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`"`�`,""`.`° ;pNSTRUCTIO�' <br />C�Tv GF ' <br />everett PERMIT PERMIT NJ. 13247 <br />CITY MALL 259�8745 <br />EVERETT, WA 98201 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OY:NER MAILADDRE55 CITY 7iP PMONE <br />Steven Bly 6914 Morgan Rond Everett 98203 355-7475 <br />ARGMIiEGT OR OESIGNER MAIL AODPE55 CITY 21P PHONE <br />GENERA� WNTPACTOR MAIL PDDRESS CITY ZIP PMONE LIGENSE � <br />Same <br />MEGI/ANICAL CONTRAGTOR MAIL ApORE55 CITY Z�P PMONE LICENSE � <br />PWMBING GONTRAGTOR MAIL ADDRE55 CITV ZIP PMONE UCENSE I <br />O NEW <br />.UATION OF WORI( <br />S 4�00�.�0 <br />Construct <br />O ADDI710N ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVEIFIREPLACE INSEFT <br />Family Residence <br />�or 106 eiocn_oF Beverly Hills Div. 5 <br />5914 Morgan Road <br />PLUMBING <br />TYPE OF FIXTURE <br />BATHTUB <br />LAVATORY�WASM �ASIN) <br />SHOWER <br />KITCMEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />GLOTHES WASHER <br />WATER MEATER <br />URINAL <br />DRINKIhG FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEA�ERS <br />SINK ISERVICE — BAR, ETC.1 <br />Alt 1' <br />USE ZONE <br />R-1 <br />TYPE OF CONST. <br />V-N <br />SIZE OF BLDG. <br />G88 Sq. Ft. <br />SU0 TOTAL f <br />PERMI7 S <br />TOiALFEE S <br />IEET SETBACK REAR VARD SETBACK <br />a�� ia� ia� <br />R�'+�qe'mntEd VACANT SITF. <br />VES )(�10 <br />:UPANCY GROUP NO.OF �WELLING UP <br />M <br />OF STORIES MAx. OCQ LOAD <br />1 <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS _ <br />J. FIqE MVDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6.ORAINAGE <br />7. ENVI RONMEN7 4L IMPACT STAT <br />8. MEAITH DISTRICT <br />EB <br />CHECKED <br />HWM <br />REOUIPED <br />YES <br />BY <br />FOR ISSUANCE BY <br />I,C <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS ANC' ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THc GRANTINC OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATl1R F CONTqACTOR OR AUi ED AGENi OFTE <br />X �i+� � ���_i y 2� "' ` <br />M6CHANICAL <br />N0. TYPE OF EOUIPMENT <br />AIR COND. UNITS — M.P. EA. <br />REFRIGERATION UNI75 — M.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.G UNITS — TONNAGE EA. <br />fORCED AIR SYSTEMS — �.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UIJIT H[AiEHS — B.T.U. M <br />EVAPORATNE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHO00 <br />AIR HANDLING UNIT — G.F.N. <br />STOVE — wOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />84/13247 <br />FEES <br />BUILDING <br />PLUMDING <br />MECHANICAL <br />OTNER <br />PENALTV <br />SUB TOTAL <br />PERMI7 <br />TOTAL FEE <br />FEE 25.03 <br />VALUATION <br />E4 , 000. <br />U.B.C. <br />SEC. 303 (a� <br />FEE <br />� <br />S <br />S <br />CHECK FEE <br />RECEIPT NO. <br />68q59 <br />FEE <br />44 50 <br />TOTAL I I 44 I50 <br />PERMIT VALIOATION <br />\NHEN PROPERLY VALI�ATED (W THI65PAGE) TH19�1$`�YPUf1 F{€q/�11T �� <br />I I J 1� ❑ J 4 <br />F.L''DRESS FILE <br />r t ' <br />.. .1.,��f � �� - <br />, . U <br />