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�he Everarern O N ST R U CT I O 1� <br /> pTV OF � � <br /> everett pERMIT PE•TNO. 16423 <br /> CITV MALI 25?8715 <br /> EVERETT,WA 88101 � COMBINATIQN � BUILDINQ ❑ MECHANICAL ❑ PLUMBINO <br /> OWNER M�ILAUDRE55 CITY ZIP pHpNE <br /> �rt Jun4aro P.O. Box 363 Mnlcilteo, WA 98275 355-4196 <br /> ARCNITEGTORDE ICNER MAILADDRE55 CITY ilP PHONE <br /> GENER�L CONTMCTOq MAII ADDRE55 GITV IIP GMpNE UCENSE I <br /> Self <br /> MECM�NICAL CONTR�CTOfl MAIL ADDRESS GTY ZIP PHONE LICENSE 1 <br /> PLUMBING CONTR�CTOR MAIL ADDRE55 CITY ZIP PHUNE LICENSE� <br /> CLA55 OF WOflN <br /> ❑NEW ❑ qDDITION ❑ ALTERATION ❑REPAIR � DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OP WORK <br /> f <br /> OESCRIBE WORK - <br /> Demolition <br /> PROPOSEU USE OF 9UILDING <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL DESCRIPTION OF PROPEPTY�SHOW BELOW OR ATTnCM FOUR COPIES) APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> 26 s 27 Everett, Div H CORRECT. ALL PRnVISIONS OF LAWS AND ORDIfJANCES <br /> LOT_BLOCK 7��OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> 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 /> LOCAL LA REGULATING CONSTkUCTION OR THE <br /> ooe�oonEss PERFORM C OF ONSTRUCTION. <br /> SIGNATURE C RACTO OR AIITHORRE�AGENT OATE <br /> 3112 Norton X ` 4 15 86 <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(7011E'� AIR COND.UNITS— H.P.EA. <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATOFV(WqSH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIqED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED Alq SYSTEMS— 9,T.U. M EA. <br /> DISHWASHER WALL HEATERS — B.T.U. M <br /> L4UNDRV TRAV UNIT HEATERS— B.T.U. M <br /> CLC'HES WASHER EVAPORATIVE COOLERS <br /> WATEfi HEATER CLOTHES ORYERS <br /> URINAL VENTILATION 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 S CHIMNEY <br /> SINK�SERVICE— BAR,ETC.) FIREPLACEINSERT <br /> HEAT PUMP <br /> SUB TOTAL f SUB TOTAL s <br /> PEqMIT S PERMIT s <br /> TOTAIFEE f TOTALFEE <br /> S <br /> SIDE YARD SETBACK STREET SETBACK REAR YAqD SE7BACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE <br /> ::YES :-:NO FEES VAlUAT10N FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 5 —O— <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOA� <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> �.-:YES CNO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> Y.BUILDING PLANS SEC.30J 1a) <br /> J.FIRE HYDRANT TOTAL _�_ <br /> <.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> S.GRADING WHEN PROPERLY VALIOATED(IN THI SPACE)THIS S Q}��7P�7A��MIT <br /> 6.DRAINAGE � 2 '� � � � 1.' U. ll U -- �"�,j <br /> Renewal of Permit M11423, issued }}�43 �� <br /> 7.ENVIRONMENTALIMPACTSTATEMENT <br /> B.IiEALTHDISTRICT 1�Z1�B3 (IJ <br /> APPLICATION ACC.BY PLANS CMECKED BY APPR.FOR ISSUANCE BY . � ' �, ;(_ �.�.I: �i" �� ' <br /> M.M. . �. ... 1'<-� U <br /> ADDRE�SFILE I 7 ��'���� �o <br />