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rheE��CIgTYOF �` C(�NSTRUCTION � ^ <br /> everett PE�MIT pERMIT NO. 08610 <br /> GTY HALL 259�8745 <br /> EVERETT.WA 98201 ❑ COMBINATION �c BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILApDPE55 QTY ZIP PMONC <br /> Lloyd Keefe 1520 Maple 98201 252-?44'/ <br /> ARCHREG7 OR OESIGNER MAIL AU�RESS CITY ZIP PMUiIE <br /> GENEPAL CONTRAGTOfi MNR ADDRE55 CITV 21P PHONE IICENSE� <br /> Same <br /> M[GHANICALCONTRALTOF MAILADDPESS CITY 21P PHONE UCENSE� <br /> PLUMBINGfANTMQOR IAAILAUDRE55 CITY 21P PHONE VCENSE/ <br /> CIASS OP W09N <br /> ❑NEW OADDITION ❑ALTERATION L�A£PAIR ❑DEMOLITION ❑FENCE L�SIGN ❑GARAGE <br /> VALl1ATI0N OF WORN <br /> S 20��.�� <br /> OESCR�BE WORN <br /> re—roof comp <br /> PROPOSED USE OF BUILDING <br /> single famil residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEGld DESCRIPiION OF PROPERtt�SMOW BELOW OP ATfACH FOUR GbPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 3A 31 Everett Div. T ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior e�a�� TYPE OF WORK WILL BE COMPLIEG WITH WHETHER SPECIFIED <br /> NEREIN OR NOT. TNE GRHNTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLAT[OR^ANCELTHE PRO- <br /> VISIONS OF ANY OTHER STAI'E OR LOCAL L.,W REGULA"ING <br /> CONSTRUCTION OR THE PE3FORMANCE OF CONSTRUCTION. <br /> SIGNl.IURE OF CANiRACTOR OB AUTNUPIZED AGENT OR7E <br /> JOB AODFE55 11/21/8 0 <br /> 1520 Maple X — ' <br /> PLUMBINO MECHANTCAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT �— <br /> WATER CLOSET(TOILET) AIR CAND.UNITS—H_P.EA. <br /> BATHTUB REFRIGERAiION UNITS—H.P.[A <br /> ' LAVATORY(WASH BASIN) BOILERS—H P.EA. <br /> SHOWEF GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B T.U. M EA. <br /> DISHWASHER WALL HLATERS—9.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B T.U. M _ <br /> CLOTHES WASHER EVAPORAfIVE COOLERS <br /> WATER HEATER CLOTHES ORYERS <br /> URINAL VENTILATION FAN � <br /> JRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— GF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL PIREPLACE 8 CHIMNEY <br /> SINK ISERVICE—BAR.ETC.) <br /> SUBTOTAL SUBTOTAL f <br /> PEflMIT i PERMIT f <br /> TOTAIFEE t TOTALFEE t <br /> SIDE YARD SETBACK STNEET SETBACK REAR 7ARD SETBACK . PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIP?NO. <br /> USE ZONE LOL AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNI7S <br /> BUILDING E 2000. 32 SO <br /> SIZE OF BLDG. N0.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE EASEMENT R OUIRED KLERS MECHANICAL <br /> �VES ❑MO <br /> 11PPROVALS er D�TE �THER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B C. <br /> SEC.3031a) <br /> 2. BUILDING P�ANJ <br /> 3. FIREHYDRANT TOTAL 32 50 <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> - WHEN PROPERLY VALI�A7ED(M THIS SPACF.)THIS IS YOUR PERMI7 <br /> 5. GHADING <br /> 6. DRAINAGE � E 2 3 $ 0 3 2. 5 0 -� <br /> 7. ENVIRONMENTALIMPACTSTATEMENT �1 <br /> � <br /> i B. HEALTH DISTRICi <br /> APPLICATION FCC.BY PLANS CHECKED 8Y APPR.FOR ISSUANCE BY , •� '� � � �-V��'��O <br />� ,,. �t: �'oU <br /> ADDRESS FILE 1 � IiOV HO <br /> iil <br />� <br /> I. r. <br />