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the ; - , erereen <br />eVereTy OF <br />tt r ^ONSTRUCTION <br />CITY HALL 2598745 PERMIT PERMIT NO. 13678 <br />EVERETT, WA 98201 ❑ COMBINATION BUILDING F,' MECHANICAL f_I PLUMBING <br />OWNER <br />Maurice A. Preston <br />MAIL ADDRESS <br />1917 McDougall <br />CITY <br />Everett <br />98201 <br />PHONE <br />252-0560 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />Same <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE II <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE N <br />❑ NEW ❑ ADDITION ❑ ALTERATION ID¢iEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />f 1,200.00 <br />;CRIBE WORK <br />complete cement foundation <br />Single Family Residence <br />LOT 9-10 BLOCK 385 OF <br />10= McDougall <br />Everett Div. P <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER 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 STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNNAATTIJRRE OF CONTRACTOR OR AUTHORIZE D_��GE.NTT DATE <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE. OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY(VASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER _ <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE -WOOD <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />_ <br />ROOF DRAINS - tiAINLEAVEP4 <br />SINK (SERVICE - BAR, ETC.) <br />HEAT PUMP <br />SUB TOTAL <br />i <br />SUB TOTAL <br />S <br />PERMIT <br />S <br />PERMIT <br />$ <br />TOTAL FEE <br />f <br />TOTAL FEE <br />S <br />SIDE YARD SETeACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PI AN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK <br />RECEIPT <br />FEE <br />NO, <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />:]YES -NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f, <br />-y 200. <br />20 <br />SO <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC, LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />[]YES ONO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />20 <br />50 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR <br />O 2 0. <br />R <br />PERMIT <br />5 O — 4 <br />(.O <br />M <br />t ; C I PT <br />- U <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILL <br />r3JLL84 <br />z <br />0 <br />71 <br />m <br />-H m <br />nm <br />T7 m <br />c o <br />m o <br />c� <br />O M <br />m <br />x -I <br />m <br />O <br />C <br />n -+ <br />rx <br />—I N <br />< m <br />O TJ <br />m D <br />--im <br />x <br />m — <br />CD <br />O � M <br />C GO <br />m <br />z M <br />�r <br />n <br />z <br />