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theEvC�vOF �� �('N�7RUCTION r' ���' <br />, <br />everett PERMIT pERMIT NO.O%4H9 <br />CITY HALL 259�8745 <br />EVERETf, WA �ezo, ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBIiJG <br />OWNER MAILADDFE55 CITY LIP PHONE <br />William G. Moore 1314 Mukilteo Hlvd. �verett 259-3707 <br />ARCHRECTOPpE51GNER MF4ADDPESS CITY ZIP PMONE <br />GENEfUL CANTRACTOR MFII ADDPESS CITY 21P PHONE LICENSE I <br />Same <br />MECHANICAL LONTRACTON MAIL ADDflE55 CITY ZIP FHONE LICENSE I <br />PLUAIBING CANTRACTOfl MAIL ADpPESS C4Y ZIP PMONE L�GENSE / <br />CV•55OF WORK <br />❑NEW ❑ADDITION ❑ALTEMTION REREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />j Z����.�C <br />re-�air foundation <br />PROPO�ED USE OF BUII�ING <br />Single Family Residence <br />LEGhL DF�CRIPTION OF PqpPEFiY �SNOW BELOW OR ATTACH FOU <br />ior��oc�oF �Ple Heights <br />1314 Mukilteo Blvd. <br />PLUMBIN� <br />N0. TYPE OF FIXTURE OR ITEM <br />WAIER CLOSET (TOILEn <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />0 <br />� <br />SIDE YARD SE7BACK <br />USE ZONE <br />T'PE OF CONST. <br />S12E OF BLDG. <br />FIRE ZONE <br />3 <br />STREET SETBACK <br />N0. OF STORIES <br />i <br />1. ENVIRONMENTAL CMECK IIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. ORAINAGE <br />7. ENVINONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />v.c. <br />REAR YARD SETBACK <br />���• <br />� .,,L�gi:i�lGhtl <br />APPR. FOR ISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND OH� INANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIFD <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNA-i{U OF C�ON�TfF4�CTOQ OR AUJMORIZED AGENT OATE <br />X d�iC�LC-CAiiN/�t���s�-d�2_ �' d /� �: /n!1 <br />e <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS - M.P. EA. � <br />REfRIGERATION UNITS - H.P. EA i <br />:no — n.r. ch. <br />°IRED AC. UNITS — 70NNAGE EA. <br />'.ED AIR SVSTEMS — B.T.U. M <br />. HEATERS — B,T.U. M <br />HEATERS — B.T.U. M <br />qANGE HOOD <br />STOVE <br />!GK NUMBEFi PLAN CHECK FEE <br />7qg9 FEE � RECEIP7 NO. <br />BUILDING I S ZO00.00 I 20 I 00 <br />PLUM8ING � <br />MECHANICAL <br />PENALTY U.B C. <br />SEC. 303 (a) <br />PENMIT VALID. <br />WH_N PROPERLY <br />ADDRESS FILE <br />_iDATEO (IN THIS SPACE) THIS IS YOUR PERMIT <br />taat s020.00— �� <br />� <br />YOUR RECEIPT o <br />xHANK YpU ? <br />.2oAPA$0 <br />