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UicEcrrcrecn - CaNSTRUCTIQ 1 <br /> . 1rG� � <br /> everett PERMIT PERM�T ��. �397b <br /> GTY HALL 259�67d5 <br /> EVERETT.WA 98201 ❑ COMdINATION � BUILDING ❑ �dECHANICAL ❑ PLUN3ING <br /> 01'INEP MAIL AD�RE55 GTY ZiP PMONE <br /> Pnul M. Kukowski 2615 Maple Everett 98201 252-2633 <br /> APCMITECT OR DESIGNER MAIL AODRE55 GITY ZIP PHONE <br /> GENEHAL LONTRACTOR MRIL AOORE55 QTY 21P PNONE LIGENSE� <br /> S21Ii10 pNONE ���ENSE♦ <br /> MECNANICAI GGNTRAGTOR �dA�L ADORE55 CITY Z�P <br /> PWMO�NG CONTRRL70R <br /> MPIL AOORESS GTY ZIP PHONE LICENSE� <br /> CLASS OF WOPK <br /> X� NEW ❑ ADDITIDN ❑ AL7ERATION O FiEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVE/FIREPLACE IN <br /> VALUAiION OF WORK <br /> S 3����.�� � <br /> OESCRIBE WORK <br /> Erect Carport — <br /> PppPGLFL US[OF BUIL�ING I HEREBY CERTIFY THAT I HAVE HEAD AND EXAMINED THIS <br /> Single �araily Residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGAL0E5[PI�t10NOFPPOP[RTY�SN014BELOWORATTAGHWURCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 11-1��o�K599 oF Nliley Land Company S 4th WHETHEiR SPEC FIED H RE N OR �'T THE GRANT NG+OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHOaITl'TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW EGULATING CONST�1 CTION OR THE <br /> P�fl MA E OF CO STRU ION./ J / oq� <br /> JOB AD�RE55 `6GNAT E OF C NT OF O AU1H0 PG£I� f iU <br /> 2615 Maple ��'`'y� � <br /> PLUMBING MECHANICAL _ <br /> FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT _ <br /> WATERCLOSET�101LEn AIR COND. UNITS- H.P. EA. <br /> 6ATHTUB REFRIGERATION UNITS- H.P. EA. <br /> LAVATORV�WASM BASIN) OOILERS- N.P. EA. _ <br /> SHOWER GAS FIRED AA.UNITS - TONNAGE EA. <br /> HITCHEN SINK 8 DISR FOFCED AIR SYSTEMS- B.T.U. M EA. <br /> DISHWASHER \NALL HEATERS- B.T.U. �+� <br /> LAUNDRYTRA'! UNIT HEATEF75_B.T.U. M <br /> CLOTHF"" SMER EVAPORATIVE COOLERS <br /> YlAIER NL fER CLOTHES DRYERS - � <br /> URINAL VENTILATION FAN — <br /> DRINKING FOUNTAIN RANGE HOOD (F'' <br /> FLOOR DRAIN AIR HANDLIN(i UNiT - QF.M. _ C": <br /> VACUUM BREANERS STOVE-WOOD <br /> ROOF DRAINS- RAMLEAOERS METAL PIREPLACE 8 CHIMNEY <br /> SINK(SERVICE- BAR, ETC.) FIREPLFCE INSERT <br /> - HEAT PUMP y F <br /> H � <br />' � F <br /> SUB TOTAL i SUB iOTAL S 5 C� <br /> PEflMIT s �� � <br /> PERMIT S �-3 f <br /> TOTALFEE 5 TOTAL FEE S O f. <br /> PLAN CHECK FEE � : <br /> SIDE YARD SETBACK STREET SETBACK R[AR YARD SETBACK PLAN CHECK NUMBER RECEIP1 NO <br /> p 0 0(S)-5' (N) 8q/13976 FE`25,23 5083 6 %2 Q� r ' <br /> USE ZONE LOT AREA Vp{;AN7 SITE FEE �J . <br /> �7rylynse FEES VALUATION <br /> R-2 vEs �ix• 'r; <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS - � � <br /> RXRX V-N M BUILDING f 3,000. 38 50 .� <br /> SIZE OF BLDG. NO. Of STORIES MA%.OCG LOAD � ;:; <br /> 4�0 Sq. rt. 1 N�p PLUM6ING y i'� <br /> FIREZONE BASFMENI R OUSRED KLERS MECHANIGAL _ C•� , <br /> YFS X}G� <br /> APPROVALS BY �ATE <br /> OTHER � � <br /> — U.B.C. � , <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY SEC.3071a) � <br /> � <br /> 2.�UILDING PLANS TaTA� 36 50 � � <br /> 9.FIRE MYDHANT <br /> d.FIRE PROTECiION SYSTEM PERMIT�A�IDATION ^ � . <br /> WNEN PROPERLY VALIDATED pN THIS SPACE)TMIS IS YOUR PEHMIT <br /> S.G'�ADING . . . . �� ii . � <br /> 6.DRAINAGE � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> B.MEALTMDISTRIG7 ' � ��� <br /> . <br /> APPLICATION AGC.BY PLANS CHEGKE�BV APPR. FOR ISSUANC[BY <br /> EB t�wri r.c <br />