7 <br /> 1 KITCHEN SINK 8 DISP. FORCED AIH SYSTEMS— B.T.U. M EA. <br /> 1 DISHWASHER WALL HEATERS— B.T.U. M M <br /> LAUNDRY TRAY UNIT HEATEHS— B.T.U. M <br /> 1 CLOTHES WASHER EVAPORATIVE COOLERS � <br /> 1 WA7ER HEATER 1 CLOTHES�RYERS r[� <br /> URINAL VEN7ILATION FAN � <br /> DRINKING FOUNTAIN RANGE H000 <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. . � <br /> VACUUM BHEAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS ME7AL FIREPLACE 6 CHIMNEY <br /> SINK(SERVICE— BAR, E7C1 FIREPLACE INSERT � <br /> HEAT PUMP <br /> T <br /> M <br /> y <br /> SUB TOTAL : 14 00 SUB TOTAL f 19 50 �'j <br /> PERMIT S PENMIT S FS <br /> TOTAL FEE S TOTALFEE S ZJ SO � <br /> SIOE YARDSETBAGK STREETSETBACK REAR YARDSETBACK PLAN CHECK NUMBEH PLAN CHECK FEE <br /> 84/14246 FEE 110.83 RECEIP7 NO. <br /> USE ZONE LOT AREA VACANT SITE 72666 <br /> R-2 Xj�S '..No <br /> FEES VALUA710N FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V—N R-3 1 BUILDING S 34,��0. Zll �0 <br /> 51<E OF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> 1 4 PLUMBING iQ OO <br /> FIRE 20NE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> RE�UIRED 19 50 <br /> :-.VES :.NO <br /> APPpOVA�S BV DRTE OTMER <br /> 1.ENVIRONMENTAL CHECK LIST pENA�Ty U.B.C. <br /> SEC.30J Ia1 <br /> 2.BUILDING PLANS <br /> J.FIREMYDRANT 70TAL R� � <br /> t.FIRE PROTECTION SYSTEM PERMIT VALIDIITION <br /> 5.GRADING WHEN PROPERLY VAL�DATED�IN THIS SPACEI THIS IS Vi 11IR PERMI7 _ � <br /> 6.DRAINAGE � , � � � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � �- — , � <br /> _&HEALTH DISTRICT � <br /> APPUCATION ACC. BY PLANS CMECKED BY APPR.FOR ISSUAI. E BY . - � , I <br /> .. EB � JEF LC . � �. . . .. <br /> ADDRESS PILE � � <br />