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-r r . r_—' -� <br /> the Evergreen C(�ST R U CTI O N � <br /> CITY OF <br /> everett PERMIT pERMIT NO. 08573 ' <br /> CITY HALL 259�8745 <br /> EVERETf,WA 9820t ❑ COMBINATION ❑ BUILDIN(i �adNECHANICAL ❑ PLUMBING <br /> OWNER MAILADDRESS GITY ZIP PY.ONE <br /> William Dearmin 2705 Jordon Road Everett 98204 337-1729 <br /> ARLMITECT ON DESIGNER MAIL ADDRE55 CITY ZIP PHONE <br /> GENEMLCANTRALTOR MAILADDRE.S CITY ZIP PHONF. LICENSE♦ <br /> Same � <br /> MECNANICALCANTRACTOR MAILAODRESS CITY ZIP PHONE LICENSE� <br /> PlUA1BING CANTRAGTOR MAIL 100RE55 QTY ZIP PHONE LICENS_� <br /> CU55 OF WOPK <br /> ❑NEW ❑ADDI710N ❑AI.7ERATION ❑R[PAIR ❑DEMO�ITION ❑FENCE OSIGN ❑GARAGE <br /> YFLl1ATION OF WORK <br /> S <br /> DESCRIBE WORK <br /> install wood stove <br /> PROPOSED USE OF BUIIDING . <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> I.EGRL OESCRIPTION OF MOPEHTY(SMOW dELOW OR PTTACH FOURCAPIES� PLICf,TION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> l0T__BLOCIL_OF TYPE OF WORK WILL BE COMPLIED 'NITH WHETHER SPECIFIED <br /> HEREIN OR NO'f. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF NY OTHER STATE OR I:OCAL LAW REGULATING <br /> CO T ON OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AOORESS i AQ'TDR OR AUTHORI p G T T DATE <br /> N <br /> 2601 Maple /13/80 <br /> PLUMlINO M HANICAL , <br /> N0. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn F.IR COND.UNITS—HP,EA _ <br /> BATMTUB REFRIGER4TION UNI75—H.P.EA <br /> UVATORV ASH BASIN) BOILERS—H P,EA. <br /> SHOWEB GAS FIRED AC.UNTS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FOFCED AIR SYSTEMS—B 7_U M EA <br /> DISMWASHER WALLHEATERS—D.T.U. M _ <br /> � UUNDRV TRAY UNIT HEATERS—B T.U. M <br /> CLOTHES WASHER EVAPOR4AVE COOLERS <br /> WATER HEATER CLOTHES DRYERS I <br /> URINAI VENTILATr;:N�.4N . <br /> DRINKING FOUNTAIN RANGE HO('D <br /> FLOOR DRAIN AIR NFNCLING UNIT— C.F.M. <br /> VACUUM BREAKERS S70VE <br /> ROOF DRAINS—RAMLEADEFS METAL FIREPIACE&CHIMNEV � <br /> SINK SENVICE—BAN,ETG) <br /> SUETOTAL SUBTOTAL i <br /> PERMIT f PERMIT S <br /> TOTALFEE f TOTALFEE i <br /> SI�E YARD SF.i9AGK S7REET SETBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RFCE:°�NO. <br /> USE ZONE l0T AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUIITION FEE <br /> NPE OF CONST. OCCUPANCY GROUP NO.OF DWcLLING UNITS `�' <br /> BUILDING E , / <br /> SIZ[OF BLDG. N0.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE 20NE BASEMEN( FIRE SPRINKLERS <br /> REOUIFED MECHANICA� 7 50 <br /> ❑YEG ❑NO _ <br /> APPROVALS BY DATE OTHER � <br /> 1. ENVIRONMENTAL CHECK LIST FENALTV U.B.C. <br /> 2. BUILOING PLANS SEC.303(a) <br /> 3. FIRE HVORANT TOTAL � S O � ' <br /> a. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING (� <br /> 6. D(7AINAGE � �I 5 � �i J � 7. 5 Q — � I <br /> 7. ENVIRONMENTAL IMPACT STATEMENT L.C) <br /> 8. HEALTH DISTRICT � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BV � � � �� i��C�i PT O <br /> ' V.C. � '..`dK 1'C . <br /> = U <br />