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�hcEvcrAreen . `CONSTRUCTIO� . <br /> everett PERMIT PERMIT NO. 15371 <br /> CITY HALL 25P�B7d5 <br /> EVERETT,WA98201 I� COMBINATION � BUILDING ❑ MECHAkICAL ❑ PLUMBING <br /> OWNER MAILAOOHE55 CITY ZIP PMONE <br /> John Medema 3130 t9f3m�(]9�M7ggE7{ Wetmore Everett 98201 <br /> ARCHITECT OR�ESIGNER MAII ADDFE55 CITY ZIP PHGNE <br /> GENERFL GONTRALTOR MAIL ApDRESS CITY Zlr PMONE LICENSE 1 <br /> Fuller and Son P.O. Box 1134 Everett 98206 259-6978 <br /> MECHANICAL CONTRACTOR MAIL ADPFE55 LRY 21P PNONE LICENSE 1 <br /> PLUMBING GONTRAGTOR MAIL ADDRESS GITY ZIP PNONE LICENSE I <br /> CU55 OF WORK <br /> ❑ NEW ❑ ADDITION O ALTF�iATION ❑qEPAIR 7(� DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORN <br /> 3 <br /> DESCRIBE WORK <br /> Demolish Single Family Residence <br /> PROPoSED USE OF BUILUING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL CESCRIPTION UF PROPERTY(SMOW BELOW OR ATTAGH fOUR COPIES) COFRECT. ALL PROVIS�ONS OF LAWS AND ORDINANCES <br /> 21-22 739 Everett Land Co. 's lst GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCY,_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 STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDFESS [IGNATU G NTRACTOR HO A4ENT DATE <br /> 3108 Oakes X - 9/3/85 <br /> PLUMBING MECNANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�TOIl.En AIR COND. UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY�WASH BAaIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS— TONNAGE EA. <br /> KI7CHEN SINK R DISP. FORCED AIR SYSTEMS— B.7.U. M EA. <br /> DISHWASHER WALL HEATERS — B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS— 6.T.U. M <br /> CIOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES OPYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUN7AIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS MEiAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE — BAR, ETC.1 FIREPLACE INSER7 <br /> HEAT PUMP <br /> SUB TOTAL f SUB TOTAL S <br /> PERMIT f PERMIT S <br /> TOTAL FEE S TOTAL FEE S <br /> SIDE YAPD SETBACK STREEi SETBACK REAR YAFD SETBACK °LAN CMECK NUMBER PIAI! �HECK FEE (, <br /> FEE I RECEIPT NO. <br /> USE ZONE t0T AREA VACANT SITE — <br /> :�.YES , NO FEES VALIIATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING $ OO OO <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLEFS MECMANICAL <br /> REOUIPED <br /> �.��.YES ��. NO <br /> APPROVALS BV DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2.BWIDING PLANS SEC.303(a) <br /> 3.FIREHYDRANT TOTAL OO OO <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5.GNADING WMEN PROPERLV VALIDATED(IN 7H1SIS3A6 EI THI$i� O l�R O OMIT �--� <br /> 6.PRAINAGE � p � �T <br /> 7.ENVIRONMENTALIMPAC75TATEMENT � <br /> B.HEALTH DISTRICT <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR. FOR ISSUANCE BY ��v U P. RCC E I PT � <br /> 7�-'!'��I; YOU <br /> - i� s�P 8 5 <br /> ADDRESS RLF. <br />