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ihc E�rrArecn <br />��T� oF <br />everett <br />�� �ONSTRUGTIOI� � <br />PERMIT PERMIT NO. 15�•4Z <br />C�TY HALL 259�87<5 <br />EVERETT. WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OYJNEiI MPILADDiiESS GITY ZIP PHONE <br />Bertha L. Dilgard 5101 Narbeck Road Everett 98203 355-1293 <br />ARGMITEGT OP �ESIGNER MAIL AODRE55 CITY ZIP PMONE <br />GENERAL GONTPnCTOR MAIL ADDRE55 CITY 21P PHONE LICENSE t <br />MECHRNICRL CONTRAGTOP MAIL AD�RESS QTY ZIP PMONE LICENSE A <br />PLUMBING GONTRACTOR MAIL AD�RE55 GTY ZIP PHONf_ LICENSE � <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ OEMOLITION ❑ FENCE ❑ SIGN � WOOD STOVEIFIREPLACE INSERT <br />f 2,000.00 <br />Construct Car-Port <br />PHOPOSED USE OF BUILOING <br />LEGAL DESCFIPTION OF PPOPERTY �SMOW BELOW OR ATTAGN FOUR COPIES) <br />LOT _ O�OCK __OF <br />JOB AODRESS <br />5202 Narbeck Road <br />PLUMBING <br />TYPE OF FIXTURE <br />'NATERCLOSET�TOILEn <br />BATHTUB <br />LAVATORV�WASH BASIN) <br />SHOW EFi <br />KITCHFN SINK & DISP. <br />LAUN�RYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEAOERS <br />SINK (SERVICE — BAR, ETC.) <br />ITEM I FEE <br />SUB TOTAL � <br />PENMIT = <br />TOTAL FEE 5 <br />?�E7BACK STFEET SE7BA25 REAR YARD SZE58 <br />= I LOT AREA VACANT SITE <br />R�S ,�.YES �.:NO <br />V-N M-1 <br />SIZE OF BLDG. NO. OF S70RIES MA%. C <br />324 Sq. Ft. <br />FIRE ZONE BASEMENT FIRE 5 <br />REOUII <br />YES <br />APPROVALS BY <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PFOTECTION SVSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BV PLANS CHECKED BV APPR. <br />JEF <br />I HEREBY CEflTIFY THAT I HAVE READ AND EXAMINED 1'HIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED'NITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERAIIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIpLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERF�RMANCE OF CONSTRUCTION. <br />SIGNA Y E OF GONTRACTOF OR AUTNON12j0 A�E'}T n OALE <br />MECHANICAL <br />jp, TYPE O' E�UIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIFi SYSTEMS — B.T.U. M EA. <br />WALI HEA7ER5 — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />GLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HAN�LING UNIT — C.F.M. <br />sTOVE — WOOD <br />METAL FIREPLACE 8 CMIMNEY <br />FIREPLACEINSERT <br />SUB <br />TOTAL FEE <br />85/15442 IFEE 21.13 <br />FEES VALUATION <br />� �UILDING $ <br />C. LOAD <br />PLUMBING <br />91NKLERS MECHANICAL <br />D <br />i:NO <br />OATE O7MER _ <br />S <br />S <br />S <br />RECEIPT <br />32 I 50 <br />PENALTY SEG 303 (a� <br />TOTAL 32 $0 <br />WHEN' PROPERLYOVAUDATED (IN TH�,�F�J1y�) THIS$I�JY�U�1,�F�1�T-- � <br />�' <br />�'� ^ n � ��I � � <br />, , h I . : �. ,r„� <br />ev ' '.',iv;: YC%U <br />ADDRE55 FII.E <br />� ] SEP b 5 <br />