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� <br /> ; <br /> � <br /> r <br /> _ _ '1 <br /> �h�.�_,<..`.�`.`.�' . ^,ONSTRUCTIO�' <br /> everett pE���T PERMIT NO. 11gO5 <br /> CIiV HALL 259-fi7d5 <br /> Ev=_aerT.wn9ezoi ❑ COMBINATION 7E1: BWLDING ❑ MECHANICAL ❑ PLUMBING <br /> � 01YVER Mal�ApDAE55 CITV 2iP PMONE <br /> Authelia Lowman 1208 Pacific Everett <br /> �RCMRECT OR OESIGNER H.AIL ApORE55 CITY ZIP PNONE <br /> GENERFt CONTRPCTOR MNIL ApORE55 LITV ➢P VIIONE LICENSE� <br /> Dean Pratt Builders 17530 Simon Road Snohomish 98290 568-6279 <br /> MELM4NiCF�LONTRnC10N MPIL ADDRE55 dTY ZIP PMONE LILENSE n <br /> r PR AT T337PB <br /> PLUMBING GONiR�C10R MRIL�D�RE55 GITY ZIP PHONE LIGEHSE 1 w <br /> � <br /> GLAiSOP WORN <br /> ❑NEW ❑ ADDIiION ❑ ALTERATIDN �]IEPAIR ❑ DEMOLITION ❑ FENCE ❑SIGN ❑ WOOD S10VE/FIREPLACE INSERT <br /> V�LUPTIONOf WORR <br /> s BC/�.�� <br /> D:SCRIBE WOHM <br /> Re-roof Composition <br /> PROPOSED USE OF BUiLDivG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> iec��oescnivnorvoFanoreAtr�sNowee�owoen.ucHrouacoviesi CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 1�i�dT�e�oc� �33oF Everett Div. H GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREtN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OF CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> IOCAL LAW REGULATING CONSTRUCTION OR TH[ <br /> PERFORMANCE 0�:.�UNSTRUCTION. <br /> JOB�O�RE55 SIGN�TURiQ F COHLN�CTOR Oa npin0 �G[Nt ��iE <br /> `Facific Avenue 1210 E�ncific Ave. X � , �� / a/zo/ea <br /> PIUMlING MECMANIC�L <br /> N0. TYPE OF FIXTURE OR ITEM FEE NOT—TYPE OF EOUIPMENT FEE <br /> IYATERCLOSET�TOILET� ,\Iq COND.UNIiS- H.P.EA. <br /> BATRTUB EEFRIGERATION UNITS—M.P. EA <br /> LAVPTORY�WASM BRSIN) BOILERS— N.P.EP. <br /> SMOWER GPS FIRE�AA.UNITS—TONNAGE EA. <br /> KITCNEN SINN 8 OISR FOP.CED AIR SYSIEMS— D.T.U. M EA. °X <br /> DISMWASHER WAL HEATEFS— B.T.U. M <br /> LAUNORY TRAV UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVnPORATIVE COOLERS <br /> WATER HEATER CLOTMES DR'lERS <br /> URINAL VENTILATION FAN <br /> ORIHKING FOUNTAIN RANGE MO00 <br /> F�ppq DRAIN AIR HANDLING UNIT — GF.M. <br /> VPCUUM BREAKERS STOVE — WOOU <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE d CNIMNEV <br /> SINNISERVICE—BAR.ETCJ FIREPLAGEINSERT <br /> ME�T Pl1MP <br /> SUBTOTAL f SUS TOT�L f <br /> VERMIT f PERMIT { <br /> T0TI1L FEE S TOTAL FEE f <br /> SIDE YAPD SETBACN STREET SET84CK REAR VARD SETBACK PLAN CMELK NUMPER PLAN CMELK FEE <br /> fEE RECEIaT NO. <br /> USE ZONE LOT AREA VA:ANT SIiF. <br /> YES .NO FEES VqLUl1T10N FEE <br /> TYPE OF CONST. OCCUP4NCV GROUP NO OF OWELLING UNIiS <br /> BUILDING 5 $00.00 1Q SO <br /> SdE OF BLDG. NO.OF STORIES MA%.OCG LOAD <br /> PLUMBING <br /> ` FIpE ZONE BASEMENT FIPE SPRINKIERS MECHANICAL J <br /> REOUIflED <br /> VES NO — <br /> RPPROVALS BV ORTE OTHER <br /> L ENVIRONMENTAL CHECN LIST PENALTY U B C <br /> SEC.303�al <br /> 2.BUILDING PLANS <br /> J.FIREHYDRANT TOT�L ZQ SQ <br /> 4.FIRE PROTECTION SVSTEM VENMIT VALI011TION <br /> L 5 GRA�ING WMEN PROPERLY VALIDATED(IN T��S;AQE)TMISI�YQUR�FjM17 �[j <br /> �jo� 1 f4 U � <br /> 6.�RAINAGE � <br /> 7.ENVIRONMENTAL IMPqCT STATEMENi � <br /> 8.NEP�TM DISTRIq • /�.' �y �} <br /> APPUCRTION ACC.BY PLANS CMEChE�9Y APPR.FOR ISSUANCE BY � 'Y V'S��'R R E���r 1 � <br /> TI;ANK YOU <br /> ADDRE55 f ILi. � � �� 8 r <br /> L <br />