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''" ' '"""`�`�" CONSTRUCTIO "1 <br /> � ,:, , : <br /> everett PERMIT PERMIT N0. 13C�1O <br /> CITY HALL 259-tl7dy <br /> evervFrr.wFve�o� � COMBINATION � BUILDING ❑ MECHANICAL I� PLUMBING <br /> CiTY Z�p PMONE <br /> oc+r+e� mnn �:�oaess 355-5236 <br /> Loren Cherry 10201 Wurd Avenue Everett clr 982�4 ZiP PnonE <br /> AR'JHrtECT ON OE9GNFR MAIL ADO�fSL <br /> IAAI'.ADDAE55 GITV <br /> Z�p PHONE LiCENS[� <br /> GENERAL WtrtPPGiOR <br /> Everett Builders Inc. 5606 Evergreen Way Everett 98203 ZP 353-7'.. P„oNE ��cer�se� <br /> MAIL hDOPES$ CITV <br /> NEGHANICFLCONiR>CiOq EV ER EB *301PH <br /> MPIL RODRE55 GiTY <br /> ZIP PHONE LIGENS[� <br /> PLUM9ING CON�FAC Lf H <br /> LLAY CF WORN <br /> U NEW ❑ AODITION U ALTERATION M�REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLAGE INSE <br /> VA W Ai lON Of 140AK <br /> s 1665.00 <br /> DtSCR�BE WORN __ <br /> Hot Mop and Gutters <br /> 1'iOPOSEO USEOF UW�OING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME i0 BE TRUE AND <br /> LEGALDESGRiPTIONOFPROPEFIY�SHOWBEIOWORATIACMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> ��T__BLOCN_OF WHrTHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> 39G9-000-010-0001 �R M�?JCEL TH�E PROVISION9 OFEANY OTHERTS�TP�E OR <br /> LOl LAW REGULATING CONSTRUCTION OR iHE <br /> PER: JRMANCE OF CONSTRUGTION. p�TE <br /> SIGNAN E CONiRAGiOR RAUTN I Conc N ��10/84 <br /> �06 n�DRE55 X <br /> 1�2� <br /> MECHANICAL - <br /> PLUMBING TYPE OF EOUIPMENT FEE <br /> ryp, TYPE OF FIXTURE OR ITEM FEE NO� A�q COND.UN� <br /> WATER CLOSET�TOILET) <br /> - FEFRIGERAI�ON UNITS- H.P. EA. <br /> BATHTUB -.— <br /> BOILERS- H.P.EA. <br /> LAVATORY�WASH BFSIN� __ <br /> GAS FIPED A.C.UNITS-TONNAGE EA. <br /> SMOWER FOPCED AIR SVSTEMS- B.T.U. M EA. — <br /> KITCHEN SINK F DISP. WqLL HEATERS- B?.U. M <br /> DISHWASHEP <br /> UNIT HEATERS- B.T.U. M <br /> LAl1NDRY TflAY EVAPORATIVE GOOLERS <br /> CLOTHESWASHER — CLOiHES DRYERS <br /> WATER HEATER — <br /> VENTILATION FAN � <br /> URINAL �.� RANGE HOOD <br /> DRINKING FOUNiAIN QF.M �- <br /> AIR HAVDLING UNIT- �, <br /> FLOOR DRAIN STOVE -WOOD �.' <br /> VACUl1M BREAKERS . — — METAL FIREPLAGE&CMIMNEY <br /> ROOF�AAINS- RAINLEADEqS FIREPLACE INSERT <br /> SINK�SERVIGE - BAR, LTC.) MEpT PUMP - <br /> -1 �- <br /> --` — n ` <br /> SUBTOTAL S — 7 r <br /> -- - SUB TOTAL • pERM1T _ S !� L <br /> -- PERMIT s TOTALfEE _ <br /> � - TOiALfEE 3 PLAN CHECKFEC � �� <br /> SIDE �AF70 5'_TBAGK STREET SETBACK REAR VARD SETBAf.K PLAN CMECK NUMBER FEE RELEIPT N0. - <br /> - LOT APEA VACANT SITE FEES VALUATION FEE _ r � <br /> LSE.'.ONE . YES NO � � ��� • <br /> I — ` ; <br /> TYPE OF CONST. OCCUPANCV GHOUP NO.OF DWELLING UNITS _ H _ <br /> BUILDING S 1665. 28 00 ? � <br /> SIZE OF BLDG. N0.OF STORIES MA%.OCC.�OAD _ -� � <br /> PLUMOING - <br /> pA5EA7EhT FIRE SPRINKLERS �AECHANICAL `� � <br /> FaRE ZONE REOUIRED '' <br /> 1ES NO � <br /> OTHER - — � <br /> APPROVALS BY UATE UBC ' -. <br /> 1. ENVIFONMENTAL C11ECK LIST PENALTv SEG J071a1 ;' <br /> 2E 00 � <br /> p.�UILDING PLANS TOTAL <br /> �.FIRE HYDRANT pERMIT VALIDPTION • <br /> a.FIRE PROTECTION SYSiEM yJMEN PROPERLY VALIDATED pN THIS SPAGE�TMIS:1,.rqun Pe?mi= �3, <br /> 5.GRADING � <br /> fi.DRAINC.GE (1) <br /> 7.ENVIRONAtENTALItdPACTSTAT5IAENT � . .. ��Tr-I <br /> B.HEALTH DISTRIf.T . ..• � � � � <br /> APPLICATION ACC. BY PLANS CHECKEO BY 4PPR.FOR ISSUANCE BY , <br /> .i. . . ...:� 19''C <br />