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fhC EerrGrePn 1 � <br /> ��,��� ,oMSTRuc-rion <br /> ev�rett PERMIT PERMIT N0. 1�4�� <br /> CITY HALL 259�8745 <br /> EVERETT.WA 98201 � COMBINATION C�X{ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILPDORE55 GTY 21P PHONE <br /> PAULINE M. MABE 1713 OAKES EVI3RETT WA 259-6994 <br /> ARCMRECt OR DESIGHER MAIL AODflE55 CITY ZIP PNONE <br /> GENERaL CONTNlGtOR MAIL AODi1E55 QTY 21P PMONE LICENSE• <br /> SENIOR SERVICES OF SNOHODfISH COUNTY 3404 - lllth PL SW Everett WA 98204 <br /> MECMt_NIGALCONiPACTOR MAILAODFESS ��TY 3SS�L].S.Z Z�PSENSOSS24�gY�E LICENSE/ <br /> PLUMOING GONtHAGTOR MAIL ADORE55 CITY ZIP PMONE LICENSE� <br /> C1F55 OF W ORK <br /> ❑ ;�EW ❑ ADDITION ❑ ALTERATION X$REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ �VOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF NORK <br /> f rJ��a�� <br /> OESGRIBE WORK <br /> Rebuild front porch <br /> PROPOSEO USE OF dUI�01NG I HEREBY CERT�FY THAT 1 HAVE READ AND EXAMINED THIS <br /> Residence <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESCRIPTIONOFPNOPERTY�SMOWBELOWORAiTACHfOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOGK__OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCtION O HE <br /> PERFORMA CE OF C STRUCTION. <br /> JOBAODRESS X�E� ONTRACT N GENT <br /> 1713 OAKES L�! ✓C�t°jL 5 <br /> PLUMBING MECHA AL <br /> NO. TYPE OF FIYTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEn AIF COND.UNITS - H.P.EA. <br /> BATHTUB REFRIGERATION UNITS- H.P. EA. <br /> LAVATORY�WASH BASIN) BOILERS - H.P. EA. _ <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. <br /> KIT(:HEN SINK 8 DISP. FOFCED AIR SYSTEMS- B.T.U. M EA. <br /> DISHWASHER WALL HEATERS- B.T.U. M <br /> LAUNORV TRAY UNIT MEATERS- B.T.U. M <br /> CLOTHES WASHEti EVAPORATIVE COOLERS <br /> WA7ER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD � <br /> � <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. � <br /> VACUUM BREAKERS STOVE-WO00 C] <br /> FlOOF DRAINS- RAINLEADER$ METALfIREPLACE 8 CHIMNEY <br /> SINK(SERVICE- BAR, ETC.) FIREPLACE INSER7 <br /> — HEAT PUMP <br /> H 1- <br /> y 'r <br /> H �-- <br /> SUB TOTAL S � C <br /> SUB TOTAL a p `' <br /> PERMIT S _ PERMIT 3 `C � <br /> TOTAL FEE S TOTAL FEE S <br /> PLAN CHECK FEE � r <br /> SIDE YARD SETBACK STREET SETBAGK REAR YARD SETBACK PLAN CHECK NUMBER �� <br /> FEE RECEIPT N0. � F <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATIOH FEE � � <br /> :-.YES �. NO <br /> 7YPE OF CONST. OCCUPANCY GROUP NO.OF DINELLING UNITS � ,: <br /> BUIIDING 5500.00 10 00 � c <br /> SIZE OF BLOG. NO.OF STORIES MA%.OCQ LOAD ��.- <br /> PLUMBING Q � <br /> "� r' <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL � F: <br /> REOUIRED <br /> YES NO r� <br /> APPROVALS BY OATE OTHER O� <br /> L ENVIRONMENTAI CHECK LIST PENALTY U.d.C. I <br /> SEC.30J(a) { , <br /> 2.BlIIL01NG°LANS TOTAL LO OO � <br /> 3.FIRE HYDRANT � e <br /> d.FIRE PROTECTION SYSTEh1 PERMIT VALIDATION <br /> 5.GRADING WMEN PROPERIY VALIDATED pN THIS SPACE)THIS IS VOIUF�PERMIT - C�;�� K <br /> - I _J <br /> 6.ORAINAGE ''�i" <br /> 7.ENVIRONMENTALIMPACTSTATEMENT G�� S <br /> r <br /> B.HEALTH DISTRICT � � <br /> i ' ' �'_� . <br /> APPLICATION ACG BV PLANS CHECKED BY APPR. FOR ISSUANCE BY � ' ' • <br /> F <br /> �. <br /> i <br /> ,1DDRE55 f9LF <br />