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� , : — , T�' - `� <br /> the£vergreen -- C�S�RUCTION - � � <br /> CITY OF <br />, everett P�RMIT pERMIT NO. OH573 <br />�I GTY NALL 259�G745 <br />' EVERETf,WA 98201 CJ COMBiNATION ❑ BUILDING ��dYIECHANICAL ❑ PLUMBING <br /> I� OWNER MAILP�ORE55 LITY ZIP PHONE <br />� William Jearmin 2705 Jordon Road Everett 98204 337-1729 <br /> PRCNIiECT OR OESIGNEII MAIL AOOPE55 CITY 21P PNONE <br />( GENEPAL CONTRACTOR MFIL AOOFE55 CITY 2IP PMONE UCENSE I <br />� Same <br />� MECMANICAL CONTR4CTOR MAII AODRE55 CITY ZIP PHONE UGENSE I <br />� <br />. PWMBMGCANTMCTOR MAILADONE55 GTY ZIP PHONE LICENSEI <br />� C1A550F WORK <br /> ❑NEW ❑ADDITICN ❑ALTERATICN ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />� VALUATION OF WORK <br />` S <br /> IOESCRI6E N'ORK <br /> install wood stc�ve <br /> PROPoSED USE OF BUIIDiNG <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGALDESGRIPTIONOFPFOPERNISHOWOiIOWORATTACNFOUfICAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />� ior siaK_oF _ TYPE OF WORK WILL BE COMPLIcD WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES IJOT <br />� PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />` VISIONS OF ANY OTHER STATE OR COCAL lAW REGULATING <br /> CO T ON OR THE PERFORMANCE OF CONSTRUCTION. <br />� T AQTOR OR AUTMORI "D G T A DATE <br />� JOB ApDRE55 V <br /> i <br /> 2601 Maple /13/80 <br /> j` PlAM91N0 M HANICAL � <br /> r NO•i TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 1 �.._{_uiqTER CLOSET(TOILET) AIR COND.UNITS—H.P. iA <br />' I GCTNTUB REFRIGERATION UNITS—H.P.EA <br /> 1 � ' LAVATURY(WASH BASIN) BOILERS—H.P.EA. <br /> F SHOWER GAS FIRED AQ UNITS—TONNA�E EA. <br />� KITCHEN SINK 8 DISP. fORCED AIR SYSTEIlS—B.T.U. M EA. <br />'� , DISHWASHER WALLHEATLRS—BT.U. M <br /> LAUNDRV TRAY UNIT HEATERS—B.T.U. �� <br /> CLOTHES WASHER [VAPORATIVE COOLERS <br /> 1 WATER HEATER CLOTHES DRYERS <br />� URINl1 VENTIUlTION FAN <br />. DRINKING FOVNTAIN RANGE HOOD <br />' FLOOR DRAIN AIR HANOLIA�UNIT— C.F.M. <br />� VACUUM BREAKERS S70VE <br />� HOCF ORAINS—RAINLEADERS METAI FIREPLACE 8 CHIMNEY <br />� SINK(SERVICE—BAR,ETG) _. <br /> i <br /> I <br />� Sf. �.Y+� I <br />� Fa _ _' i SU!TOTAL SUB TOTAL t <br />� 5��• ,�.��: .��:� PERMIT t PERMIT f <br />, � ; -;��.�-,� ; T0Tl1l FEE { TOTAL FEE f <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUIdBER PLAN CHECK FEE <br /> .R . <br />� i FEE RECEIPT NO. <br /> � �,,-, . <br /> � c ' " i <br />� ` � '� USE ZONE LOT AREA VACANT SITE <br /> � ! ❑YES CNO FEES VALUATION FEE <br /> �� � 7VPE OF CANST. OCGUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING E <br /> � SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD � <br /> PLUMBING <br /> FIRE ZONE RASEMENT REOUIqED KLERS MECHANICAL 7 5 O <br /> i ❑YES ❑NO <br /> APPROVALS er DATE �THER <br /> 1. ENVIRONMENTAL CHECK LIST pf:NALN U.B.C. <br /> SEC.3031a) <br /> 2. BUILDINGPLANS 7 SO � <br /> TOTAL <br /> 3. FIRE HYDMNT <br /> 4. FIRE PROTECTION SVSTEA�i PERMIT VALIDATION <br /> N'HEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING a '' S1 � O � �, � O —_ � <br /> 6. DRAINAGE <br /> 7. ENVIRONMENTAL IMPACT STATEMENT � <br /> e. HEALTH DISTRICT � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � ' �� ��C r��T <br /> V.C. • ..'!K 1'(. U <br /> ADDRESS FILE I I «�� S O <br />