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�hc Ll�er�rern <br />�„ �: <br />everett <br />CITV HALL 259�8745 <br />EVERET7, WA 98207 <br />'� �CONSTRUCTIO� � <br />PERMIT PERMIT NO. 15132 <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILAOORE55 CRY ZIP PHONE <br />Calvin Hendrickson 3618 Rockefeller Everett 98201 252-2049 <br />APCMITECT OR DESIGNER MAIL A�ORE55 dTV ZIP PHONE <br />GENEflAL GONiRAGTOH MlIL AODRESS CITY 21P PMONE LICENSE Y <br />5elf <br />MECHFNIGAL CONTRAGTOR MAIL ApORESS CITY Zlp PryONE LICENSE � <br />PLUM8ING WNTRACTOq MAIL AODPE55 CITY 21P PNONE UCENSE M <br />❑ NEW ❑ ADDITION ❑ ALTERA710N � fiEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />VALUATION OF WORN <br />` ioon_an <br />DESCPIBE WORR <br />Re-roof <br />Single family homa with garage <br />LOT_BLOCK_OF <br />3618 Rockefellcr <br />PLUMBING <br />NO. TYPE OF I�IXTURE QR ITEM <br />W ATER CLOSET �TULET) <br />BATHTUB <br />SMOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHFR <br />WATER HEA7ER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAhERS <br />ROOF DRAINS — RAINLEADERS <br />SINK�SERVICE — BAR,ETQ1 <br />SUB TOTAL <br />PERMI7 <br />TOTAL FEE <br />SIDE YARD SETBACK STREET SETBAC <br />USE ZONE LO7 AREA <br />7YPE OF CONST. OCCUPANCY GR <br />SIZE OF BLDG. NO. OF STORIES <br />FIRE ZONE BASEMENT <br />APPqOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. Bl11LDING PLANS <br />3. FIRE HY�RANT <br />4. FIRE PROTECTION SYSiEM <br />5. GRADING <br />G. CRAINAGE � <br />7.ENVIRONMEN7ALIMPAC7STATEMENT <br />B. HEALTH DISTRIC7 <br />APPLICA710N ACC. BY PLANS CHECKI <br />L.C. <br />FOUR COPIES� <br />i <br />S <br />S <br />YES NO <br />REOUIRED <br />VES NO <br />B� <br />L.C. <br />I HER[BY 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 O1HER STPTE OR <br />LOCAL I_,�W REGULATING CONSTRUCTION OR THE <br />PERFGNMANCEOFCONSTRUCTION. <br />MECHANIC�\L <br />FEE NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERA710N UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. U��I7S — 70NNAGE EA. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.7.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORA7IVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />Alli HANDLING UNIT — QF.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />MEAT PUMP <br />PLAN CHECKNUMBER <br />/. <br />SUB TOTAL 5 <br />PERMI7 S <br />TOTAL FEE S <br />PL4N CHECK FEE <br />FEE I RECEIPT NO. <br />FEES I VALUATION <br />BUILDING <br />PLUM9ING <br />MECHANICAL <br />OTHER <br />PENALTV <br />s1,000.00 <br />U.B.C. <br />SEC.303 <br />FEE <br />17 <br />TOTAL I I 17 <br />PERMIT VALIOqTION <br />WHFN PROPERLY VALIDATED �IN THIS SPACEI THIS IS YOUR PERMIi <br />BY <br />ADDRESS (IlE <br />N <br />M <br />� <br />L: ) <br />�-'� <br />