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�- -` <br /> 1 <br /> ;,��� �,.�������,� ('�I�STRUCTION <br /> CITY OF <br /> everett PERMIT pERMIT N0. �_1639 <br /> CITY HALL 259�B7a5 <br /> ;— eveaetr.wn �azoi ❑ COMBINATION �XBUILDING ❑ MECHANICAL ❑ PLUMBING <br /> O1VNtH MFILPODfiE55 QIY 21V PHONt <br /> Robert L. Norris 1219 Dfaple Street Everett 98201 339-1289 <br /> ARCIIIiECT OR p[SIGNEFi AIAtL ADORE55 CIiY ZIP PHONE <br /> GENERAL CONiRACTOR MAI�qDpRE55 CITY 21P PMONE Lif,ENSE I <br /> Same <br /> AfECnFt:iCALCONtBACiOR MAILA�DRE55 CIiY ZIP PNONE IICENSE� � <br /> I�� <br /> PLUMpING GONiRAG10P MAIL ApDRE55 CItY 21P PIIONE LICENSE I <br /> GLASSOF WORR <br /> ❑NEW ❑ADDITIOt! ❑ALTERATION ❑PEPAIR �EMOLITION ❑FENCE ❑SIGN C7GARAGE <br />' VALU/TION OF WORK <br /> S <br /> DESGPIBE 1VORK <br /> Demolish 8 'x10 ' lean-to addition <br /> PRO�'OSE�US[Oi BUIIDING <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> iecn�eescaivnorvoFcaoaea*vis�wwoe�owonnrTncHrouacoP�es PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 9-10 230 Everett Div. T ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior s�oc�_.oc TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORI7Y TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOG\L LAW REGULATING <br />' CONSTRUCTION OR THE PE FORM E OF CONSTRUCTION. <br /> JOfiFODRE55 SGUAiURE GONS NI�iZE C,�t/�� UA�E <br /> 1219 Dtaple X ��-2 � �G{�G 3/28 �83 <br /> P4UMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NC TYPE OF EQUIPMENT FEE <br /> WATEH CLOSE7(TOIIET) �IR CON�.UNITb—HP.EA <br /> BATHTUB RLFRIGERATION UNITS—HP.EA . <br /> LF\'ATORV�WASH BASIN� NOILERS—H P.EF. <br /> SNOWEF7 GAS FlRED AL.UNITS—TONIJAGE EA. <br /> KITCHEN SINK 6 DISP. FORCE�AIR SYSTEh15—B T.U. M EA. <br /> OISNlVASMER WALL HEATERS—H.T.U. M <br /> LAUNDRY TRAV UNIT HEATERS--F3.T.U. A1 <br /> CIOTHES WASHEf7 EVAPORATIVE COOLERS _ <br /> \YATER HEATER CLOTHES ORYE(iS <br /> URINAL VEN1fi4T10NFi.N _ __ <br /> DWNKING FOUNTAIN fiANGE HOOD _ <br /> FLOOR DRAIN AIR HANDLING UNIT— C F.M. � <br /> VACUUM�REAKERS STOVE _ <br /> ROOF DRAINS—F�AINLEADERS MEiAL FIREFLACE 8 CHIM1INEY <br /> SINK�SERVICE—BAR,ETCJ <br /> (— <br /> SUBTOTAI SUBTO7AL S <br /> PENMIT S � PF.RMIT 3 <br /> TOTAL FEE S TOTALFEF. S <br /> SIOE YARD SETBA�F SIREET SET�ACI: REAP YARD SETBACK PLAN CHECK NUAIOER PLAN CHECK FEE <br /> FEE RECEIPi NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> i'YES f�NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GflOUP NO.OF DWELLING UMTS <br /> BUILDING 5 00 00 <br /> SIZE OF OLDG. NO.OF STORILS MN(.OCC. LOAU <br /> PLUMDING <br /> FI�E ZONE BASEMENT FIRE SPRINKLERS � <br /> t_ REOUIRED MECHANICFL <br /> 1!YES f'NO <br /> APPROVA:S BY D11TE O7HER <br /> L ENVIFORMENTAL CHECK L15T pENALTV U B C <br /> SEC.303�a) <br /> 2 UUILDING PLANS <br /> TOTAL 00 00 <br /> 3. FIRE HYDRANT <br /> . 4. FIqE PROTECTION SYSTEM PERMIT VALIOATION <br /> WHEN PROPERLV VALIDATED�IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING p q t <br /> fi. DRAINAGE J O L 4 �F O O O. O O � � <br /> 7. ENVIRONMENTAL IMPACT STATEMENT � <br /> c"� <br /> 8. HEALTH DISTRICT YU�U R R E C E I PT � ,I <br /> APPLICATION ACC.BY PLANS CHECKED BV APPR.POR ISSUANCE BY <br /> � �-1����K Y�� <br /> ADDRE55 FILE ? g � 83 . <br /> � <br />