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IhrErerAreen � �pNSTRUCTIO� ` <br /> Cliv OF <br /> everett PERMIT PERMIT NO. 15� 61 <br /> CI7Y HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILAO�RE55 QTY 21P PMONE <br /> Charles Aanerud x@SXXXqXR@�1(N 705 N. 104th SEATTLE WA 98133 783-8619 <br /> ARCMITECT OR DESIGNER MAIL AOCRE55 pTY ZIP PMONE <br /> GENERAL CONTPAGTOR MAI�AD�RESS CITY ZIP PMONE LICENSE� <br /> Cascade Construction 4801 Aurora North Seattle WA 98103 632-4300 223-OICASCAC373-NI <br /> MEGHANICAL CONTRACTOR MAIL ADDRE55 CITY ZIP PHONE ULENSE� <br /> PLUMBING CONTRACTOR MAIL ADDRE55 GTV 21P PMONE LICENSE II <br /> CLASS OF WORK <br /> ❑NEW ❑ ADDITION ❑ ALTERATION C�REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVEJFIREPLACE INSERT <br /> VALUATION OF WORN <br /> = 74��.�0 <br /> OESCRIBE WORK <br /> Replace post & pier foundation with concrete footing and block wall <br /> PFOPOSED USE OF BUIL�ING <br /> Single family residence APPLICATIONTANDTIKNOW THERAME TO BE^TIRUE ANID <br /> LEGAL DESCRIPiION OF PNOPERTY(SMOW BELOW OR ATTACM FOUR COPIES) CORRECT. ALL f=ROVISIONS OF LAWS AND ORDINANCES <br /> �oT 5 BLOCK�oF GOVERNING TH(�TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVI;iIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTFUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADORE55 SIGNATUR ON TOR OR AUTN IZED AG r OATE <br /> X �/ � <br /> PLUMBING MECHAH7CA: <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�701LET) AIR COND.UNITS — H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVA70tiY(WASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS —TONNAGE EA. <br /> K�T�'+EN SINK 8 D!SP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> C . � .SHER WALL HEATERS— B.?.U. M <br /> LAUhORY TRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATNE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RA�GE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—W00� <br /> ROOF DPAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINKISERVICE — BAR,ETC.) FIREPLACEINSERT <br /> HEAT PUMP <br /> SUB TOTAL S SUB TOTAL S <br /> PERMIT S PERMIT S <br /> TOTAL FEE S TOTAI FEE S <br /> SIDE VARD SETBACK STREET SETBACK REAR YAFiD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LO7 AREA VACANT SI7E <br /> �,.:VES i:NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNI7S <br /> BUILOING 5 6$ 5� <br /> SIZE OF BLDG. N0.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT FIRESPRINKLERS MECHANICAL <br /> REOUIRED <br /> �. :YES .=:NO <br /> APPROVALS BY DATE aTHER <br /> 1. ENVIRONMENTAL CHLCK LI57 PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS 6a 5� <br /> 3.FIRE HVDRANT 70TAL <br /> d,FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5.GRAOING �'�'HEN PROPERLY VALIDATED pN TryIS,tSiA'I E)THI�1$YOUR�R�MIT '.�T <br /> 6.DRAINAGE � � � 6 8 <br /> ��� <br /> 7.ENVIRONMENTALIMPACTSTATEMENT <br /> I1 i <br /> B.HEALTHOISTRICT i�.�-•, � � � I��-� � �.-� <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY � � � " �� f\�-�.C I I T <br /> 'il ;,,�1K YOU <br /> �� �1�-� <br /> - ] �io�� 85 <br /> ADDRESS FILE <br />