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1hc Et�PrArePn "�O N S�T R U CT I O P ` <br /> �,,��F � <br /> everett PERMIT PERMIT NO. 1?g73 <br /> CITY HALI 254�B7d5 <br /> EVERETi,1NA 98201 [] COMBINATION � BUILDIN�i ❑ MECHANICAL ❑ PLUMBING <br /> 0'.YNER MRIL AOOPESS GITY 2iP PMONE <br /> BENTEC DEVELOPMENTS 4126 SERENE WAY LYNNWOOD WA 98037 743-6544 <br /> ANLniIELt OR pE51GNER MFIL ADDf1E55 ��TY Z�P P�ahE <br /> MARC BHEND 4126 SERENE WAY LYNNWOOD WA 98037 743-6544 <br /> GENERALGONTRALiOR MAILAD�RE55 LIiV ZIP PMONE LICENSE� <br /> BENTEC DEVELOPMENTS 4126 SERENE IJAY LYNNWOOD WAc98037 743-6544 PMONE LICENSE. <br /> MELNANICAL CONTPRGiOF MAIL ADORESS <br /> F_UMBING CONTRAGTOR �+�AIL AOORE55 � LITY 21P Pn04E LiLENSE� <br /> GLA55OF WORK <br /> ❑NEW ❑ ADDITION �A�TERATION ❑REPAIR ❑ DEMOIiTION ❑ FENCE ❑ SIGN O WOOD STOVFJFIREPLACE IN <br /> VALUATION OF WOPK <br /> 3 �Of���. <br /> OESCRIBE WORN <br /> Enclose front porch, install toilet and lav, reptace 4 windows, drywa <br /> PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Professional offices APPL�CATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRlOESCRIPTION OF PROPERTY�SMOW BELOW OR ATTACH FOUR GOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LpT_BLOCN_Of WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> 27 & EZ Of 28, Blk 740, Everett Land Cc 15t pERMITDOESNOTPRESUMETOG�VEAUTHORITYTOVIOLATE <br /> Addn to Ever� OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMAPJ OF CONSTRU TION. <br /> JOB AO�PE55 SIGN<TUA6 � TPRCTOR OR AOTMORI U AGENi OQE <br /> X. � "`'�- <br /> PLUMBING MECHA IC L <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. ' �� TYPE OF E�UIPMENT <br /> FEE <br /> WAl'ERGLOSET�TOILEn AIR COND.UNITS — M.P. EA. <br /> REFRIGERATION UNITS— H.P. EA. <br /> BATHTUD <br /> � LAVA?ORY(WASHBASIN) BOILERS— H.P.EA. <br /> GAS FIRED A.C.UNITS—TONNAGE EA. <br /> SHOWER <br /> KITCMEN SINK 8 DISP. fORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISNWASMER WALL HEATERS— B.T.U. M _ <br /> LAUNDRY TRAY UNIT HEAiERS— B.7.U. M . <br /> CLOTMES WASMER EVAPORATIVE COOLERS _ _ <br /> WATER MEATER CLOTHF.S DRVEPS <br /> VENTILATION FAN <br /> URINAL <br /> DRINKING FOUNTAIN RANGE MOOD <br /> FLOOR DR41N AIR HANDLING UNIT— C.F.M. � <br /> VACUUM BREAKERS STOVE —WOOD � <br /> ROOF�RAINS— RAINLEAOERS METAL FIREPLACE F CMIMNEV �1 <br /> SINK�SCRVICE — BAR,ETC.) FIFEPLACE INSERT <br /> MEAT PUMP _ <br /> H !— <br /> y ,. <br /> SUB TO7AL f SUB TOTAL f � �- <br /> PERMIT f PERMIT s � K� <br /> TOTALFEE � <br /> T0TI1L FEE S � � <br /> SIDE YARD SETBACK STREET SE'BACK REAR YAflD SETBACK PLAN CHECK NUMBER PLAN CN'_GK FE'c <br /> RFCEIPT NO. � k. <br /> 84 12973 FEE52.33 671.1 --- t <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE � i <br /> YES � NO 7— F. <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLINC UNITS — � ' <br /> RUIIDING �Q�Q��. 80 5� <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD y <br /> PLUM�ING �F OO r2 � <br /> FIR420NE BASEMENT REOUSREO KLEFS MECHANICAL 3 OO � '�• <br /> VES NO �] ° <br /> BY OAiE QiHEH _ .T� r_ <br /> APPROVALS �� <br /> PEIJALTY U B C <br /> L ENVIR0IJMENIAL Ci iEGK LIST �� SEG.3031a� pp <br /> 2.BUIL�ING PLANS on TpTAL M g� 5� { � � � <br /> 3.FIREHYDRANT M �.� � <br /> 4.FIRE PROTEG�ON SYST PERMIT VALIDATION — M : <br /> WHEN PROPERLY VAL�DATED�1N TH �CP�CpE)THI I$�YOUR P€ IT i�� <br /> s.canoiNc— GARAGE TO BE DEMOL,ISHE�`&" A MI�MIfM�OF� ri • ; <br /> 6.DRAINAGE - "� � <br /> _�,eNwaor+MenT+�urnan _ rnreMeNr 5'(ACCEPTABLE) OFF�STREET PARY.ING SPACES ��� <br /> �a�en�rHasrarcr � TO 6E PROVIDED PRIOR TO OCCUPANCY OR THE ,� ._ ,_ ; <br /> �ppPLICATION ACC. BY ,_�LANS CNECKED BV APPq.FOR ISSUANCE BV 1SSUANCE 0��:A CE�f�FI CATE OF OCCUPAIiCY: J <br /> _ � ; =DAB LC , , '� <br /> c_ _,� 'T' I <br /> —� <br /> � � n f 5 iLB � i <br /> ADDRLSS HLC <br />