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�k lheEvergreen rpNSTRUCTION �� � <br />CITY OF � <br />everett PERMIT pERMIT NQ. O9OZ7 <br />CITY HALL 25B�A745 <br />EVERETf, WA 99201 ❑ COMBINATION �c BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEF MAILADDHE55 CIiY ZIP PHONE <br />( Bonnie Cushing 1425 Rainier Everett 98201 252-5790 <br />ARCHITECT OR DESiGNER MAIL ADDRE55 CITY ZIP PNONE <br />GCNEPRL(:ONiRAGiOR MAILADDRE55 CIiV 21P PHONE LICENSE � <br />Everett Builders 5606 Evergrec.n Way Everett 98204 353-7161 <br />MECNANIGALCANTRhC10R MAILADDRESS CITY 21P PHONE LICENS`I <br />EV ER EB 501PH <br />PLUMBINGCANTRACTOR MAILADORE55 Cltt 21P PHONE LICEDSEI <br />CLA55OF WORK <br />❑NEW ❑ADDITION �ALTERATION ❑REPAIF ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />s 6926.00 <br />interior remodel-bathroom, kitchen <br />PROPOSE� USE OF �UILOMF <br />single family residence <br />IEGAL UESCRIATION OF PROPERtt �SHOW DEIOW OR AiTACH FOUP COP!ES� <br />Si�T of ��,�13p�14 1lilton's 2nd <br />285 <br />1425 Rainier <br />PLUMBING <br />NO. TYPE OF FI <br />7 WATER CLOSET (TOILET) <br />DRAIN <br />POOF DRAINS — <br />SINK ISERVICE — <br />SIDE YARD SEiBACK <br />USE ZONE <br />TYPE OF CONST. <br />SIZE OF BLDG. <br />SUBTOTAL <br />PENMIT <br />TOTALFEE <br />STREETSETOACK <br />LOT AREA <br />OCCUPANCY GR( <br />NO. OF STORIES <br />1. ENVIRONMENTALCHECNLIST <br />2. AUILDING PLAN; <br />3. FIRE HYDRANT �J' <br />n. FIRE PROTECTION SYSTEM <br />5. GRADING � <br />fi. DRAINAGE <br />`li. ENVIRONMENTAL IMPAC�_$� <br />i B. HEALTN DISTRICT — <br />�qY^UCATION ACC. BY � <br />Cx> _ ; �� � <br />1 1 � <br />CHECKED 81' <br />FEE <br />REAR YARD SETdAGK <br />V'ACA�T SITE <br />�iYES ❑NO <br />NO. OF DWEILING UNITS <br />MA%.00C.LOAD <br />FIRE SPRINKLERS <br />REOUIRED <br />❑YES ❑NO <br />APPR. FOR IS;iUANCE DY <br />DAB <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PIICATION AND KNOW THE SAti1E TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND OfiDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER 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 ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTR TION OR Ty ERFORMANCE OF CONSTRUCTION. <br />SIGNA7 E CANiRACT a O� A 1 R12ED AGE/y/tn JAiE <br />X Ic� , O��nn.�f'![Y �l 3/z4/81_ <br />TYPE OF EQUIPMENT <br />AIR COND. UNITS — HP. EA. <br />REFRIGERATION UNITS — H.P. EA <br />�OILERS — H.P. [A. <br />GAS FIRED A.G UNITS — TONNAGE EA. <br />FOFC[D nIR SV57EM5 — 9 T.U. M <br />WALL NEAiERS — B T.U. M <br />L1NIi HEAiERS — B.T.U. ti� <br />PLAIJ CHECK I <br />BUILDING <br />PLUM�ING <br />MECHFNICAL <br />OTHER <br />PENALTV <br />TOTAL <br />FEE <br />SUB70TAL t <br />PERMIT S <br />70TALFEE S <br />PLAN CNECK FEE <br />FEE � RECEIPT NO. <br />� 6926 <br />U.B.C. <br />SEC. 3031a) <br />G2 50 <br />10 00 <br />PROPERLY VALIDATED (:N THIS SPACE) THIS IS YOUR PERMIT <br />;1�0 ;��(,2.)'�— I�-- <br />N <br />� <br />;: :,� ir-r o <br />' .. . �� �- . l� <br />� = ; ,,;.a s i <br />CJ ADDRESS FILE <br />