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!he E�•erXrren <br /> ���� °F ��"- ��;ONSTRUCTIOK � <br /> everett PERMIT PERNiIT NO. 16063 <br /> CI7Y HALL 259�87a5 <br /> EVERETT,WA 98201 � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILADDRE55 CITY 21P PMONE <br /> Glen W. Miller 2506 Maple Everett 258-1201 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PMONE <br /> GENERAL GONTRACTOR MRIL AD�RE55 CITY ZIP PNONE UGENSE I <br /> Camn <br /> MEGHANICAL CONTRRCTOR MAIL ADOPE55 CITY ZIP PMONE UCENSE 11 <br /> PLUMBING CONTRRCTOH MAIL AD�RE55 dTY ZIP PMONE UGENSE I <br /> C1A55 OF WORK <br />� �NEW ❑ A�DITION ❑ ALTERATION O REPAIR SXDEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE'.'IREPLACE INSERT <br />, V�Ll1ATI0N OF WORK <br /> f <br />' DESCRIBE W09K <br /> Demolish Garage � <br />. PROPOSED USE OF BUILOING � <br /> Single Family Garage I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW TF!c SAME TO BE TRUE AND � <br /> LEGAI DESCRIPTION OF PROPENTY(SMOW f1ElOW OR ATTACH FOI1R COPIES) CORRECT. ALL PROVISIONS UF LAWS AND ORDINANCES <br /> LOT_BLOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> 20-29-5 PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE ' <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR ! <br /> LOCAL LA1N REGULATING CONSTRUCTION OR THE <br /> PERFORMAN^,E OF CONSTRUCTION. <br /> JOB ADJRESS SIGfUTURE OF G NTRPCTON OH AUTHORRE AGENT DRTE <br /> 2506 Maple X _,�f 2/14/86 <br /> PLUMBInO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WA7ERCLOSET�TOILET) AIR COND.UNITS— H.P. EA. <br /> BATMTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY�WASH BASIN) BOILERS — H.P. EA. <br /> SMOWER GAS FIRED A.C. UNITS—TONNAGE EA. <br /> KI7CHEN SINK d DISP. FORCED AIR SVSiE�1S— B.T.U. M EA. <br /> UISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASMER EVAPORATIVE COOLEFS i <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> ORINKING FOUNTAI� RANGE HOOD <br /> FlOOR DRAIN AIR HANDLIN�UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD ! <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIIANEY I <br /> SINK�SERVICE— BAR,ETQ) FIREPLACE INSERT I <br /> HEAT PUMP � <br /> SUB TOTA� S SUB TOTAI f � <br /> PERMIT S PERMIT f <br /> TOTAL FEE f TOTAL FEE S <br /> SIDEVARD SETBACK STREETSETBACK REAR VARDSETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> U4E 20NE LOT AREA VACANT SITE <br /> :_YES ::NO FEES VALUATION FEE <br /> TVPE OF CONST. OGCUPANGY GROUP NO.OF DWELLItIG UNITS <br /> BUILDING E 00 00 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD _ <br /> PLUA181NG <br /> FIRE ZONE BASEMEN7 FIRE SPRINKLEtiS MECHANICAL <br /> REOUIRED <br /> vES : NO <br /> APPROVALS BY DATE OTHER <br /> t.ENVIRONMENTAL CHECK LIST PENALTY �.B.C. <br /> 2.BUILDING PLANS SEC.303(a) <br /> 3.FIREHYDRANT TO7AL 00 �O <br /> <.FIRE PRO7EC710N SYSTEM PERMIT VALIDATION <br /> 5.GRADING WHEN PROPERLV VA�IDATED(�N THI,S$P�C��E)THI&1 l�Yf�U�P�r�117 (;1 <br /> 6.DRAINAGE <br /> % S � U U � <br /> 7.ENVIRONMENTALIMPACiSTATEMENT Q <br /> 8.HEALTH DISTRICT � <br /> APPLICA710N ACC. BY PLANS CHECKED BY APPR.FOR�SSUANCE BY �� � � � ' �• � �" <br /> �.. � � <br />� � � i <br /> � '; ( L:� 0 i� <br /> ADDRESS FILE � <br />