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, , <br /> I <br />� (heEvergrnen ��� C�NSTRUCTiON ��. � <br /> CITY OF � <br /> everett PERMIT pERMIT N�. OH39O <br /> GTV HALL 259�8745 <br /> EVEREIT.WA 98201 ❑ COMBINATION C� BUILDING ❑ MECHANICAL L PLUMBING <br /> OWNER MAiL ADURE55 QTY <br /> 21P ZSZ�64S1 <br /> Kenneth Ward '2029 Maple <br />� ARCNITEGT OA DESIGNER <br /> MAILAD�PE55 Cltt 21P PHONE <br /> GENERRL CANTRACTOR MAIL ADCRES$ CITY ZIP PHONE LICENSE� <br /> i H & G Glass Co. 6502 Evergreen Way Everett 98203 353-8484 <br />' MRIL ADDRE55 GTY ZIP PHONE LICENSE I <br /> NECHANIGL CONTRRCTOR 2 2 3-O 1-4 0 9 3 6 <br /> MAIL ACDRESS CITY ZIP PHONE LICENSE• <br /> PLUMBING CANTRAGTOR . <br /> ClASS OF WORK <br /> ❑NEW ❑AD�I710N ❑��TERATION }�REf'AIR ❑DEMOLI710N ❑FENCE -❑SIGN GARAGE <br /> VALUATION OF WORK <br /> S 3rJ��.O� <br /> I DESCRIBE WOFK <br /> re-side single family residence — <br /> PPOPoSEO USE OF BUILDING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS • <br /> LE6f�L0E5CPtPTIONOFPROPERTY�SNOW BEIOWORATT4GNF0URCAPIES) PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �OT19�ZOB�«,K12 OF Ready Land Co' s lat 7YPE OF WORK WILL BE COMPLIED WITH WHETHER SPEC�FIED <br />� HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> f PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATI�'G <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNRTUPE OF CANTRACTOR OR AUtHORIZ D AGENT DNTE <br /> JOBPDDNESS � � 10�7�80 <br />' 2029 Maple Street X � . a{^ <br /> PLUMBIN(i MECHAPIICAL <br /> i FEE <br /> 1 NO. TYPE OF fIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT <br />� WFTER CI.OSET(TOILET) AIR COND.UNITS—H.P.EA. <br /> REFRIGERATION UNITS—H.P.EA <br /> BTTHTUB <br /> 1 LAVATORY pNASH BASIN) BOILERS—H.P.EA. <br /> r SNOWER GAS F�9E0 AA.UNIiS—TONNAGE EA. <br />� FORCEL AIR SYSTEMS—B.T.U. M EA. <br /> KITCHEN SINK&DISP. <br />� WALL HEATERS—B.T.U. M .. <br /> DISHWASHER <br /> I LAUNDRY TMY UNIT HEATERS—B i.U. M <br /> EVAPOFATNECOOLERS <br />� CLOTHES WAuHER <br /> CLOTHES DRYERS <br />� WATER HEATER <br /> UFINAL VEN7ILATIUN FAN <br />� DRINKING FOUNTAIN RANGE HOOD <br />' AIR HANDLIN6 UNIT— GF.M. <br />� FLOOR DRAIN <br /> VACUUM BRFAKERS _ S70VE <br /> RGOF DRAINS—MINLFACERS _ METAL FIREPLACE B CHIMNEY <br />� SINK(SERVICE—BNR.ETC.) <br /> SUBTOTAL s <br /> SUlTOTAL <br /> PERMIT S PERMIT f . <br />� TOTALfEE f TOTALFEE <br /> PLAN CHECK FEE i <br /> SIDE VARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER pECEIPT NO. <br /> FE[ <br />� USE ZONE LOT AREA VACANT SITE FEES VALUIITION FEE <br /> ❑YES ❑NO <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILOING $ 3500 . 44 50 <br /> SIZE Of BLDG. NO.OF STORIES MA%.OCC.�OAD pLUMBING <br /> FIRE ZONE BASEMENT FIHE SPRINKLERS MECHANICAL <br /> REQUIRED <br /> OYES ❑NO <br /> APPHOVALS <br /> BY DATE OTHEF <br /> 7. ENVIRONMENTAL CHECK LIST PENALN U.B.C. <br /> SEC.303(a) <br /> 2. BUILDINGPLANS TOTAL 44 50 ' <br /> 3. F�AE HYDRANT <br /> PERMIT VIILIDATION <br /> 4. FIRE PROTECTION SYSTEM WHEN PROPERLV VALIDATED(IN 7HI5 SPACE)7HI5 IS YOUR PEHMIT <br /> 5. GRADING 8 g � � $ 0 4 4. 5 0 ��� <br /> 6. DRAINAGE M <br /> 7. ENVIRONMENTAL IMPACi STATEMENT � <br /> B. MEALTH DISTRICT ;'c7 U R R E C E f PT� <br /> APPLICATION AC(:.8V PLANS CHECKED BY APPR.FOR ISSUANCE BY ��-�n�� Y O U <br /> ADDRESS FILE - $ U'LT $O <br />