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�he [rer�recn � �ONSTRUCTIC�� • <br /> everett PERMIT PERMIT NO. �6374 <br /> QTY HALL 259�87d5 <br /> EVERET7,WA98201 � COMBINATION XO BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OVlNER MAIL AD�RES$ CITY 21P PHONE <br /> Chester G. Stuart 2432 Maple Everett 252-1095 <br /> AR,^.HITECT OR�ESIGNER MAIL AD�RESS CITY 21P PHONE <br /> GENERAL CONTRnCTOR MAIL ADDRE55 GITY ZIP PMONE LILENSE 11 <br /> Senior Services of Snohomish Co. 3402 - 112th SW Everett, WA 98204 355-1112 SENIOSS2430H <br /> MECNAYICAL CON(PACiOR MNL AODRESS GITY ZIP PHONE LICENSE I <br /> PLUM9ING LONTRACTOR MAIL AODRE55 GITY 21P PMONE LILENSE Y <br /> CLA55 OF WOPK <br /> ❑NEW ❑ ADCITION ❑ ALTERATION R REPAIR ❑ OEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD S70VFJFIREPLACE INSERT <br /> VAlUAT10N OF 1VORN <br /> S 1.1�� 0� <br /> DESCRIBE WORK <br /> Reroof with 23 <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Sin le famil reside P APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESGRIPTION OF PROPERiY ISHOW BEIOW OR ATfACM FOUR COPIES� CORRECT. ALL PROV�SIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCN_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTINCa OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFOR NCE OF ONSTRUCTION� <br /> JOB ADDRESS 51 U CONT TNORIZEO FGENT �ATE <br /> 2432 Maple ,�� � 4-7-86 <br /> PLUMBING MEC ICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�IUILEl1 AIR COND.UNITS— H.P. EA. <br /> BATHTUB FEFRIGERATION UNITS— H.P.EA. <br /> LAVATORV(WASHBASIN� BOILERS — H.P. EA. <br /> SMOWER GAS FIRED A.C.UNITS— TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.7.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUN�RVTRAY UNI7 HEA7ER5— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WO00 <br /> ROOF DRAINS— RAINLEA�ERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SEqVICE — BAR, ETC.) FIREPLACE INSERi <br /> HEAT PUMP <br /> SUB TOTAL i' SUB TOTAL S <br /> PERMIT 5 PENMIT S <br /> TOTAL FEE S TOTAL FEE S <br /> SIDE YARO SETBACK STREET SE70ACK REAR YARO SETBACK PLAN C!{ECK NUMBER PLAN CHEGK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VAI:ANT SI7E <br /> ;�_YES �: -NO FEES VALUATION FEE <br /> 7VPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNIiS <br /> BUILDING S 1,100.00 19 00 <br /> SIZE OF BLDG. NO.OF STOPIES MA%.OCC. LOAD <br /> PLUMBING <br /> fIFEZONE BASEMENT FIRE SPRINKLERS MECMANICA� <br /> REOUIRED <br /> �.-.YES ! ,NO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CMECK LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILOING PLANS <br /> 3.FIRE HYDRANT TOTAL 19 00 <br /> 4.FIPE PROTECTION SYSTEM PENMIT VALIDATION <br /> 5.GRAOING WHEN PROPERLY VALIDATE�(IN THIS SPACE)THIS IS YOUR PERMIT Cj' <br /> 6.DRAINAGE � n � ? � O I /. O � -- �-�-+ <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � ,'� <br /> B.HEALTHDISTRICT � ; <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE BY ' ' ' '� ' ! �� �� <br /> . . . �.. i ! �l <br /> M.M. <br /> ADDRESS FILE <br /> ' ( ..'�� �� u b <br />