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�+ _ � 'r�—r � <br /> rheEv�gYeoF -- C(�ISTRUCTION � �` <br /> everett PERMIT PERMIT NO. OH61O <br /> CITY HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION Et�:BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILA�OPESS CITY 21P PMONE <br /> Lloyd Keefe 1520 Maple 98201 252-2447 <br /> APCMITECT OF DESIGNER MAIL AOORE55 GITY ZIP FMONE <br /> GENERAI CANTRACTON MAIL N�DPESS CI7Y 21P PHONE IICFNSE� <br /> Same <br /> MECNANICAL CONTRRCTOR MRIL AODRE55 CITY ZIP PHONE UCENSE I <br /> PLUMBING CONTRACTOR MAIL nD�RF.SS CITV 21P PHONE LICENSE I <br /> CUSSOF WORK <br /> ❑NEW ❑ADDITION ❑ALTEFiATION L�OYEPAIR ❑DEMOLI710N ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATIOiJ OF WORH <br /> S 2���. 00 <br /> OESCRIBE WORN <br /> re-roof coi:.p <br /> PROPoSED USE OF BUILDING <br /> single famil residence I HEREBY CERTIFY THAT � HAVE READ AND EXAMINED THIS AP- <br /> LEGAlOESCRIPTIONOFPROPER7Y�5HOWBELOWORAiTACNFOURfAPIES) PL�CATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 3A 31 Everett Div. T ALl PROVISIONS OF LAWS AND ORDINANCE i GOVERNING THIS <br /> ior e�ocK_� TYPE OF WORK WILL BE COMPLIED WITH WhETHER SPECIFIED <br />'1 HEREIN OR NOT. THE GRP.'JTING OF A PERMIT DOES NOT <br /> iPRESUME TO GIVE AUTHORITY TO VIOLATE OP CANCEL THE PRO� <br />` VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAiLRE OF CANiRPCTOR OR AUi110R12E�AGENT DATE <br /> JOB ADDRE:S <br /> 1520 Maple X 11/21/80 <br /> PLUMBINO MECHAN AL <br /> NO. TYPE OF FU(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILETI AIR CAND.UNIiS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H,P.EA <br /> LAVATORY(WASN BASIN) BOILERS—H.P.EA. <br />�� SHOWER GAS FIRED AC.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> i DISHWASHER WALLHEATERS—B.T.U. M <br />� LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br />� CLOTHES WASHER EVAPORATIVE COOIERS <br /> EWATER HEATER CLOTHES DRVERS <br />� URINAL VENTILATION FAN <br />� DR{NKING FOUNTAIN RANGF HO00 <br /> 4 <br /> FLOOR DRAIN AIR H4NDLING UNI7— C.P.M. <br /> I� VACUUM BREANERS STOVE <br />� ROOF DRAINS—RAINLEADERS METAI FIREPLACE&CHIMNEV <br />� SINK ISERVICE—BAR,ETC.) <br /> 1 \, <br />� SUBTOTAL SUBTOTAL S <br /> PERMIT t PENMIT f <br /> TOTALFEE = TOTALFEE S <br />� SIDE YAR�SETBACK STREET SETBACK REAR YARD SETBACK . PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br />' USE ZONE lOT AREA VACAN7 SI?E <br /> ❑YES L7N0 FEES VALUATION FEE <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br />, euaoiNc s 2000. 32 50 <br /> SIZE OF BL�G. NO.OF STORIES MA%.OCC.IOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPNINKLERS MECHANICAL <br /> REOUIRED <br /> ❑YES ❑NO <br /> APPROVALS AY DATE OTHER <br /> 1. ENVIRONMENTALCNECKLIST pENALTY U.BC. <br /> SEC.303(a� <br /> 2. BUILDING PLANS <br />, TOTAL 3 2 S O <br /> 3. FIRE HYDRANT <br /> a. FIRE PI707ECTION SYSTEM PENMR VALIDATION <br /> WHEN PROPERLY VAUDATED(IN THIS SPACE)TMIS IS YOUR PEi7MIT <br /> 5. GRADING <br /> 6. DRAINAGE � E 2 3 � 0 3 2. 5 0 -� <br />� 7. ENVIRONMENTAIIMPACTSTATEMENT � <br /> � <br /> ' 8. HEALTH DISTRICT �1 <br /> APPLICATION ACC.BV PLANS CHECKED BY APPR.FOR ISSUANCE BY , . _� << !�C C E I PTO <br /> :�`,�I� ti�Q U <br />