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`,'`. `,` `".`.,' CONSTRUCT� � `tV <br /> � �,,�� <br /> everett pERMIT PERMIT NO. 1��G � <br /> CITY HALL 259�8745 <br /> eveaerr,wn 99201 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEfi MAILADDPE55 CRY ZiV NHONE <br /> Charles J. Fancher 2501 5th Street Everett 98201 252-2229 _ <br /> qRCHITECT OR OESIGNEF MAIL RO�PE55 Cltt Z�P PMONE <br /> GENERAL GONTRAC70R MAIL AODRE55 CIiY ZIP PNONE LIJENSE� <br /> Same <br /> MECNANICAL CONTRACTOR A1lll A��FE55 ��tY ZIP PMONE LICENSE I <br /> PWMBING GONiRAGTOF MAIL AOORESS CITY ZIP PMONE LICENSE M <br /> CLFSS OF WORK n <br /> ❑ NEW ❑ ^7DIT�ON ❑ ALTERATION }�yy REPAIR ❑ OEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> S 3i0��.�0 —. <br />� DESGPIBE WORK <br /> Construct new foundation under existing residence <br /> PROPOSEO USE OF BUIL�ING I HEREBY CERTIFY THAT I HAVE READ AND EXANiINED THIS Z <br /> single family residence AppLICATION AND KNOW THE SAME TO BE TRUE AND � <br /> LEGRLDESGPIPTIONOFPROPEfl7Y15MOW0El0\YORATTACHFOUFGOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES ("p <br /> 31-32 226 Everett "T" GOVERNING THIS TYPE OF WORK WIL� BE COMPLIED WITH m <br /> LOT_BLOCK___OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A � <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHOPITY TO VIOLATE ,i � <br />' OR CANCEL THE PflOVISIONS OF ANY UTHtn STATE OR <br /> LOCAL LAW REGULATING CONSTRUCT:ON OR THE �--i <br /> PERFOFjMANCE OF CONSTRUC✓TION. �' m <br /> SiGN9IU OF C TRACTON pf�AUTHOR12Ey AGENT 4�pt��/� C O <br /> JOB ADDHE55 �/ - /' ♦ m� <br /> && 1108 Maple � �% ., . , � i.�-.'•.^-�/1''� �l: . ..-ic <br />� MECHANiCAL � 0 3 <br />' PLUMBING — m <br /> 2 �I <br /> i N0. TYPE OF FIX7URE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE m <br />, WATERCLOSET�TOILE� _ A�H CGND. IJNITS - H.P. EA. _ r. <br /> — REFRIIiERATION UNITS -- H.P. EA. '� Z <br /> BATHTUB y -� <br /> LAVATORY�WASH BASIN) BOILERS - H.P. EA. _ r 2 <br /> — GAS FIRED A.Q i�NITS - TONNAGE EA. � � <br />�I _ SHOWER ._ � � <br /> FORCED AIR SVS7EM5- B.7.U. M EA. � <br /> KITCMEN SINK fl DISP. T <br />' O v <br /> DISHWASHEF 1NALL HEATERS- O.1.U. M �7� <br /> I <br /> 3 <br /> UNiT HEATERS - B T.LL M <br /> LAUNDRYTRAY --- - S m <br />� — EVAPORATNE COOLERS f*1 � <br /> CLOTHES WP.SHE(i — fn <br /> WATER HEATLR CLOTHFS DfiYERS O r <br /> URINAL VENTILATION FAN C N <br /> DRINKING FOUNTAIN RANIiE HOOD __. m N <br /> FLOOR DRAIN <br /> - AIR HANDLING UNIT - C.F.M. �� <br /> VACUUM BFEAKERS STOVE - N'OOD • D <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 8 CMIMNEV A <br /> SINK�SEFiVICE - BAR, ETC.) FIREPLACEINSERT = <br /> ---- -- HEATPUMP Z <br /> - -� <br /> _ _ <br /> V' <br /> SUB TOTAL S _ SUB TO7AL t C <br /> PEHMIT S � _ PEHMII' : -1 <br /> 707PL FEE S TOTALFFE f r � <br /> PLAN CHEGK FEE m �I <br /> SIDE VARD SETBACH ST(7EE1 SETBACK FEAR\'ARD SETBACK PLAN CMECK NUM6ER FEE r RECEIPT NO. <br /> 84/13909 z'•03 65025 <br /> USE ZONE LOT AREA VACANT SITE fEES _� VALUATION FEE _ <br /> R_z �..VES ?{7�10 - <br /> TVPE OF CONST. OCCUPHNCY GROUP NO.OF OWELLING UNITS <br /> V-n R-3 1 BUILDING 53,000. 38 50 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCG LOAD pLUMBING � <br /> exisCing 1 N/A _ _-- — <br /> FIPE �ZUNE BASEMENT FIRE SPRINKIER� MECHANICAL <br /> REOGIRED <br /> YES RR NO <br /> APPROVALS BY DATE <br /> OTIIER <br /> U.B C. <br /> L EN\'IFONMENTAL CHECK LISf PENALiY SEC.303(a) <br /> 2.0UILDINGPLANS iQiA� 38 SO <br /> 3.FIREHYDRANT � � 1 <br /> 4.FIRE PRO7ECTION SYSTEM PERMIT VALIDATION ' '' �� � � �' '--� � <br /> WHEN PROPERLY VALIDFTED QN THIS SPAC�)}HIS IS�YOUR PERMIT'' <br /> 5.GRADING O <br /> 6,DRAINAGE i O� <br /> 7.ENVIRONMENTALIMPAGTSTATEMENT �� <br /> 0.HEALTH DISTRICT ' 'r <br /> APPLICATION ACC. BY PLANS CMECKEO BY APPA. FORISSUANCE BY � <br /> STG JEF LC <br /> i ' ' <br /> i � i <br /> ADDRE�S Fll.f. <br />