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� <br /> 4 <br />' rAeEvergreen �-., C�STRUCTION <br /> _. � <br />'� CITY OF � <br />� everett PERMIT pERMIT NO: 08473 <br />� CITY HAIL 259�8745 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> EVERETT,WA 98201 <br /> OWNc� MRILADDFESS C�TV ZIP PNONE <br /> Amy Fox 918 Maple � <br /> ARCMREC70RDESIGNER MAILR[1DflE55 CRY 21P PHONE <br />` MAIL ADDRE55 C1iY 21P PHC'+E L'CENSE/ � <br /> GEVERRiCONTHACTOR 259-6672 � <br /> Erickson General Contracting 3205 Laurel Drive 98201 <br /> IAECHPNICALG�NTRACTOR MRILAODRE55 Gltt 21P PHONE UCENSEI <br /> ER IC KI 22601 <br /> PLUMBING CANTRACTOR MRIL FDDNES$ dTY ZIP PMONE LIGENSE� <br /> C1A55 OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATiON �EEPAIR ❑DEMOLITION ❑FENCE ❑SIG!: ❑3ARAGE Zj <br /> VFLUATION OF WORK <br /> f 24�0. �� <br /> DESCRIBE WORK <br /> re-roof com osition and rebuild Lack o ch <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGNLDFSCPIPTIONOFPROPERTY(SHGW BELOWORATTACMFOURCAPIE51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 24-25 188 Everett Div. T ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or ei.oc�_oc TYPE OF WORK WILL BE COMPLIEU WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUMETOGIVEAUTHORITY'; VIOLATEORCANCELTHEPRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> C UCTION O E PERFORMANCE OF CONSTRUCTION. <br /> NATURE RUT OR12FDAGEN7 DATE <br /> JOBADDRESS91B Maple ZO ZZ BO <br /> PLUMBINO E HANICAL <br /> NO. TYPE OF FIIRURE OR ITEM FEE N0. TYPE OF E�UIP6IENT FEE <br /> WATER CIOSET OI:Eq AIR CJND.UNITS—H.P.EA. <br /> 9ATHTUB AEFRIGERATION UNITS—H.P.EA <br /> . LAVATORY ASH BASIN) BOILERS—H P.EA. <br /> SHOWER GAS FlRED A.0 UNITS—TONNAGE EA. <br /> KITCHEN SINK 3 DISP. FOFCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHW�ISHER WALLHEATERS—B.T.U. M <br /> UUNDRY TRAY UNIT HEATERS—B.T U. M <br /> CLOTHES WASHER EVAPORATIVE CAOLERS <br /> WATER HEATEH CLOIHES DRVERS <br /> URIN4L VENTILATION FAN <br /> DRINKINO FOUN7AIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLMG UNIT— C.F.M. <br /> VAC'.IUM BREAKERS S70VE <br /> ROOF DRAINS—RAINLEADERS _ METAL PIREPWCE 8 CH1�INEY <br /> SINK(oERVICE—BAR.ETC.) ___ � <br /> SUBT�TAL SUBTOTAL S <br /> PENMIT S PERMIT i <br /> TOTALFEE S TOTALFEE f <br /> SIDE YARD SETBACK STREET SETOACK REAR VARD SETBACK PIAN CHECK NUMBER PLAN GHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA �ACNNT SI i E <br /> ❑YES L]NO FEES VALUATION FEE <br /> NPE OF CONST. OCCUPANCY GROUP N0.OP DWELLING UNITS <br /> BUILDING f 2400. 36 50 <br /> SIZE OF BLDG. NO.OF STORIES MN(.OCC.LOAO <br /> PLUMBING <br /> FIREZONE BASEMENT FIRESPRINKLERS MECHANICAL � <br /> REOUIRED <br /> ❑YES ❑NO <br /> APPROVALS <br /> !Y DJ�.TE OTHER ~ <br /> 1. EN'�IRONMENTALCHECKLIST pENALTV U.B.C. <br /> SEC.3W(a) <br /> 2. BUILDING PLANS <br /> TOTAL 3 8 5 0 � <br /> 3. FIRE NYDRANT <br /> 4. FIRE:'NO7ECTION SYSTEM PEHMIT VALIDATON <br /> _ WHEN PROPERLY VALIDATED(IN�41S SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING <br /> 6. DRAINAG'c 945G $ 038. 5C � <br /> 7. ENViRVNMENTAIIMPACTSTATEMEN7 � <br /> _ � <br /> B. HEPLTN OISTRICT , .� �.� I� R�C E I PT � <br /> APPLICATION ACC.BV PLANS CH! �•ED PY APPR.FOR I5,",UANCE BY ' <br /> � , . ��i �n <br /> .r�l. �'..� � v <br /> �i�. <br />