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dte Ever�reen <br /> .:�T�oF '� �ONSTRUCTIOI� � � <br /> everett PERMIT PERMIT N0. 14719 <br /> CI7V HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION C� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAII AOORESS CITY ZIP PNONE <br /> DAVE FOI.EY 1101 - lst Street Snohomish WA 98290 56R-a59a <br /> ARCNITECT OR�ESIGNER MAIL ApORE55 CITY 21P PHONE <br /> GENERAL CONTflFCTOR MAIL ADORESS CITY ZIP PMONE LILENSE 1 <br /> Same <br /> MECHANICAL CONTRACTOR MAIL ADDRE55 CITV ZIP PNONE LICENSE I <br /> PLUMBING CONI'RACTOF MAIL AODRE55 QTY ZIP PMONE LICENSE I <br /> CLA55 OF WORK <br /> ❑ NEW ❑ ADDI710N ❑ ALTERATION ❑REPAIR X�] DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVFJFIHEPLACE INSERT <br /> VALUATION OF WORK <br /> f <br /> DESCRIBE WONK <br /> Demolish single family residence <br /> PPOPOSED USE OF BUIL�INC <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL UESCRIPTION OF PROPERTY�SHOW OELOW OR A77ACH FOUR COPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 33 695 Everett Land Co's lst Addn GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �or_e�ocn_oF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> — OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOC L LAW REGULATING CONSTRUCTION OR THE <br /> PER RMANCE OF CON RUCTION. ��� <br /> JOB ADDRESS SIGNAT RE OF CONT TOR RIZED AG T DATE <br /> 2923 Pine Street X O!' e� <br /> PLUMBING M HAN CAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE TYPE OF EOUIPMENT FEE <br /> WATERCLOSET(TOILEn R COND. UNITS— H.P.EA. <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY(WASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS —TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRYTRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTIIATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE —WOOD <br /> ROOF ORAINS— RAINLEADERS METAL FIREPLACE 8 CMIMNEY <br /> SINK(SERVICE— BAR, ETC.) PIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL S SUB TOTAL f <br /> PERMIT S PERMIT f <br /> TOTALFEE S TOTAL FEE S <br /> SIDE YARD SET�ACK STFEET SETBACK REAti YARD SE7BACK PLAN CMECK NUMBER PLAN CHECK FEE <br /> FEE FECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE <br /> :-:YES L:NO FEES VALUATION FEE <br /> TYPE OF CONS7. OCCUPANC7 GROUP NO.OF DWELLING UNITS <br /> BUILDING $ 00 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAO <br /> P�'JMBING <br /> FIREZONE BASEMENT FIRESPRINKIERS MECHANICAL <br /> REOUIRED <br /> �. �.YES �. -.NO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIS7 PENALTY U.B.C. <br /> SEC.303 la) <br /> 2.BUILDING PLANS <br /> 3.FIRE HVDRANT <br /> TOTAL 00 00 <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> S.GRADING WHEN PROPERIV VALIDATED QN THIS SPACE)THIS IS YOU�PERMIi — � <br /> 6.DRAINAGE . . , . �� �I <br /> � <br /> 7.ENVIRONMENTA�IMPACTSTATEMENT � <br /> B.HEALTH DISTFICT <br /> APPLICATION ACC.8Y PL�NS CHECKEO BY APPH. FOR ISSUANCE BY �� � � <br /> , . � <br /> stg mgd mgd � <br /> ADDRESS FILE <br />