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_ _ .. <br /> �,�����"S�Y��G� ; CONSTRUCTIO' 1 <br /> everett PERIWII� PERMIT NO. 15L�Q <br /> CITY HALL 259�P745 <br /> EVERETT,WA9B207 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLI�MBING <br /> OY�NER MqIL AOORE55 CITY ZIP PMONE <br /> Robert L. Poor 1721 Oakes Everett 98201 252-7195 <br /> ARCHITECT OR�ESIGNER h1AIL ADOR.55 dTY ZIP PHONE <br /> GENERA�CONTRA.TUR MAIL ADORE55 CITY ZIP PHONE UCENSE 1 <br /> H & H Construction 8421 12th Street S.E. Everett 98205 <br /> MECNANICAI CONTRACTOR MAIL A�ORESS CITY ZIP PHONE LICENSE N <br /> PLUMBING CONTflACTOR MqIL AODRE55 QTY Z�p PMONE LICENSE� <br /> ClASS OF WORK - <br /> ❑NEW ❑ ADOITION ❑ ALTERATION }{�REPAIR 0 DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VALUATION OF WORK <br /> s 3,794.00 <br /> UESCRIBE WOHK / , e <br /> install cement foundation C.4�C�'�G <br /> PROPoSED VSE OF BUILDIN� <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNnW 'fHE SAME TO BE TRUE AND <br /> LEGAlDESCRIPTIONOFPROPERTY�5HOW8ELOWORATfACHFOURCOPIES� CORRECT. ALL PRO'JISIONS nF LAWS AND ORDINANCES <br /> 11-12 350 Everett GOVERNING THIS �YPE OF WORK WILL BE COMPLIED WITH o <br /> LOT_BLOCK_OF <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTIIJG OF A -t <br /> PERMIT DOES NOT PRESUMC TO GIVE AUTHORITY TO VIOLATE � <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR m <br /> LOCAL LAW REi9ULATING CONSTRUCTION OR THE �� <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOU ADDRE55 SIGN E OF ONT �ACTOR 0 A ORIZEO AGENT UATE �-+ � <br /> 1721 Oakes X � ���y�7'1/ 7/24/85 � �� <br /> .. � <br /> PIUMBING MECHANICAL N = <br /> m <br /> NO. TYPE OF FIXTURE OH ITEM FEE NO. TYPE OF� EOUIPMENT FEE c v <br /> m o <br /> WATERCLOSET�TOILET) AIR COND.UNITS- H.P. EA. n <br /> BATHTUB REFRIGERATION UNITS- ri.^ EA. � � <br /> m <br /> LAVATORY(WASH BASIN) _ BOILERS- H.P. EA. _ � <br /> SHOWER GAS FIRED A.C.UNITS-70NNAGE EA. m <br /> KITCHEN SINK&DISP. FORCED AIR SYSTEMS- B.T.U. M EA. •� Z <br /> - C <br /> DISMWASHER WALL HEATERS- B.T.U. M D -I <br /> — rx <br /> _ LAUNDRYTRAV UNIT HEATERS- B.7.U. 'A �N <br /> CLO7HE5 WASHER EVAPORATIVE COOLERS < <br /> T <br /> WATER HEA7Efi CLOTHES ORYERS � n <br /> URINAL VENTILATION FAN � m <br /> DRINKING FOUNTAIN RA�GE HOOD = <br /> m .+ <br /> FLOOR ORAIN AIR HANDLING UNIT- C.F.M. N <br /> — v <br /> VACUUM BREAKERS STOVE-W00� O r <br /> c�m <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 8 CHIMNEV C N <br /> � N <br /> SINK(SERVICE- BAR, [TC.) FIREPI.ACE INSERT m <br /> zn <br /> HEAT PUMP � r <br /> • m <br /> a <br /> a <br /> � <br /> x <br /> n <br /> SUB TOTAL i SUB TOTAL S Z <br /> PERMIT S PEHMIT f � <br /> 2 <br /> TOTAL FEE S TOTALFEE S � <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SET6ACK PLAN(:HECK NUTABER PLAN CHECK FEE Z <br /> FEE RECEIPT NO. � <br /> USE ZONE LOT AREA VACANT SITE <br /> .�VES �. NO FEES VALUATION FEE n <br /> m <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> BUILDING $ 3,794.00 94 50 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCG LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> YES NO <br /> APPROVpLS BY OATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST U.B.C. <br /> PENAITY SEC.�03�al <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRAtJT T�TA� 94 50 <br /> 4.FIRE PHOTEC710N SYSTEM PERMIT VALIDATION <br /> S.GRAUING WHEN PROPERLY VALIDATED(IN TMIS�SPACE)THIS IS YOUR PERMIT Q <br /> 6.DRAINAGE � � <br /> , 7.ENVIRONMENTALIMPACTSTA7EMENT CJ <br /> B.HEALTH DISTRICT � <br /> APPLICATION ACC. BY PLANS CMECKED BY APPR.FOR ISSUANCE BY � � ' � <br /> DAB <br /> ;�nnr<ess r,�F <br /> r <br />