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!ha' Ecer,¢ieen C O N ST R U CT I U� ' <br /> C��v O� � <br /> everett PERMIT PERMIT NO. 13296 <br /> CITV MALL 259�97d5 <br /> EVEPETT,WA9tl201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> 01YNER MAIL AOORE55 GiV 21P PMONE <br /> Janet 5 Reynold Karr 9706 171st Avenue Snohomish, 98290 568-2431 <br /> � ARCHITECT Oii OESIGNER lAAIL A�ORE55 CRY ZIP aHONE <br /> GENERAL CONTRACTOR AIAIL AUDRESS CITY ZIP PMONE LICENSE M <br /> Same <br /> MECMANICAL CONTRACTOfl MAIL ADOflESS CITY 21P PMOHE UCENSE� <br /> PLUMBING COMRAGTOR IdRIL ADORE55 QTY ZIP PMONE ��CENSE� <br /> CLASS OF WORN <br /> ❑ NEW ❑ A�DITION ❑ ALTERATION ❑REPAIR �EMOLI710N O FENCE ❑ SIGN O WOOD STOVFJFIREPLAGE INSERT <br /> VAWATION OF WORK <br /> t <br /> OESCRIAE WORN <br /> Demolish Single Family aesidence — <br /> PROPOSE�USEOF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAl.OESCRIFiIOHOFPROPERTY�SHOWBELOWORATTACMFOURCOPIES� CORRECT. AI.L PROVISIONS OF LAWS AND ORDINANCES <br /> oT20_zle�ocK 32 or- Everett Div. H GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HERE�N OR NOT.THE GRANTING OF A <br /> PERMIT COES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOO AOORE55 SIGN JR OF CONT ACTOR Oii AUTNOF AGENT 4�Z6�B4 <br /> 3122 Norton X <br /> PLUMBING MECH ICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE _ <br /> WATERCLOSET�TOILEn AIR COND. UNITS— H.P. LA. _ <br /> BATHTl1B REFFIGERATION UNITS— H.P.EA. _ <br /> LAVATORY(WASM BASIN) BOILERS— M.P.EA. _ <br /> SHOW:R GAS FIRED A.C.UNITS — iONNAGE EA. _ <br /> KITCHEN SINK 8 DISP. FORCLD AIR SYSTEMS— �.T.U. M EA. _ <br /> DISNWASHER WALL HEATERS— 8 T.U. M _ <br /> LAUNDRY TRAY UNIT IIEATEFS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES ORYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD � <br /> FLOOR�RAIN AIR HANDLING UNIT — C.F.M. �" <br /> VACUUM BREAKERS STOVE — WOOD � <br /> RC�G=DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINR(SERVICE — BAR.ETC.) FIREPLACE INSERT <br /> HF.AT PUMP <br /> H 1— <br /> _ �3 ". <br /> H �-_ <br /> � � <br /> SUB TOTAL a SUB TOTAL 5 � <br /> PERMIT S PERMIT S S� <br /> TOTAL FEE f TOTALFEE S y � <br /> SIDE�ARD SEIBACK STREET SETBAGK REAR YARD SETBACK PLAN CHECK NUMBEF PLAN CNECK FEE O F� <br /> FEE RECEIPT NO. . <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE �� <br /> �. 'YES .NO � ' <br /> TYPE OF CONST. OCCUPANCY GFOUP NO. OF DWEl.LING UNITS � F <br /> BUILOING S OO OO � �' <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAO � <br /> PLUMBING � t� <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECMANICAL � � �� <br /> PEOUIRED <br /> . .YES . .NO ` � <br /> APPNOVALS BY �ATE OTHER � : <br /> L ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> _ SEC.303(a1 ! � <br /> e.dUILDING PLANS — TOTAL OO OO r <br /> 3 FIREHYDRANT <br /> a.fIRE PROTEGTION SYSTEM PERMIT VALIOATION • � <br /> 5.GRADING WMEN PROPERLY VAUDATED pN THI$SPiCE)THIS;}S�YO{1��P@flM�T_ ��_Y �_ <br /> I JU UU � <br /> 6.ORAINAGE . .. <br /> 7.ENVIRONMENTALIMPACTSTATEMENT r �'� <br /> B.MEALTH DISTRICT . . ,. ..�i. �f I ;- - <br /> APPLICATION ACC. BV PLANS CHECKED BY APPR.FOR ISSUANCE BY , , , . � � <br /> � � .l � � <br /> r�,UDRfSJ i II I: <br />