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die £rer�;men �0 N ST R U C1•I O� • <br /> ��rY oF r� <br /> everett pERMiT PERMIT NO. 15005 <br /> CITV HHLL 259�8745 <br /> EVERET7,WA90207 ❑ COMBINATION C� BUILUING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER IAAILAOORESS CITY ZIP PMONE <br /> Sidney Mollerud 2]?3 Rockefeller Everett 9820i z52-1001 <br /> AqGMREGT OR UESIGNEfl MAIL AD�RESS CITY ZIP PXONE <br /> GENEflaLCONTFACTOR MAI�AOONESS CITV ZIP PMONE LILENSE� <br /> Same <br /> MEGHANICAL GONTRACTON MAIL AOORESS CITY ZIP PHONE LICENSE II <br /> PLUMBING CONTRACTOR MAIL ADORESS dTV ZIP PMONE LICENSE� <br /> CLA55 0�WOfiN <br /> O NEW O ADDITION ❑ ALTERATiON }{�REPAIR ❑ DEMOLITiON ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VALUATION OF WORN <br /> s 400.00 <br /> DESCRIBE YJORN <br /> Reroof-Composition <br /> PROPOSED USE OF BUILDING <br /> Single Family REsidence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF PNOPER.Y�SMOW P'LOW OR ATTAGH FOUR GOPIES� CORRECT. AL'. PFiOVISIONS OF LAWS AND ORDINANCES <br /> �or lZ BLOCK 437oF Everett GOVERNING 1HIS 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 /> JOB ADOFESS SIGNA,T E OF CONiRACTOR OR AUTHOFIZED AGENT DATE <br /> 2123 Rockefeller X 6/19/85 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI7(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSE7(TOILEn AIR COND.UNITS— M.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P.EA. <br /> L4VATORY 1WASH BASIN) BOILERS— H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK d DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRYTRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORA7IVE COOLERS <br /> WATER HEATER CLO7HES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT — C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> POOF DRAINS— RAINLEADERS METAL FIREPLACE&CHIMNEY <br /> SINK(SERVICE— BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL S SIIB TOTAL S <br /> PERMIT S PENMIT <br /> TOTAL FEE S TOTALFEE S <br /> SIDE VARD SETBACK STREET SETBAGH FEAR YARD SE7BACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE REf.cIPT NO. <br /> USE ZONE LO7 AREA VACANT SITE FEES VALUA710N FEE <br /> . YES �.�.NO - — <br /> TYPE OF CONST. OCCUPANCY GRO�P NO.OF DWELLING UNITS <br /> BUILDING S 500. �O 00 <br /> 512E OF BLDG. NO.OF STORIES MAX.OCC. LOAD — <br /> PLUMBING <br /> Fl(iEZONE BASEMENT PIRESPPINKLERS NECHANICAL <br /> REOUIRED <br /> YES . :NO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILOING PLANS TOTAL 10 00 <br /> 3.FIRE HYDPAN7 <br /> 4 FIRE PROTECTION SYSTEId PEHMIT VA�IOATION � - ^ ��� i -� �y,� <br /> WHEN PROPERLV VALIDATED QN THIS SPACE)THIS IS V,OCR PERMIT— ai i <br /> 5.GRADING O <br /> 6.DRAINAGE O <br /> 7.ENVIRONMENTALIMPACTSTATEMENT . . . � <br /> B.HEALTHDISTRICT � � � �""� <br /> APPLICATION ACC.BY PLANS CHECKEO BY APPR. FOR ISSUANCE BY - <br /> ADDRFS.`, 1'IL[ <br />