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`°�� `°""`�"' �'ONSTRUCTiO�`' <br /> c��v c� � �,r <br /> �� everet� PERMIT PERMIT NO. 13�17 <br /> CITY HALL 259�87d5 <br /> EVERETT.WA 98201 ❑ COMBINATION ❑ BUILDING �X MECHANICAL PLUMBING <br /> GTY '.IP PHON'_ <br /> MAIL ADORESS 654-2486 <br /> pWNER <br /> G. D. ZACHRY 9033 - 57th AVenue NE Marysvil�le WA 98 Zp p„ONE <br /> ARCMITWT OR DES�GNER <br /> MAIL AODRE55 <br /> Z�P pHpryE LICENSE+ <br /> GENEHFLCONTflAGTOR <br /> MAIL ADOFESS CITY <br /> Z�p PHONE LIGENSE� <br /> MEGMANICAL IONTRAGTOR <br /> 1'.AIL P�DP GITY <br /> Z�P PMONE LIGENSE� <br /> GITY <br /> � MAIL AUDRE55 <br /> PWMBING WNTPAGTOR <br /> G V 55 OP 1VORK �� <br /> ❑NEW � ADDITION ❑ ALTEPA710N J�` REPFIR ❑ OEMOLITION O FENCE ❑ SIGN ❑ WOOG S70VEIFIF'cPLACE INSE <br /> VALUATION OF\'lORK _�— <br /> S ���0.�0 <br /> �ESCRIBE WORN <br /> Repair roof - composition roofing <br /> PPOPOSE�USE OF BUILOING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Single family residence qppLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGAI DESGNIP110N OF PROPERiY�SM01Y BEIOW OR ATfACH FOUR COPIES� CORRECT. ALL PROVISIONS OF LAV.S AND ORDINANCES <br /> GOVE9NING THIS TYPE OF WORK WILL BE COMPLIED NJITH <br /> LOT�_BIOCK��oF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTINC OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE UR <br /> LOCAL LAW REGUTATING CONSTRUCTION OR THE <br /> PERFOR NCE OF CONSTRUCT N. 4�I�/ga <br /> I SIGNP �CO��TAA � OH AIITMORIZE ENT I I <br /> JOB�DDRE55 X <br /> 2313 Maple <br /> MECHANICAL — <br />; PLUMBING Tl'PE OF EOUIPMENT FEE <br /> FEE NO. <br /> N0. TYPE OF FIXTURE OR ITEM qIR COND.UNITS— H.P. EA. <br />,I WATEPCLOSETQOIIEn REFRIGERATION UNITS- H.P.EA. — <br /> i BATHTUO BOILERS- M.P. EA. — <br /> LAVATORY(WASH BASIN) GAS FIREO A.C. UNITS -TONNAGE EA. <br /> I� SHOWER FORCED AIR SYSTEMS- B.T.U. M EA. <br /> KITGHEN SINK 8 DISP. yyp�L HEATERS- B T.U. N' <br /> DISHWASIIER UNIT HEAiERS - B.T.U. M <br /> LAUNDRYTRAY EypppppTlVE COOLERS <br /> CLOTHES WASHER CLOiHES DRVERS <br /> WATER HEATER VENTILATION FAN � <br /> URINAL - pANGE MOOD '-' <br /> h <br /> DRINKING FOUNTAIN p�R HANDLING UNIT- C.F.M. — M <br /> i-LOOR DRAIN STOVE -WOOD " <br /> VACUUM BREAKERS METALfIREPLACE 8 CHIMNEY <br /> I R�JOF ORAINS- RAINLEADERS FIREPLAGEINSERT <br /> f SINK(SERVICE- BAR,ETC.) HEAT PUMP <br />� H F' <br /> y •r <br /> I H r <br /> N � <br />� SUB TOTAL 5 <br /> SUB TO7AL = S <br /> i pERMIT � <br /> PERMIT S 70TAL FEE S <br /> � 70TAL FEE S p�qN CHECK FEE � C, <br /> I SIDE YAFD SETBACK STREET SETBACK REAR YARD SETOACK PLAN CHECK NUMBER FEE <br /> tiECEIPT NO. � <br /> � ~ <br /> VACANT SI7E VALUATION FEE ~� <br /> USEZONE LOT AREA FEES � " <br /> -.:YES '.. NO y .n <br /> H � <br /> TYPE OF GONST. OCCUPANCY GROUP NO.OF DWELLING UNITS S � � <br /> BUILDING � <br /> SIZE OF BLDG. NO.OF S70RIES MA%.OCC. LOAD p�UMBING O 4 <br /> y7 e' <br /> FIFE SPRINKLERS MECHANICAL � �� <br /> FIREZONE BASEMENi REQUIRED � <br /> � .YES �-�NO OTHER <br /> APPROVALS BY OATE U.B.C. � � <br /> 1.EN\9FONMENTAL CHECK LIST PENALTY SEC.303(a� � <br /> �� 5� � <br /> 2.OUILDING PLANS TOTAI <br /> 3.FIREHVOFIANT pERMITVALIDATION �' � <br /> 4.FIFE PROTECTION SYSTEM WHEN PROPERLY VALIDATED pN TMC SP7CI{�TMIS�SO C�U�P�RIy11T _ � ^ <br /> � U <br /> 5.GAADING N ~ <br /> 6,DPAINAGE M k <br /> 7.ENVIRONMENTALIMPACTSTA7EMENT � F <br /> �:..�..f_If'T <br /> q.HEALiH DISTRICT � <br /> qppLICA BV PLANS CHEGKED BY APPR.FUR ISSUANGE BY .,.. '�` �r�, U � <br /> � <br /> � <br /> � <br /> ! <br /> �— �� � ���i 1� U� r <br /> r�DDRE55 FII.0 � <br />