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�Hc 61�er�rrrn • � ��N ST R U CT I� • <br /> everett PERMIT PERMiT NO. 15147 <br /> CITY HALL 259�B745 <br /> EVERETT,WA98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAIL ADDRESS CITY 21P PMONE <br /> Ruby Merkel 2203 Rockefeller Everett 98201 258-8300 <br /> AflCMITEGi OR OESIGNER MAIL AODRE55 CITY ZIP nMONE <br /> GENERnL CONTFnCTOR MnIL ADORESS CITY ZIP PHONE LIGENSE f <br /> Same <br /> MECHANICALCONTRALTOH MAILA�DRESS CITY 21P PMONE LIGENSE� <br /> PLL'MBING CONTRACTOR MAIL ADDRESS CITY IIP PMONE �IGENSE� <br /> CLA55 OF WORN <br /> ❑ NEW ❑ ADDITION ❑ ALTERA710N ❑REPAIR ❑ DEMOLI710N ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSEFiT <br /> VALUATION OF WORK <br /> f �ElG.�1�X7D1Q 4�000.00 <br /> DESCRIBE WOPIc <br /> Construct Garaqe <br /> PROPOSED USE OF 9UILDING <br /> Single Family Residence 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> I.EGAL UESGFIPTION OF PROPENTY(SM01'f 6ELOW OR ATTACM F(1UR LOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 2 477 Everett GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BIOCK_OF <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTIN3 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 /> P�MA OF CONSTRUCTION. <br /> JOB AOORESS SIGN4TII OP CONT nf,ipR 00 AUIMORRED AGENT OATE <br /> 2203 Rockefeller X �` Z (�,�� <br /> ^LUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIP ENT FEE <br /> WATERCLOSET�TOILEn AIR COND. UNITS - H.P.EA. <br /> BATHTUB REFRIGERATION UNITS - H.P. EA. <br /> LA'/ATORVIWASMBASIN) BOILERS - H.P. EA. <br /> SHOWEP. GAS FIRED A.C. UNITS-TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS- B.T.U. M EA. <br /> OISHWASHER WALL HEATERS - B.T.U. M <br /> LAUNDRVTRAY UNIT HEATERS- B.T.U. M <br /> CLO7MES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> OFINKING FUUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNI7 - C.F.N. <br /> VACUUM BREAKERS STOVE-WOOD <br /> ROOF DRAINS- RAINLEADEFS ME7AL FIREPLACE 8 CHIMNEV <br /> SINK�SERVICE - BAH,ETC.) FIREPLACEINOERT <br /> HEAT PUMP <br /> SUB 70TAL S SUB TOTAL S <br /> PERMI' S PERMIT f <br /> TOTAL FEE S TOTAL FEE S <br /> SIDE YARD SETBACN STREET SETBACK FEAR YARD SETBACK PLAN CHEGK NUMBER PLAN CHECH FEE <br /> 5' 20' 85/15147 FEE21.13 �Z�yi"o <br /> USE ZONE LOT AREA VACANT SITE <br /> g-2 � .YES }(}QJO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GFOUP NO. GF DWELLING UNITS <br /> V-N M N/A ,00- . +— <br /> SIZf:OF BL�G. NO.OF STORIES MAX.OCC. LOAD eUILDING S $X���• 44 O <br /> 360 Sq. Ft. 1 N/A P�UrneiNG <br /> FIREZONF. BASEMEN7 FIRE SPRINKlERS MECHANICAL <br /> REOUINED <br /> YES X}NO <br /> APPROVALS BY DATE OTHER <br /> i.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.303 WI <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRAN7 TOiAL 44 O <br /> 4.FIRE PFOTECTION SYSTEM PERMIT VALIDATION <br /> 5.GRA�ING WHEN PROPERLY VALIDATE��IN THIS SPACE�7HIS IS YOUF PERMIT � <br /> 6.DRAINAGE - ' � <br /> 7.ENVIRONMENTALIMPACTS7ATEMEN7 � <br /> 8.HEALTH DISTRICT , ;. � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR. FOR ISSUANGE BV � � <br /> EB HWM LC <br /> ADDRESS FILE <br />