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, � <br />! <br /> ,^ <br />� rheEvergreen � �����Ru����� � ' <br />� GTY OF <br /> ev�re�t PERMIT pERMIT NO. 08344 <br /> CITV HALL 259�8745 <br /> EVERETf.WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL PLUMBING <br /> MAIL RD�RE55 CITY LIP PHONE <br />, owr+Ea 9820g 35504987 <br /> Larry Bethel 2110 Monroe Ave. ZiP PHONE <br /> r MAIL ADDRE55 ��TY <br />� ARGHITECT OR DESIGNER <br /> F CITY 21P PNONE LIGENS[I <br />� <br /> GENEPALCONTRACTOR AIAIlA0DRE55 <br />� Same - <br />� MAIL ADOfiE�S CITY 21P PHONE UCENSE• <br />� MECNANIGLCONTRACTOR <br /> I A1AIL ADDRE:S CITY ZIP PNONE LICENSE/ <br /> PIUMBING CONiRACTOR <br /> CU55�'F WORK <br /> ❑NEW ❑ADDITION ❑A�TER4TION ❑REPAIR �IQEMOLI710N ❑FENCE ❑SIGN �GARAGE <br /> V4LUATION OF WONN , <br /> f <br /> O:Sf.FIBE WORK . <br /> Demolish existing garage <br /> PROPoSED USE OF BUILDING <br /> single family r�:aideace _ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS - <br /> LEGFI'JESG�9PTIONOFPROVERTY�SMOW BEIOWCHAIT4CMFOVRGOFIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PRC�VISIONS UF IAWS AND ORDINANCES GOVERNING THIS <br /> io., 5-6 bi�K 2,3 or _ Pinehurst Div. B TYPE Ot= WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PER?AIT DOES NOT <br /> PRESUME TO�aIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO• <br /> CON:TRU�CTION OR THE PERFORMANCE OF CO STRU T ONNG <br /> onrc <br /> 51G��A1�J E OF L0��RACTOR ON AUTNORIZEj�FGENT 9/2 S�B O <br /> 1 <br /> JOBADDRESS I,1t �,`,L_�L� <br /> 21� 10 M�nr�e Avense <br /> X �v1, o�-� <br /> PLUMBINO MECHANICAL � <br /> TYPE OF EQUIPMENT FEE <br /> NO. TYPE OF FIXTUHE OR ITEM FEE NO. AIP CONC` UNITS—H.P.EA. <br /> WATER CLOSET(TOILEn � <br /> PEFFIGEIiAT10N UNITS—H.P.EA � <br /> BATHTUB <br /> BOILERS—HP.fA. <br /> �qyA?ORY(WASH BASIN) <br /> GAS FIRED A C.UNITS—TONNAGE EA. <br /> SHOWER <br /> � FORCED aIR SYS7EM5—B 7.U. M EA. <br /> KITCHEN SINK&DISP. M <br /> WALL HEA?ERS—6 T.U. <br /> DISHWASHER <br /> . UNIT HEATERS—B T.U. M <br /> LAUNOPYTRAY <br /> EyqPppATIVE COOLERS <br /> CLOTHES WASNER CLOTMES DRYERS <br /> WATE9 HEATER <br /> VENTILAiION FAN <br /> URINI�L RnNGE HOOD — <br /> � DRINKING FOUNTAIN <br /> AIH HANDLING UNIT— C.F.M. <br /> FLOOR DRAIN STOVE <br /> � VACUUM BREAKERS -� <br /> ME�AL FIREPLACE 8 CHIMNEY <br /> � qOOF DRAINS—RAINLEADERS <br /> SINK(SERVICE—BAR.E7C.) <br /> SUBTOTAL f <br /> SU!TOTAL pERM1T f <br /> PEIIMIT = <br /> TOTAL FEE f T0Tl1l FEE s <br /> PLAN CHECK FEE <br /> SIDE YARD SETBACK STREET SETBACK REAH YARD SETBACK PLAN CHECK NUMBER FEE PECf:iPT NO. <br /> USE ZONE LOT AREA vACANT SITE FE� VALUATION FEE <br /> UVES ❑NO <br /> TYPE OF CONST. OCCUPANCY GROUP NC�.OF DWELLING UNITS <br /> BUILDING E 00 00 <br /> SIiE OF BLDG. N0.OF STORIES MA%.OCC_LOAD <br /> PLUMBING <br /> FIRE20NE BASEMENT FIRESPRINKLERS MECHANICAL <br /> REQUIRED <br /> ❑YES ❑NO <br /> 11PPIIOVALS <br /> er D�TE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2. BUIL�INOPLANS TOTAL 00 00 <br /> 3. FIRE HYDRANT <br /> PERMIT VALID�TION I <br /> 4. FIRE PROTECTION SYSTEM WHEN PROPERLY VALIDATED(IN THIo SPACE)THI515 YOUR PERMIT <br /> 5. GRADING � <br /> 6. DRAINAGE � H 2 H S � O O O. 0 0 --� � <br /> 7. ENVIRONMENinIIMPACTSTAThMENT � <br /> B. HEALTH DISTRICT p � . 1 <br /> APPLICA7IJN ACC.B� PLANS CHECKED BY APPR.�OR ISSUANCE BY 1�� - � �, P I`r C L I�T , <br /> ; �< <q�.��� YCu � <br /> , �. � �t. ' � <br /> ADDRESS FILE 2 � �P 20 • <br /> I <br /> r;� <br />