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`h``1.��`��"' � �ONSTRUCTIOI� � <br />everett PERM�T PeRMir No. 16249 <br />CITY HALL 259�8745 <br />EVERET7, WA98201 � COMBINATION �i- BUILDING � MECHANICAL ❑ PLUMBING <br />OWNER ��MLAO�RESS CITY ZIP PMONE <br />Johnny Olson 6505 Olympic Dr Everett, WA 98203 347-1261 <br />RNGHITELT OR DESIGNER MAIL AU�RESS GTV ZIP PNONE <br />GENERAL GONTRACTOR MAIL ADDRESS CITY 21P PNONE LICENSE I <br />$E� F <br />MECHANICALCONTRALipR MAILADDRESS GiY 21P PHONE LIGENSE• <br />PWMBING CONTRACTOR IdAIL POORE55 GTY ZIP PMONE LICENSE I <br />O NEN' ❑ AUDITION ❑ AL7ERATION ❑ REI`AIR ❑ DEMOLI7IGN ❑ FENCE ❑ SIGN �E.] WOOD STOVE/FIREPLACE INSERT <br />f <br />IESCRIBE WORK <br />install fire place insert <br />�ROPoSED USE OF pUIIDING <br />Single family home <br />.EGAL OESGRIPTION OF PRpPERTV �SMOW DEL01Y OR ATTACH <br />LOT _ BLOCN __OF <br />6505 OL� <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />WATER CLOSET �TOILEn <br />Dr <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNORYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR �RAIN <br />VACUUM BfiEAKERS <br />ROOF DRAINS — RAINLEhDERS <br />SINK 1SERVICE — BAR, ETC.) <br />SUBTO7AL <br />PERMIT <br />TOTAL FEE <br />SI�E VARD SETBACK STREET SEiBA� <br />USE ZONE LOT AREA <br />TVPE OF CONST. OCCUPANCY G <br />SIZE OF BLDG. NO. OF STORIL <br />FIRE ZONE BASEMENi <br />APPROVAlS <br />1. ENVIRONMENTAL CMECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYD(iANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONN <br />STATEMENI <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BV <br />I HEREBY CF'tTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE: SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS O� LAWS AND ORDINANCES <br />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 AUTHURITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW flEGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />�A UREAF CONTflACTOR qgqqTNORREO RGENT DATE <br />FEE I N0. <br />S <br />S <br />S <br />YES . NO <br />rtr <br />AIF COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. cA. <br />BOILEflS — M.P. EA. <br />GAS FIRED A.C. UNITS — TONNA(iE EA. <br />FOflCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT MEATERS — B.T.U. M <br />flVAPORATIVE COOLERS <br />CLOTMES DRYERS <br />VENiILAT10N FAN <br />RANGEHOOD <br />AiR HANDLING UNIT — C.P.M. <br />STOVE — WOOD <br />METAL FIREPLACE S CHIMNEY <br />FIREPLACE INSEFiT <br />HEAT PUMP <br />SUB TOTAL S 7 <br />PERMIT S 10 <br />TOTALFEE S 17 <br />C NUMB:R PLAN GHEGK FEE <br />FEE RECEIPT NO. <br />FEES VALUATION � FEE <br />BUILDING S <br />OCC. 1.OAD <br />PLUMBING <br />SPRINKLERS MECHANICAL <br />IRED 1 <br />NO <br />DATE OTMER <br />PENALTV U.B.C. <br />SEC. 303 (a) <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VAIIDATED QN THIS SPACE) iH15 IS VOUR PERMIT <br />f � 1 i � li I l. )� _ <br />L.C. <br />BY <br />� <br />;• I <br />ADDRE55 FILE I � -���� uo <br />4 <br />