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� <br /> ''"� `"��TY`�f � CONSTRUCTIO ' ! <br /> ��erett PERMIT PERMIT N0. <br /> CITY HALL 259�B7d5 <br /> EVERETT,WA98201 ❑ COMBINATION ❑ BUILDING �X M�CHANICAL ❑ PLUMBING <br /> OWNER MAIL AOORE55 LITY ZiP PMONE <br /> JEFFREY HATHAWAY/ANTHONY VERHEY 1101 MAPLE EVERETT WA 98201 259-4032 <br /> . ARCMITEGT OR OESIGNER MAIL ADDFE55 LITY ZIP PMONE <br /> GENERAL CONTFACTOP MAIL ADDFESS CITV ZIP PHONE IICENSE� <br /> Same CITY ZIP PHONE LICENSEM <br /> MELMI.HICAI CONTFACTOR MAIL ADDFESS <br /> PLUMBING CONTHACTOR MAIL AO�RE55 CITV 21P PHONE LICENSE M <br /> CLASS OF WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION � FENCE ❑ SIGN HX NlOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WnqK <br /> S _ <br /> DESCRIBE WOPN <br /> Metal fireplace <br /> PROPOSEO USE OF Bl11lDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Res�dence AppLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESGHIPTIONOFPFOPERTY�SHO\YBELOWORATiACMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH � <br /> 0 <br /> �or_e�ocK_oF WHETHER SPECIFIED HEREIN OR NOT.THE GRANT�NG O�A —i <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE m <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR .. <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERF MANC O CO STRUCTION. � � <br /> J��O 1 pMa 1 e v NAT F OF 12ED AGENT TE M � <br /> 1/3/ <br /> P ^ cn x <br />� PLUMBING MECH I �. m <br /> cv <br />� N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE m o <br /> WATERGLO$ET(TOILEn AIR COND. UNITS- H.P. EA. O �C, <br />' BA7HTUB REFRIGERA�ION UNITS- H.P.EA. m <br /> --I Z <br />� LAVATORV(WASH BASW) BOILcRS- H.P. EA. m '--� <br /> SHOWER GAS FIRED A.C.UNITS-70NNAGE EA. � <br /> .O � <br /> KITCHEN SINK d DISP. FORCED AIR SYSTEMS- B.T.U. M EA. <br /> n --i <br /> DISHWASHER WALL HEATERS- B.T.U. �+1 � � <br /> LAUNDRY TRAV UNIT HEATERS- B.T.U. M 1 N <br /> < <br /> CLO7HES WASHER EVAPORATIVE COOLERS � p <br /> WATER HEA7ER CLO7FIES DRYERS T D <br /> URINAL VENTILATION FAN =m <br /> DFINKING FOUNTAIN RANGE NCOD m N <br /> FLOOF DRAIN AIR HANDLING UNIT- GF.M. o r � <br /> VACUUM CREAKERS STOVE -WOOD C N <br /> ROOF DRAINS- RAINLEADEFiS � METAL FIREPLACE 8 CMIMNEY � 5O m N i <br /> SINK(SERVICE - BAR,E7C.) FIREPLACE INSERT Z n <br /> --i r <br /> — HEAT PUMP ' m <br /> > <br /> P <br /> --1 <br /> 2 <br /> a <br /> SUB TO7AL S � 5O Z <br /> PEqMOTAL 5 PEHMIT 5 �O OO � <br /> TOTAL FEE S TOTAL FEE 5 �] 5O (n <br /> SIDE YARD SET9ACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE Z <br /> FEE RECEIPT NO. � <br /> .y <br /> USE ZONE LOT AREA VACANT SITE VALUATION FEE n <br /> .�ES NO FEES m <br /> TVPE OF CONST. OGCUPANCV GROUP NO.OF DWFLLING UNITS <br /> BUILDING $ <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCQ LOAD � <br /> � PLUMBING <br /> FIREZONE BASEMENT RIEOUSRED KLERS h1ECHANICAL �� 5O <br /> VES NO <br /> APPROVALS BY DATE OTHER - <br /> — U.B.C. <br /> t. ENVIfiONMENTAL CHECK LIST PENALTV SEC.30�(a) <br /> 2.BUILDING PLANS TOTAL �� 5O <br /> 9.FIRE HYDRANT <br /> 4.FIRE PROTECTION SYS i EM PEflMIT VALIDATION M <br /> WHEN PFOPERLY VALIDATED(W THIS SPACE)THIS IS VOUR PERMIT <br /> S.GRADING . . ! .. I I. I � "�-- O <br /> 6.DRAINAGE M <br /> ' 7.ENVIRONMENTALIMPACTSTATEIAENT � <br /> 8.HEAL7H DISTRICT , ' � � <br /> APPLiCATION ACC. BY PLANS CHECKED BY APPR. FORISSUANCE BY 'r <br /> �J <br /> _ . � ) <br /> ,`��)DRCSS FILE <br /> / <br /> �` <br />