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theEverRreen �.- . -;ONSTRUCTIOP�` -- <br /> UTv O� <br /> everett PERMIT PERMIT N0. �6540 <br /> CITV HALL 25987�5 <br /> E�ERETT,WA98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OW�..P MAIL e�pRESS GTV 21P PHONE <br /> Jeff Clifford 4720 Mermont Place Everett, WA 98203 259-6448 <br /> ♦RCMITE�T OR DE3IGNER MAiL ADDRESS CITY ZIP PHONE <br /> 6ENER�L CONTR�CTON MqIL ADDRE55 GITY 21P PHONE LICENSE� <br /> Everett Builders, Inc. 5606 Evergreen Way Everett, WA 98203 353-7161 <br /> MECNANIC�L CONTRACTOR MAIL AD�RESS CITY 21P PNONE U:ENSE• <br /> PLUMBING CON'NAGTOR MAIL ADDNESS CITV 21P PHONE LICENSE� <br /> CLA55 OF WORK <br /> ❑ NEW �] ADDITION ❑ ALTERATION O REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> V�LUATION OF WORK <br /> f5�52�.�0 <br /> DESCRIBE WORK <br /> 2nd etory deck <br /> PROPOSEU USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�L OESCRIPTION OF PROPERTY�SNOW BELOW OR ATTACH FOURCOPIESI CORRECT. ALL PROVISIONS OF LAWS AND ORDINANI.ES <br /> GOVERNING THIS TYP[OF WORK WILL BE COMPLIED WITH <br /> LOi_BLOCK__OF Wh1ETHER SPECIFIED HEREIN OR NOT.THE GR.4NTING OF A <br /> Central Pk add to Evt; Plk 015-0-00;lots 31, PERMI7 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLAI c <br /> , ; ; per vo . o p a s; page OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFO ANCE OF CONSTRUCTION. <br /> J09 ADDRESS SIGNAT R F CONTR TOR OR PUT�ORIZED AGENT D TE <br /> 4720 Mex'mont Place X + i <br /> P4UMEING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> VJATERCLOSE7�TOILEn AIR COND.UNITS - H.P. EA. <br /> BATHiUB REFRIGERATION UNITS- H.P. EA. <br /> LAVA70RY pNASH BASIH) BOILERS - H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS-70NNAGE EA. <br /> KITCHEN SINK 8 OISP. FORCED AIR SYSTEMS- B.T.U. M EA. <br /> DISHWASHER WALL HEATER�- B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS- B.T.U. M _ <br /> CLOTHES WASHER EVAP�RATWE COOLERS <br /> WATER HEATER CLO7HES DRYERS <br /> URINAL VEN71LA710N FAN <br /> ORINKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE-WOOD <br /> RCOF DR41NS- RAINLEADERS METAL FiREPLACE d CHIMNEY _ <br /> SINK�SERVICE- BaR,ETC.) FIREPLACEINSERT <br /> HEAT PUMP <br /> SUB TOTAL i SUB TUTAL S <br /> PERMIT f PERMIT f _ <br /> 70TALFEE f TOTAL FEE S <br /> SIDE YARD SE7BACK STFEET SETBACK REAR YARD SETBACK PLAN CHEJK NUMBER1 6540 PLAN CHECK FEE <br /> 6� 20� 20� 86�}��p }�p FEE RECEIPTNO. <br /> USE ZONE LOi AREA VACANT SITE 36.73 790$9 <br /> R-1 9�50 �:;YES XNO FEES VALUATION FEE <br /> TVPE OF CONS7. OCCUPANCY GROUP NO.OF DWELLING UNITS suilding Code Surct arge _ 1 50 <br /> V-N R-3 � BUILDING $ 5527.00 56 50 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCQ LOAD <br /> N.A. N.A. O PLUMBING <br /> FIREtONE BASEMENT FIRESPRINKLERS MECNAN!CAL <br /> REOUIRED <br /> YES XNO <br /> APPROVALS BY DATE O7HER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS TOTAL SB.00 St�l)SIQ <br /> J.FIRE HYDRANT <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT Q <br /> 5.GRADING � <br /> 6.DRAINAGE L(') <br /> 7.ENVIRONMENTALIMPACTSTATEMENT (S1 <br /> B.HEAITH DISTRICT �—� <br /> APPUCATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> sg JEF L.C. <br /> ADDRESS FIL[ <br />