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(hC L�P('rRrPCB <br /> ���, °� ' �ONSTRUCTIOP ' <br /> everett PERMIT PERMIT NO. 14678 <br /> CITV HALL 259�8745 <br /> EVERETT,WA9B207 ❑ COMBINATION � BUILDING G MECHANICAL ❑ PLUMBING � <br /> OWNER MAILADPRE55 1 CITY ZIP PMONE <br /> D �AmRicia JOHtacoN t2600 - arh a y7 Sr Everett WA 98204 348-0691 <br /> FHCHITECi OR DESIGNER MqIL AODRE55 GITY 21P PHONE <br /> G[NERAL WNTRALTOR MFIL ADDRESS GTY ZIP PNpNE LICENSE/ <br /> owner <br /> MECMANIGAL GONTPRCTOR MAIL qDDRESS CITV ZIP PHONE UCENSE� <br /> PWMBING CONiRFGTOR MRIL PpDRESS LITY ZIP PHONE LICENSE• <br /> CLA55 OF WORK <br /> ❑NEW ❑ ADDITION ❑ ALTERATION �FiEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VAWATION OF WORN <br /> S 1000. <br /> OESCRIBE WORK <br /> Reroof - composition � <br /> PROPOSEO USE OF pUILDING <br /> I HEREBY CEfiTIFY THAT I HAVE READ AND EXAMINED THIS ~' <br /> Residence � <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRL�ESCRIPTION OF PHOPERTY�SMOW 9ELOW OR ATfRCN FOUR COPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �oT_eiocrc323.ov c..o,-ar 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 STPTE OR H H <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE "j '� <br /> PERFORMANCE OF CONSTRUCTION. � � <br /> JOB FODRESS SIGNAT RE OF CONTRACT P AUTHORIZED RGENT DFTE � <br /> X ` 4585 � <br /> PLUMBINO MECHANICAL y <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE � <br /> WATERCLOSEi�T01LE7) AIR COND.UNITS— H.P. EA. <br /> BATMTUB REFRIGERFTION UNITS— H.'.EA. N <br /> � Z <br /> LAVATORVpNASM BASIN� BOILERS— H.P.EA. � <br /> SHOWER GAS FIRED A.C. UNITS—TONNAGE EA. <br /> KITCMEN SINK S DISP. PORCED AIR SYSiEMS— B.T.U. M EA. � �~JI <br /> DISHWASFIER WALL HEATERS— B.T.U. M <br /> LAUNDRY TRAV UNIT MEATERS— B.T.U. M '�+7 � <br /> CLOTHES WASHEH EVAPORATIVE GOOLERS <br /> WATER HEATER CLOTNES DRYE4S � N <br /> URINAL VEN��ILATIO�: FAN r <br /> DRINKING FOUNTAIN RANt';HOOD R] <br /> FLOOR DRAIN Alll HA�OLING UNIT— C.F.M. UI <br /> VAWUM BREAKERS STOVE— K.OD — , � <br /> ROOF DRAINS— RAINLEADERS METAL�IREf LACE 8 CHIMNEV <br /> SINK(SEflVICE — BAF,ETC.) FIREPU�CE INSERT <br /> _ � <br /> MEAT PUMP � <br /> T <br /> SUB TOTAL 3 SUB TOTAL f � <br /> PERMIT t PERMIT f � <br /> TOTALFEE f TOTAL FEE S <br /> [�1 <br /> SIDE YARD SE�BACK STREETSF.TBACK REAR YARD 3ETBACK PLAN CHECK NUM9ER PLAN CMECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> �-:YES �. �NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILOING S <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD Q.— <br /> PLUMBING <br /> FIREZONE BASEMENT FIRESPRINNLERS MECHANICAL <br /> REOUIRE� <br /> YES NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIS7 PENFLTY U.0 C. <br /> 2.BJILDING PLANS SEC.303�a� <br /> 3.FIREHYDRANT TOTAL <br /> 4.FIRE PROTECTION SYSTEM PEpM1T VALIDATION <br /> 5.GRADING H'HEN PROPERLV VALIDAIED pN THIS SPACE)TMIS IS YOUR-PE(iM1T �. <br /> 6.DRAINAGE - � ' �' <br /> 7.ENVIRONMENTALIMPACLSTATEMENT � <br /> B.HEALiH DISTRICT � <br /> qPPUCATION ACC. BY PLANS CHECKED BV APF� .OR ISSUANCE BV '� <br /> nona�ss HLIi <br />