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�heE��CrTree�n �� � �ONSTRUCTI��o � <br /> everett PERMIT PERMIT NO. l�lab <br /> CI7Y MALL 259�8745 <br /> EVEPETT,WA98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAIL ADDRESS CITY ZIP PHONE <br /> David A. Taylor 538 East Marine View Drive 98201 259-1591 <br /> ABGMITECT OR DESIGNER MAI�AOOPESS CRY ZIP PHONE <br /> GENERAL CONTHACTOR MAIL AODRESS GITY ZIP PMONE LICENSE I <br /> Same <br /> MECHANICAL CONTPACTOR MAIL A�DflESS GTY ZIP PHONE LICENSE M <br /> PLUMBING CONTRACTOR MAIL ADORESS QTY ].IP PHONE LICENSE� <br /> CLASS OF WORK <br /> O NEW ❑ ADOITION ❑ ALTERA710N ❑REPAIR j�DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVFJFIREP�ACE INSERT <br /> VALUATION OF WORK <br /> i <br /> OESCRIBE WOflK <br /> Demolish Sing�e Family Residence <br /> PROPOSED USE OF Bl11LDING <br /> I HEREBY CERTIFY THAT I HAVE 9EAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLUESCRIPTIONOFPPOPERTY�SHOWDElO\YORATfACMFOUflCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ��2-13g��_oF Brid ewa 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 AUTHORITY T VIOLATE <br /> OR CANCEL E PROV�SIO S OF TH STPTE OR <br /> LOCAL L REGULATI G � U T OR THE <br /> PERFOR CE F CON ION. <br /> JOB AODPESS SIGNATUR F ONTR CTO O 0 / 0 AG OATE <br /> 556 East Marine View Drive X �- /� L /12/83 <br /> PLUMBING ME HANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WA7ERGLOSET�TOILET) AIR COND.UNITS- H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY�WASH BASW� BOILEPS— H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATEHS— B.7.U. M <br /> LAUNDRY TRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> � WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> ORINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF ORAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE — BAR, ETC.) FIREPLACE INSERT <br /> HEA7 PUMP <br /> SUB TOTAI a SUB TOTAL f <br /> PEflMIT S PERMIT S <br /> TOTAL FEE S TOTAL FEE f <br /> SIDE YARD SETBACK S7REET SEiBACK REAR YARD SE7BACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> �.-_YES . �NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDIYG 5 00 00 <br /> SIZE Of BLDG. NO.OF STORIES MAX.OCC. LOAD <br /> PLUM6ING <br /> FIRE ZONE BASEMEN7 FIRE SPRINKLERS MECHANICAL <br /> FiEOUIRED <br /> �.�:YES LJNO <br /> APPROVALS BY OA7E OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILDINGPLANS 00 00 <br /> 3.FIRE HYDRANT TOTAL <br /> /,FIRE PRO7ECTION SYS7EM PERMIT VALIOATION <br /> S.GRADING WHEN PROPERLY VALIDATE011N THIS SPAC.E)THIS�S(1'OUaP67817�� �. <br /> 7tia .► uv v <br /> 6.ORAINAGE r..� <br /> 7.ENVIRONMENTALIMPACTSTATEMENT <br /> B.HEALTHOISTRICT ypUR RECEIPT� <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> Tf-iF�NK YOU <br /> i2 �. s3 <br /> ADDRESS FIL'' <br />