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�I — <br /> l�If Ll'Cff;/CP/I <br /> ��T��� � �ONSTRUCTIO�' <br /> everett PERMIT PERMir No. 15383 1 <br /> pTY HALL 259�B745 <br /> EVEFiETT,WA&1201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> I <br /> OWNER MAILAD�RESS CITY ZIP PHONE <br /> Miller 1212 East Marine View Drive 98201 252-8463 ' <br /> ARCHRECT OR pESIGNER MAIL AD�RESS QTY ZIP PHONE <br /> GENERIL LONTFRLTOR MAIL ADDPE55 CITY ZIP PNONE UCENSE� , <br /> S.S.T. Inc. 3312 Sunnyside Marysville 98270 334-3932 <br /> MEGHRNICAL CONTRACTOR MAIL AODRESS LITV ZIP PHONE IIGENSE I <br /> D456NN <br /> PIUMBIHG CONTHAGTOR MFIL AODRESO pTY 21P PMONE LICENSC� <br /> GLA55 OF WORK � <br /> O NEW ❑ ADDI710N O ALTERATION �REPAIR ❑ DEMOLITION ❑ FENCE � SIGN ❑ WOOD STOVEIF�?�YLACE INSERT <br /> VALUATION OF WORK <br /> f 2500.�0 <br /> OESCRIBE WORN <br /> repair post and beam, repair porches � <br /> PROPpSED USE OF BUILDING M � <br /> Sin le Famil Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> 9 APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRlOESGRIPTIONOFPROPERTY�SHOWBEL0IYORAiTACNPOIIRCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOGK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHOR�TY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR y ,'"',� <br /> LOCAL '.AW REGULATING CONSTRUCTION OR THE <br /> PERF MANCE OF NSTRUCTION. c~n � <br /> JOB ADORE55 SIGNRT OF CONiRAGTOR nUTHO 2ED AGENT OATE � <br /> 1212 East Marine View Drive X 9/5/85 <br /> PLUMBINO MECNANICAL _ "a' <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EUUIPMENT FEE � <br /> WATEHCLOSET(TOILET) AIR CONO.UNITS — M.P. EA � �x N <br /> BATHTUB REFRIGERATION UNITS— H.P.EA. y' <br /> LAVATORV(WASHBASINI eOILERS— H.P. EA. <br /> SMOWER GAS FIRED A.C.UNI15— TONNAGE EA. � � <br /> KITCHEN SINK 8 DISP. FORCE�AIR SVSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M O � <br /> LAUNDRYTRAY UNIT HEATERS— B.T.U. M � <br /> CLOiHES WASMER EVAPORATIVE GOOLERS <br /> N <br /> WATEP HEA7ER CLO7HE5 DRYERS U1 <br /> URINAL �ENTILATION FAN � <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR�RAIN AIR HANDLING UNIT— C.F.M. . � <br /> VACUUM BREAKERS STOVE — WOOD <br /> ROOF DRAINS— RAINLEADERS ME7AL FIREPLACEB CHIMNEY <br /> SINK�SERVICE— BAF, ETC.) FlFEPLACEINSERT � <br /> HEAT PUMP <br /> _ � <br /> H <br /> � <br /> SUBTOTAL S SUB TOTAL S y <br /> PERMI7 S PERMIi S O <br /> H <br /> TOTAL FEE S TOTAL FEE f r(+' <br /> SIOE YARD SETBACK STREET SETBACK qEAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK PEE �7 <br /> FEE REC[IPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> �. �.VES :;NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING 11N1T5 <br /> BUILDING s 2500. 36 50 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOA� <br /> PLUMBING <br /> FIREZONE DASEMENT FIRESPRINKLERS MECMAYICAL <br /> REOUIRED <br /> YES . NO <br /> APPROVALS BY DATE OTMER <br /> 7.ENVIRONMENTAL CHCCK LIST PENA�T� U.B.C. <br /> SEC.90J la1 <br /> 2.6UILDINGPLANS TOTAL 3B SO <br /> 7.FIRE HYDPANT <br /> 4.FIRE PROTECTION SYSTEM PEflMIT VALIDATION <br /> S.GRADING WHEN PROPERLV VALIDATED(IN THIS SPACE)THI��O 3 8 5 p IT � <br /> 6.DRAINAGE 2 � 9 3 <br /> � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> 8.HEALTH DISTRICT �.--: <br /> APPLICA710N ACC.BY PLANS CMECKED BY APPR,FOR ISSUANCE BV YO U R R EC E I PT <br /> TI-IANK YOU 1 <br /> - 5 s�P 8 5 <br /> ADDRGSS FILf <br /> 1 <br /> - - - . - —_ ��i'- _� � _ �e � <br />