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; , — j---1 � <br />� <br />� <br />� <br /> I <br />'� theErergreen :- � C(�STRUCTION -�,���, <br />�' CITY OF <br />� everett PER�IIIT pERMIT NO. 07409 <br />� GTY HALI 259�8745 <br /> EVERFTT,WA sezoi � COMBINATION ❑ BUILUING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MNILADDRE55 CIlY 21P PHONE <br /> I� Ronald RarnPd SO - 1 0 _ <br />� 18 32n�S E Ever -01 6 <br /> RRCHRECT OR�ESi3NER MAIL ADORE55 CIiY IP ONE <br /> GENERALCANIRRCTOR MAILADDRE55 LITY 21P PHONE 3RBUY,CENSEI <br /> '�-R AnildPrc 5018 - 132n� S E EvereYt 9829^ 7-0-3-^ 2aa??-? <br /> M[CHANIChL CONTRACTOR MAIL FDDBESS CITY 12T �ONE �IGENSE� <br /> PLUMBING CONTRFGTOR MAIL ADDRE55 CITV ZIP PHONE LICENSE I <br /> CLASS OF WORK <br /> C]fJEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATIOpN OF WORK <br /> s OO� OOO <br /> �ESCRIBE WORK <br /> New construction - duplex <br /> PROPOSED USE OF BUILDING <br /> Duplex I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LECv1LUE5CNIPTIONOFPAOPERTY�SHOWBELOWORATiACHFOURCOPIESI PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. � <br /> 22 23 12 'Of 24 Blk 258 Plat of ALLPROVISIONSO� LAWSAN�ORDINANCESGOVERNINGTHIS <br /> ior�' .���c���. TYPE OF WORK WILL BE COMPUED VJITH WHETHER SPECIFIED � <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDHESS SICNATURE O�'GONTRAGTOR OP AUi110 ZED AGENi UATE j <br /> 1322 A/B Maple Street X �a>�R� ��i�`.�-,- � <br /> PLUMSIN� MECHANICAL � <br /> , NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET OILET) AIR COND.UNITS—H.P.6A. <br /> � BATHTUB REFRIGERATION UNITS—H.R EA � <br /> � UVATORY tSH BASIN) BOIIERS—H.P.EA. <br /> ' SHOWER GAS FIRFD A.C.UNITS—TONNAGE EA. ' <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.LL M EA. , <br /> � DISHWASHER WALL HEATERS—B.T.U. M <br /> � UUNDRY TRAV UNIT HEATERS—6.T.U. M <br /> • CLOTHES WASHER EVAPORA7IVE COOLERS I <br /> Z WATER HEATER 4 OO 2 CLOiHES DRYERS . <br /> URINAL VEN711.ATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR NANDLING UNIT— C.F M. <br /> . VACUUM BREAKEAS STOVE � <br /> ROOF DRAINS—RAINLFADERS METAL FIHEPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR,ETC. <br /> � SUB TOTAL SUB TOTAL __ S Z O O O <br /> PERMIT i PERMIT S �' <br /> T0Tl1l FEE t TO':AL FEE f � <br /> SIDE VARD SETBACK STREET SETBACK REAR YARD SET&4CK PLAN CHECK NUMBEF PLAN CHECK FEE <br /> 5� Z� � 20� 8���409 FE�Z3. SO RECEIPTNO. <br /> USEZONE LO7AREA VACANTSITE 47883 <br /> R-Z �bSH �YES ❑NO FEES VALUIITION FEE <br /> 1 <br /> TVPE OF CONST. OCCUPANC'!GROUP N0.OF DWELIING UNITS ' <br /> V-N R-3 Z (3UILDING �80 000 .0 247 00 <br /> SIZE OF BLOG. NO.OF STURIES MA%.OCC.LOAD <br /> 1904 s ft Z PLUMBING 36 00 <br /> FIRE 20NE BNSEMENT FIRE SPRE(IjNKLERS <br /> 3 RO ❑ESRUWO MECHAI:ICAL ZO OO <br /> 1 <br /> APPHOVALS BY DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST PENALTY U.B.C. <br /> '"� '-?. BUILDINGPLANS '� SEC.303�a) <br /> �� 3. FIREHYDRAN7 N TOTAL � $O3 OO <br /> 4. FIRE PROTE6(ION SYSTEM PERIAIT VAUDATON <br /> W�t�P��EHJ�YXALID_ATED�TNIS SIAi E;TI IS IS YO�R� �IO O �� Q�� <br /> N5. CaRADI U U U � � <br /> [ O <br /> —+G. DRAINA6E . <br /> . ENVIR ENTAI IMPP1�ii6TATEMENT � C�' <br /> B. H�,uHoiss�i�T . . . U.R RECEIPT YOUR RECEIPT �` <br /> PPLICAT .BY • LANS CHECKED BY APPR.FOR ISSUANCE BY i'��i�\I� Y O U ' O <br /> m I ; TI�IAf�iK YOU <br /> C � P.C. <br /> � <br />