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�he£rcrAreen r�-.. �0 N ST R U CT I 0 I� ~ ^ <br /> CITY OF ' <br /> everett PERMIT PERMIT NO. 16.� � j <br /> CITY MALL 259�87a5 <br /> EVERE7T,WA98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAIL AODRESS CITY ZIP PMONE <br /> 15207 - 116t1i Pl NE Bothell WA 98011 488-0577 <br /> AHCMITEGT OR OESIGNER MAIL AOURE55 CITY ZIP PMONE <br /> GENERAL GONTRnCTOR MAIL ADORESS CITV 21P PHONE UCENSE t <br /> $a1110 <br /> MECH�NICA�CONiPAGTOR MAIL ADDRE55 CITY 21P PHONE LICENSE• <br /> PLUMBING CONTRRCTOR MAIL ADDFESS CITY 21P PHONE LICENSE� <br /> CLA55 OF WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION O REPAIR G� DE!.10LITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORN <br /> S <br /> DESCRIBE WORK <br /> Demolish single family residence <br /> PROPOuEDUSEOF Bl11LDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL l]ESCRIPiION OF PROPERTY�SMOW BELOW OR ATTACM FOUR COPIF 3� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �or_e�ocK_oF — WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> Attached PERMIT DOES NOT PRESUME TO�IVE HUTHORITY TO VIOLATE <br /> OR CANC L THE PROVISIONS OF AIJY OTHER STA'!E OR <br /> � � t' '� LOCAL REGULATING CONSTRUCTION OR THE <br /> r - <br /> ��,1)�� �� ;'c r�1 �� _ PERF E 9 �BTf1�l . <br /> JO FDDRESS SIG E TRA i T QFiae nce r 3�Zg�86 <br /> 724 E Marine View Drive X <br /> PLUMBINQ MECH ICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. riPE OF EUUIPMENT FEE <br /> WATERCLOSET�TOILEn Alfi COND.UNITS - H.P. EA. <br /> BATHTUB REFRIGERATION 11NITS- H.P. EA. <br /> LAVATORY(WASH BASIN) BOILERS- H.P.E4. <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGc EA. <br /> KITCMEN SINK 8 DISP. FORCED Aiq SYSTEMS- B.T.U. M EA. <br /> DISHWASHER WALL HEATERS- B.T.U. ti1 <br /> LAUNDRY TRAY UNIT HEATERS- B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER MEATER CLO7HES�RYERS <br /> URINAL VENTILATION FAN <br /> D(iINKING FOUNTAIN RANGE HOOD <br /> FLOOP f1RAIN AIR HAN�LING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE-WOOD <br /> ROOF DRAINS - flAINLEADERS METAL FIREPLACE&CHIMNEY <br /> SINK(SERVICE- BAR,ETC.) FIFiEPLACE INSERT <br /> HENT PUMP <br /> i <br /> SUB TOTAL f SUBTOTAL f <br /> PERMIT S PEHMIT f <br /> TOTAL FEE S TOTAL FEE L <br /> SIDE YARD SETBACK STREET SE78ACK REAR VARD SETBACK PLAN CHECK NUMBEF PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> �,:YE$ .-.NO � — <br /> 7VPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S 00 00 <br /> SIZE OF BLDG. N0.OF STORIES MAX.OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT RIE�l15RED KLERS MECHANICAL <br /> :�.YES :�.NO <br /> ppPROVALS BY DATE <br /> OTHER <br /> t.ENVIRONMEN7AL CHECK I.IST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS TOTAL 00 00 <br /> 3.FIRE HYDRANT <br /> d.FIfiE PROTECTION SYSTEM PERMIT VALIDIITION <br /> WHEN PROPERLY VALIDATED(IN THIS�P.PO�Ey�7HIS 15'NOlffl FEt{�AR N'� <br /> 5.GRADING ' �� � <br /> 6.DRAINAGE (� <br /> 7.ENVIRONMENTALIMPACTSTATEMENT , [n <br /> B.HEALTHDISTRICT . � - ' ' � ' � -� <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY , � <br /> � ni <br /> I��.i� U O <br /> ADDRE55 Fll'c <br />