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thc Ercr�reen . �O N ST R U CT I O� • <br /> C�ivoF � <br /> �verett PERMIT PERMIT NO. 16094 <br /> CITY HALL 25987a5 <br /> EVERE7T,WA98207 �] COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAIL ADOFESS CITY 21P PHONE <br /> JOHN & YUDITH MOIR 2412 OAKES EVERETT WA 98201 252-3548 <br /> AFCHITECT OR DESIGNEB MRIL ADDRESS CITY ZIP PHONE <br /> GENEFAL GONTPACTOR MRIL ADDRE55 GITY ZIP PMONE UCENSE I <br /> DELEON CUSTOM HOMES 5913 Glenwood #B Everett UA 98203 347-1378 DELEOCH156JH <br /> MECHFNICAL WNTRACTOR MAIL RD�RE55 CITY 21P PMONE LICENSE� <br /> PLUMBING CONTflRCTOR MAIL ADDRE55 CITY 21P PHONE LICENSE 11 <br /> CLASS OF WORK <br /> ❑ NEW ❑ ADDITION (,� ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> S Z� �Q��.�� <br /> �ESCRIB[WORK <br /> Chip Remodel <br /> PROPOSED USE OF 9111LUING <br /> Sing'.c family residence IHEREBYCERTIFYTHATIHAVEREADANDEXAMINEDTHIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL OESCRIPTION OF PROPERTY�SMOW BELOW OR ATTACH FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> L0T_BLOGK_OF GOVERNING THIS 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 PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADORESS 51 RE OF GONTRACTOR OR AUTrOR 0 AGENT DATE <br /> 2412 Oakes X ' � 2/21/85 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> 2 WAT[RCLOSET�TOILEn !F OO AIR COND.UNITS— H.P. EA. <br /> � �ATHTUB 2 QQ FiEFRIGERA710N UNI7S— H.P.EA. <br /> z LAVA70RY(WASH BASIN) 4 OO BOILERS — H.P.EA. <br /> � SHOWER Z OO GAS FIRED A.C.UNITS—TONNAGE EA. <br /> � KI7CHEN SINK 8 OISP. Z OO FORCED AIR SYSTEMS— B.7.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRV TRAY UNIT HEA7ERS— B.T.U. M <br /> � CLOTHES WASHER Z OQ EVAPORATIVE COOLERS <br /> � WATER HEATER Z OO CLOTHES DFYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOIINTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF ORAINS— RAINLEADERS METAL FIREPLACE d CHIMNEY <br /> SINK(SERVICE— BAR,EiC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL $ OO SUB TOTAL S <br /> PERMIT t PERMIT S <br /> TOTAL FEE S H OO TOTALFEE f <br /> SIDEYARD SETBACK STREE7SE7BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIP7 NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ':YES :-NO FEES VAIUATION FEE <br /> TYPE�F CONS7. OCCUPANCY GROUP NO.OF�WELLING UNITS <br /> BUILDING s2� ,000. 146 50 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> PLUMBING �H OO <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> _:YES :�.NO <br /> APPROVALS BY DATE OTHER <br /> i. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2.BUILOING PLANS '� SEC.30J(a) <br /> 3.FIREHYDRANT � TOTAL �6 5O <br /> 4.FIFE PROTECTION SYSTEM PEflMIT VALIOATION <br /> S.GRADING � WHEN PROPERLY VALIDATED QN THI��PiCs THIS�IS�Q4 F�P�RI�IT_ -'�� <br /> '�'6.ORAINAGE } 1 6 �J � <br /> :.� <br /> 7.ENVIRONMENTALIMPALTSTATEMENT -- <br /> r-�8.HEALTH OISTHICT -- . �, �-;r-- <br /> �APPLICATION ACC.8Y• PLANS CHECKED BY APPR.FOR ISSUANCE BY �� ' � ����' � � � � � <br /> c.- c . <br /> c- - . _ ; , , � �,) <br /> c� <br /> ' - , � <br /> — _ � <br /> • 1 ,i I i �� 11 U <br /> �� ADDRESS FILE <br />