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r'1eC1CITY(OP ^ONSTRUCTIOf�- � �� <br /> everett PERMIT PERMIT NO. 1.0059 <br /> GTY HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL PLUMBING <br /> OIVNER MAllP00PE55 CItY ZIP PMONE <br /> ARCHItECTORDESiGNER MAiIA��RESS CIiY ZIP PHONE <br /> GENERALfANiPACiOP 1AAILRDDPE55 CITY IIP PMONE UC[NSEI <br /> DAMAGE REPAIR SERY7(`F P n aX 90d5 FOFRFTT 4a�n� a��-e99� ' �°°^ ' <br /> M[CHANICALCONLRACiOP MAILRDORE55 GiY 21P PNONE LCENSEI <br /> PW��AOINGCONiMCiOR MNLAODPESS CITY ZIP PHONE LICENSE/ <br /> CLASS OF WORK <br /> ❑NEW ❑ADOITION ❑ALTERATION QR[PAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAIUATION OF WORK <br /> P000. 00 <br /> �ESGFIDE WORK <br /> REBUILD REAR PORCH. <br /> PPOPOSED USE OF BUIl01NG <br /> I HERE9Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> RES IDENCR PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> LEG/LOESCPIPiIONJFPROPERTY(SHOWBELOWOPATTNCNFOIIflCAPIES� qLLPROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS <br /> ioT � BIOLK 33�F TYPE OF WORK WILL BE COMPL�ED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESU ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH E PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMAtJ OF CONSTFUCTION. <br /> S�GNAiUR CONT i OR AUiMONRE�AGENT DATE <br /> JOBADDflE55 <br /> 1613 OAKES X - <br /> PLUMBINU MECHANICAI <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSEf ROILEq AIR COND.UNITS—N P.EA. <br /> BATHTUB REFFIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH BASINI BOILERS—HP.EA. <br /> SHOWER GAS FIREU AC.UNITS—TONNAGE EA. <br /> KITCH[N SINK&DISP. FORCED AIR SYSTEMS—B T.U. M EA. <br /> OISNWASHER \7ALlHEATEPS—B.T.U. M <br /> LAUNDRVTRAY UNITHEATERS—BT.U. M <br /> CLOTHES WASHER EVAPOFATNE CAOLERS <br /> WATER HEATER LLOTHES DRY[RS <br /> VENTILATION FAN <br /> URINAL <br /> DRINKING FOUNTAIN RANGE HOO� <br /> AIR HANDLING UNIT— GF.67. <br /> FLOOR ORAIN <br /> VACUUM BREAKERS STOVE <br /> ROOF ORAINS—RAINLENDERS METAL FIREPIACE 8 CHIMNEY <br /> SINK�SERVICE—BAR.EfC.I <br /> SUBTOTAL SUBTOTAL s <br /> PEPMIT S PERMIT S <br /> TOTALFEE S TOTALFEE s <br /> SIOE YARD SETBACK STREET SETBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF OWELLING UNITS 5 <br /> BUILDING $ 2000.00 �8 8�X <br /> 512E OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUM�ING <br /> FIRE ZONE BASEMENT REOUIRED KlERS MECNANICAL <br /> ❑YES ❑NO <br /> APPpOVALS BY OpTE �TMF.R <br /> 1. ENVIRONMENTAL CH[CK LIST PENAITV U B.C. <br /> SEC.303(a) <br /> 2. BUIIUING PLANS TOTAL <br /> 3. FIRE HYDRANT 2 S O <br /> 4. FIRE PROTECTION SYSTEM PEHMIT VRLI�ATION <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE)THI515 YOUR PERMIT <br /> 5. GRADING i ' ' �: !. '. � � <br /> 6. DRAINAGE <br /> � <br /> 7. ENVIPONMENTAL IMPACT SIATEMENT O <br /> 1 B. HEALTN DISTRICT .. . ,, i � <br /> APPUCATION ACC.�� PlANS CNECKED BY APPR.FOF IaSUANCE BY , <br /> LC ZC <br /> , .. i <br /> ADDRESS FILE <br />