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the £vrrAreen tONSTRUCTlO� � <br /> ever�rt � <br /> PERMIT PERMIT N0. 16060 <br /> GTY HALL 259�B7d5 <br /> EVERETT,WA 98201 � �OMBINATION ❑ BUIIDING � MECHANICAL ❑ PLUMBING <br /> OWNER MAIL ApDRESS CITY $IP VMONE <br /> Erling Eknes 2511 Maple Everett WA <br /> ARGHITECT Ofl OESIGNER MPIL AD�RE55 CITY 21P PHONE <br /> GENERAL CONTRAGTOP MAIL AOORE55 GITY ZIP PMONE UCENSE� <br /> MEGHANIGAL CONTRACTOF MAIL ADDRESS .ITV ZIP PHONE LICENSE I <br /> PWMBING CONTRFCTOR MAIL AODFE55 CITY ZIP PMONE LICENSE� <br /> CLA55 OF WORK <br /> O NEW ❑ AODITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN SX WOOD STOVE/FIREPLACE INSERT <br /> VALl1ATION OF WORK <br /> f <br />� DESCRIBE WORK <br /> WOO$ $tOV2 <br /> PROPOSEO USE OF BUILOING <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> ,4PPLICATION AND KNOW THE SAME TO BE 7RUE AND <br /> LEGAL DESCBIPTION OF PqOPERTY�SHOW BELOW OR ATTACH FOUR COPIES� CORRECT. ALL PNOVISIONS OF LAWS AND ORDINANCES <br /> �or_aiocK_oF_ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> VVHETHER SPECIFIED HEREIN OR NOT.THE GRANTING 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 CO TRUCT�ON. <br /> JOB RODRE55 SIGN4 R RACTOR � ORI2E0 AGENT OATE <br /> 2511 Maple X � 2 13 86 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�TJILEn A��R COND.UNITS — H.P. EA. <br /> BATHTUB REFRIGERA710N UNITS— H.P. EA. <br /> LAVATORY(WASH BASIN) BOILERS — H.P. EA. <br /> SHOWEH GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHENSINKB DISP. �OR;ED AIR SYS7EM5— B.T.U. M EA. <br /> DISHWASHER WALL HEATEi75— B.T.U. M <br /> LAUNDRY TRAY UNIT 4EATERS— B.7.U. M <br /> CLOTHES WASHER EVAPbRATIVE COOLERS <br /> WATE?HEA7ER CLOTHE�DRYERS <br /> URINAL VENTILITION FAN <br /> ORINNING FOUNTAIN RANGE HOOD <br /> FLOOR DRA:N AIR HPNDLING UNIT— C.F.M. <br /> VACUUM BREAKEHS STOVE — WOOD <br /> ROOF ORAINS— RAINL'eADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE— BAR, ELG.) FIREPLACLINSERT <br /> HEAT PUMP <br /> SUB TOTAL 3 SUB TOTAL f <br /> PENMIT S PENMIT f <br /> TOTAL FEE S TOTAL FEE f <br /> SIDEYARD SETBACK S7REETSE78ACK REAR YAHD SETBACK PLAN CHECK NUMBEP PLAN CHECK FEE <br /> FEE REGEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ::YES I-�NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING 11NITS <br /> BUILDING $ <br /> SIZE OF BLOG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMUING <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> . .YES I-.NO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.9.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRANT TOTAL 17 SO <br /> 4.FIRE PROTECTION SYSTFM PERMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY 4ALIDATED�IN THIS�SPAC�E�GTHIS IS�YqUR R�RMITi _f�i1 <br /> 6.DRAINAGE � t U t I l U ��4 <br /> 7.ENVIRONMENTALIMPAG7STATEMENT � <br /> B.HEAL7H DISTRICT , � . ' i�' .. � i. �� <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FORISSUANCE BY -� � <br /> . 'i'�. ' 'J <br /> � <br /> j j IEt� uu <br /> Af.•DRE55 FILE <br />