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- � <br /> �heEv,;green .� �NSTRUCTION ' <br /> CITY OF <br /> everett PERMIT pERMIT NO. OS459 <br /> CITY HAIL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION C�BUILDINQ ❑ MECHANICAL ❑ PLUMBIN(i <br /> CWNER MPILADDRE55 CITY ZIP PHONE <br /> Erwin Ericson 2126 Oakes Everett 98201 <br /> ARCHITECT OR DESIGNER MAIL ADDRE55 CITY 2�� PHONE <br /> GEYERALCONTRnGTOR MAILADDRE55 Cltt IIP VHONE UCENSE� <br /> Ace Conatruction 2415 8th Street 98201 252-9419 <br /> MECHFNICAL CONTRACTOR MAIL ADDRE55 CITY I�p PHONE LICENSE/ <br /> PLUMBING CONTR�CTOfl MAIL AOORE55 LITY ZIP PHONE LICENSE� <br /> CU:S OF WORK <br /> ❑NEW ❑ADDITION ❑ALTEMTION C�PAIR ��EMOLITION CIFENCE ❑SIGN ❑GARAGE <br /> VAIUATION OF WORK <br /> s 5600. 00 <br /> DESCflIBE WORK , <br /> conetructinq a block foundation <br /> PNOPOSED IISE OF BUIIUING <br /> ain le f amil r I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> lECa0.DE5CNIPTIONOFPROPERTYISHOW BELOWOR�TTACHFOURCAPIES� PLICATION ANO K�VOW THE SAME TO BE TRUE AND CORRECT. , <br /> 19-2� 437 Everett ALLPROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS <br /> ior ia�oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECiFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIO�ATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> . ' � JOB AD�RE55 SIGNATURE OF fANTRACTOR OH AUTHORI2ED AGENT DATE <br /> 2126 Oakes X (6; 0 2 <br /> ' :;-?-;.. :.',;�' .:" � PLUMlINO CIIANICAL <br /> _ .....�h= . .. , <br /> . � . NO. TYPE OF flXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> . . WATER CLOSET(TOIL AIR COND.UNITS—H.P.EA. <br /> - . � - �. BATHTUB REFRIGERATION UNITS—H.P.EA <br /> � � ' UVATORV ASM BASIN BOILERS—H.P.EA. <br /> � � SHOWER GAS FIRED A.C.UNITS—70NNAGF EA. <br /> � KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> � � . �ISHWASHER WALL HEATERS—B T.U. M . <br /> . i UUNDRY TRAV UNIT HEATEFS—B T.U. M <br /> CLOTHES WASHEN EVAPORATIVE COOLERS <br /> � � WATER HEATEH CLOIHES DRYERS <br /> i URINAL VEN7ILATION FAN <br /> �� DRINKING FOUNTAIN RANGE HOOD <br /> � FLOOP PFAIN AIF HANDLING UNIT— C.F.M. <br /> , VACUUM BREAKERS STOVE <br /> � ROOP DRAINS—RAINLEADERS METAL FIFEPLACE 8 CHIMNEV <br /> � SINK(SERVICE—BAR,EfC.) <br /> SUO TOTAL SUBTOTAL t <br /> PERMIT i PERMIT t <br /> TOTALFEE i TOTALFEE <br /> SIDE YARD SET&4CK STREE7 SETBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FFE RECEIFT NO. <br /> � USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. GCCUPANCY GROUP NO.OF DWELLINC UNITS <br /> SRE OF BLDG. N0.OF STORIES MA%.OCC.LOAD BUILDING S 5 6 O O.O O S 6 S O <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANIGIL <br /> ❑VES ❑NO <br /> APPROVALS !Y DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST <br /> PENALTY U.B.C. <br /> 2. BUILDINGPLANS SEC.303�a) <br /> 3. FIREMYDMNT TOTAL 56 50 <br /> a. FIRE PROTEC710N SVSTEM PERMIT VAUDAL�.tN <br /> WHEN PROPERLY VALIDA7ED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING <br /> 6. DRAINAGE 9 3 8 7 S.0 5 6. 5 0 ` � <br /> L ENVIRONMENTALIMPACTSiATEMENT . � <br /> 8. HEALTH OIS7RICT � � p p� f� � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY ,� �`' �J i\ I`��+4 I PT � <br /> � � iA��K YC U <br />