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nc�E��rrt.ren �� �C O N ST R U CT I� ! <br /> ��„��� pERMIT PERMir No. 15149 <br /> everett <br /> CiTV HaLL:59�87a5 <br /> EVEREiT,WA 98207 ❑ COMBINATION C� BUILDING ❑ MECHANICAL .I—J PLUMBING <br /> OWNER MAILAD�RE55 CITY ZIP PMONE <br /> Ruby Merkel 2203 Rockefeller Everett 98201 258-8300 <br /> NflCMIiECi OR OESIGNEP MAIL Ap�RE55 GI1Y 21P PMOYE <br /> GENERAL GONTRnG10R MaIL ADORESS CITV 21P PHONE LICENSE• <br /> Same <br /> MEGHANIGAL CONTPALTOR MAIL ApDRESS CITY ZIP PHONE LICENSE 11 <br /> PLUMBING CONTPACTOR MAIL ApDRE55 CITY 21P PNONE UCENSE� <br /> CLASS OF WOPK <br /> ❑NEW ❑ ADDI710N ❑ ALTERA710N ❑REPAIR ❑ DEMOLITION ❑ FENGE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VRLUATION OF WORK <br /> S <br /> OESCRIBE 1YORK <br /> Demolish Existing garage <br /> PROPOSED USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL�ESGRIPTION OF PROPERTV�SMOW BEL01Y OP ATTACM fOUN COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 2 477 Everett GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH <br /> LOT_BIOCK_OF <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OF CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PE M ,�E oF CONSTRUCTION. <br /> JOB ADDRESS SIG AT E OF CA�NTd GTOR OR AUTH RIZED AGENT UATE <br /> 2203 Rockefeller X d� �/i�/es <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WA7ERCLOSEi�701LEn AIR COND.UNITS- H.P. EA. <br /> BATHTUB REFRIGERATION UNI7S- H.P.EA. <br /> LAVATORY�WASHBASIN) BOILERS - M.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS -TONNA�3E tA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS- B.T.U. M EA. <br /> DISHWASHER N1ALL HEATERS- B.T.U. M <br /> LAUNDRY7RAY UNI7 MEA7ER5- B.T.U. M <br /> CLO7HES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS _ <br /> URINAL VENTILA710N FAN <br /> DRINKiNG FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANOLING UNIT- C.F.M. <br /> VACUUM BREAKEHS STOVE -WOOD <br /> ROOF DRAINS- RAINLEADEFS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE- BAR, ETG.) FlFEPLACE INSER7 <br /> HEAT PUMP <br /> SUB TOTAL S SUB TOTAL S <br /> PENMI7 S PERMIT S <br /> TOTAL FEE S TO7AL FEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBE(i PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VA�ANT SITE <br /> �. �.YES �. -.NO FEES VAWATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> BUILDING Z 00 00 <br /> SIZ'OF BLDG. NO.OF STOR:ES MA%.OCC. LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> YES NO <br /> APPROVALS BY OATE �THER <br /> 1. ENVIFONMENTAL CHECK LIST pENALTY LLB.C. <br /> SEC.3W(el <br /> 2.BUILDING PLANS OO OO <br /> J.FIRE HYDFANT T�TA� <br /> d.FIRE PROTECTION SVSTEM PERMIT VALIDATION <br /> 5.GRADING 6YHEN PROPERLY VALIDATED(IN THIS SPACE�7HI5 IS YOUR PERMIT � <br /> , � � � <br /> 6.DRAINAGE �'- � � <br /> � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT �('� <br /> 8.HEALTH DISTRICT �--� <br /> APPLICATION ACC. BV PLANS GHECKED BY APPR.FOR ISSUANCE BY <br /> ADDRESS FILfi <br />