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' � T <br /> � �heE°�BYeo° C�ISTRUCTIO�'' <br />� everett °ERMIT pERMIT N0. OS595 /� <br /> CIT1' HALL 259�8745 (y-` <br /> EVERETT.WA 98201 ❑ COMBINATION �xBUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWYER MAILAUpRE55 GITY 21P PMONE <br />( Eugene Triantafelo 2330 Maple Evere�t 98201 259-4991 <br /> IARGMI'ECT OR�ESIyNER MAIL ADDfiE55 CITY 21P PHONE <br />� GE�!ERAL CANTPFCTOR MAIL AOORE55 GTV IIP PHONE IICE�SE 1 <br />� Same <br /> MECHANICAL CONTRACiOR MAIL AODRE55 CITY ZIP PMONE UCENSE� <br /> 1 PLUAIBING CANTRPCiOR MAIL FDDRE55 GIiY ZIP PHONE LIGENSE I <br />� <br /> CLA55 OF WORR <br /> ❑NE1V ❑ADDITION ❑AL7ERATION �7LPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAIUATION OF WORK <br /> c Zr �O�. �� <br /> DESCNIBE WORK <br /> re-side existing residence <br /> PROMISED USE 0�BUILOING <br /> single family residence I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br /> LEGAL DESGRIPTIpN OF PPOPERTY�SMOW BELOW OF ATTALH iOUF WPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 31-32 502 Miley' s Land Co. s ' 3rd ALLPROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS <br /> �or s�a�oF TYPE OF WORK WILL BE COMPLIED WITH WHETHEF SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAT,UPE Of CANiRAGTOR CR AUTHORIZLO ACENT OPT[ <br /> JOB ADCRE55 <br /> 2330 Maple X`"(Y�C,-�,��� <br /> PLUMBIN� MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEi) AIR COND.UNITS—H.R EA. <br /> BATHTUB REFFIGEFAiION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN) UOILERS—H P.EA. _ <br /> SHOWER GAS FIRED AG UNITS—TONNAGE flA. <br /> KI7CFIEN SINK 8 DISP. PORCED AIR SVSTEMS—BT.U. M EA. <br /> DISHWASIIER WALL H[ATERS—Ri.U. M <br /> LAUNDRY TRHY UNIT HEATERS—87.U. M <br /> :LOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEA7LR CLOTHES DRY[RS <br /> URINAL VENTILATION FA� II <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLWG UNIT— CF.M. I <br /> VACUUM BREAKERS STOVE ' <br /> ROOF DRAINS—RAMLEADERS ME7AL FlREPU+CE 8 CHIMNEV <br /> SINN�SERVICE—BAR.EfC.) <br /> SUB TOTAL SUBTOTAL S <br /> PERMIT f PEHMIT S <br /> TOTAL FEE S TOTALFEE S <br /> SIDE YAFD SETBACK STFEET SETBACK REFR VARD SETBACK PLAN CHECK 1lUMBER PLAN CHECK FEE <br /> FEE RLCEI'T N0, <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> L]YES ❑NO <br /> 7YPE OF CONST. OCCUPANCY GROUP N0.OF C'NELLING UNITS <br /> BUILOING $1000. 00 17 50 <br /> SIZE OF BLDG. N0.OF STORIES MN(.00C.LOPJ <br /> PLUMBING <br /> PIRE ZONE �ASEMENT FIRE SPqINKL6�3 MECHANICAL <br /> flLOUIRED <br /> ❑VES ❑NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST pENALTv UBC. <br /> SEC.303(a) <br /> . 2 BUILOING PLANS <br /> TOTAL 1 7 S O <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PENMIT VALIDATION <br /> \YHEN PROPERl1'VALIDATED(W THIS SPACE)TNIS IS YOUR PERMIT <br /> 5. GR401NG � ] � Q $ 0I1. 50 - � <br /> G. DF .INAGE <br /> 7. ENVII70NMENTAL IMPAC7 STATEMENT � <br /> � <br /> e. NEALTH C'S�RICi � C � <br /> APPLICATION ACQ DY PLANS CHECKED BY APPR.FOR ISSUANCE BY � � � • n'-���- I 1 I <br /> '.t!; i��; U <br /> ADDRE55 FIL[ I � I�OV EO <br /> i-- <br />