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� <br /> fheEvC�reoF ^•ONSTRUCTION � <br /> everett PERMIT pERMIT NO. 09246 <br /> CITY HALL 259�8745 <br /> EVERETf,WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ pLUMBING <br /> OWNEP MAILAODRE55 CItY ZIP PMONE <br /> Harriet East P.O. Box 5522 Everett 98206 252-0926 <br /> ARCNRECT OR DESIGNER MAIL AD�PE55 CITY ZIP PMONE <br /> GENERALCANTRACiOR MAILqDDPE55 QTY ZIP PMONE LICENSE/ <br /> Same <br /> MECHANICALCONTRACTOR MAIIApDRESS CITY ZIP PHONE IICENSE� <br /> P�UMBINGLONiRACTOR hIAILADDFESS CITY ZIP FNONE IICENSEI <br /> CIASS OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑PEPAIR ❑DEMOUiION }�ENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> E 1SOO. 00 <br /> DESCRIBE YlORK <br /> 72" fence in rear ard dt8 all on rivate ro ert <br /> PROPOSE�USE OF DUIIDING <br /> sin le famil residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �=_ca�oescamrroHOFPaoaearv�sHowae�owoaanncr{Fouacoa�es� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 3-4 3�Q Everett Div. N ALL PROVISIONS OF LAWS AND ORDINANCES GOVEPNING TH18 <br /> ior o�ocK_ TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFlED <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 REGULAiING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOBRDDFESS S�G UR OFGOMqACTORORAUtHO�IZLDAGENi OAT[ <br /> 1705 Oakes X 5 11 81 <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FIXTUHE OR ITEM FEE NO. TYPE OF EOUIPMENT FFE <br /> W.4TEF CLOSET(TOILET� AIR COND.UNITS—H.P.EA. <br /> BA'(HTUB REFRIGERAT101J UNITS— H P.EA <br /> IAVATORY(WASH BASIN� BOIlEFS—HP.EA. <br /> SHOWFR GAS FIRED A.C. UNITS—TONNAGE[A. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—B.T.U. IJ EA. <br /> DISHWASHER 1NALL HEATERS—B.T U. M <br /> LAUNDRY TRAY UNIT HEATLRS—B.T.U. M <br /> C�OTHES WASHER EVAPOHATNE COOLEFS <br /> WATER NEATER CLOTIIES ORVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDL'NG UNIT— QF.M. <br /> VACUUM BRFAKERS S70VE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE&CHIMNEY <br /> SINK(SERVICE—BAR,ETC.) <br /> SUBTOTAL SUB TOTAL S <br /> PERMIT S PEPMIT 3 <br /> TOTALFEE S TOTALFEE S <br /> SIDE YARD SETBACN STREET SETBACK REAR YARD SETBACK FLAN CHECK NUMBER PLAN CHECK FEE <br /> FGE REC[IPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S 1500. 25 00 <br /> SIZE OF BLOG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIPE ZONL BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> C7YES ❑NO <br /> APPHOVALS BY DATE O7HER � <br /> � <br /> 1. ENVIRO�MENTAL CHECK LIST PENALTY U.B.C. <br /> 2. BUILDING PlANS SEC.303(a) <br /> 3. FIREHYDRANT T�TA� 25 00 <br /> 4. FIRE PROT[CTION SYSTEFI FENMIi VALIDATION <br /> WMEN PROPERLY VALIDFTED(IN THIS SPACE)THIS IS YOUR PERAIIT <br /> 5. GRADING [ — � <br /> r r, n � i1 , J. 00 <br /> 6. ORAINAGE � �- • �� .�'. ,1 <br /> 7. ENVIRONMENTAL IMPACT STATEMENT N <br /> B. HEALTH DISiHICT , , _ � <br /> APPLICATION ACC.AV PLANS CHECKED BY APPR.FOR ISSUANCE BY ' -� , � I�T O <br /> . � i.� <br /> LC <br /> ADDRESS FILE ' �r `' � <br /> � <br />