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rhe£verRreen <br /> "'�°` `i �ONSTRUCTIO <br /> everett � � 163 31 <br /> CITY HALL 25967�5 P E R M IT PERMIT NO. <br /> EVERE7T,Wq 99pp1 �j COMBINATION Jf�] BUILDING ❑ MECHANICAL ❑ PLUMBINO <br /> ��ER M�IL ADDRESS CITV ZIP PHONE <br /> Richard Kenn dy 10417 't.d e � Fvprot* WA on�ne <br /> 11RGNITECT OP DESIGNER MRIL AODRESS � CRY <br /> Z�P PHONE <br /> GENERRLCONTRICTOX MRI�ADARE55 CITY ZIP PNONE LICENSEI <br /> Stark Aauatic 735 NE 198th et Sea**� we qR� � aFa FtFt cTARKAtie�rR <br /> EGM�NICRL CONTPACT09 MAIL ADDRE55 CITY ZIP PNONE �ICF.NSE I <br /> PLUMBING LONTq�GTOP MAIL qDORE55 qTY ZIP PMONE LICENSE I <br /> CLASS OF WORK <br /> �NEW O ADOITION ❑ ALTEP.ATION ❑REPAIR ❑ DEMOLITION O FENCE ❑ iIGN' ❑ WOOD STOVE/FIREPLACE INSERT <br /> V�LyU�ATION OF WORR <br /> 1�����. <br /> DESCRIBE WORN <br /> Swim pool <br /> PROPOSED USE OF PUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEG�LOESCRIPTIONOFPROPERTY�SMOW9ELOWORATTACMFOURCOPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_eiocK_oF_ 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 OTHER STATE OR <br /> � LOCAL LAW REGULATI�G CONSTRUCTION OR THE <br /> JGB ADORE55 PERFORMANCE OF CONSTRUCTION. <br /> SIGN4TU OF C T Ci q OR AUTHORIIEp AGENT D4TE <br /> 10417 - 3rd SE X `�--� 3 28 86 <br /> PLUM6iriG MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND.UNITS— H.P. EA. <br /> BATHTUB REFRIGEFATION UNITS — H.P.EA. <br /> LAVATORY�WASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS— TONNAGE EA. <br /> KITCMEN SINK E DISP. FORCED AIR SVSi EMS— B.T.U. M EA. <br /> DISHWASHER <br /> LAUNDRVTRAY WA��MEATERS— B.T.U. M <br /> UNIT MEATEFS— B.T.U. M <br /> CLOTHES WASHER EVAPORATI'JE COOLERS <br /> WATER HEATER CLOTMES DRVERS <br /> URINAL VENTILATION FAN <br /> ORINKING FOUNTAIN RANGE HO00 <br /> FLOOR DRAIN AIR HANOLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE S CHIMNEY <br /> SINK(SERVICE— BAR,ETC.) FIREPLACE INSEqT <br /> HEAT PUMP <br /> SUBTOTAL s <br /> SUB TOTAL { <br /> PERMIT t <br /> PERMIT s <br /> TOTAL FEE f TOTAL FEE f <br /> SIDE YARO SETBACK STREET SETBACK REAP YAqD SETBACK PLAN CHECK NUMBER PLAN CMECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ;,VES . .NO FEES VpWqTION FEE <br /> TVPE OF CONST. OCCUPANCV GFOUP N0.OF DWELLING UNITS <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCQ LOAO BUIL�ING S SO OO <br /> PWMBING <br /> FIRE ZONE BASEMEN7 FIRE SPRINKLERS — <br /> REOUIRED MECHANICAL <br /> YES NO <br /> APPHOVALS BV OATE OTMER <br /> 1. ENVIRONMENTAL CHECK U5T PENALTY U.B.C. <br /> 2.BUILDING PLANS SEC.303�a) <br /> 3.FIREHVDRANT TOTAL SO OO <br /> 4.FIRE PROTECTION SYSTEM PEflM�T VALIDATION <br /> 5.GRADING WMEN PROPERLV VALIDATED(IN TMIS SPl�C�F)THIS 1S YOUi�PF�ir�IT_ <br /> 6.ORAINAGE Plinimum of 42" fe�c'e� with g��t�U �1 '1 — � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT required around SYlllfl �00� 111 � <br /> B.MEALTHOISTPICT �lt,Y of Everett. �.� : <br /> APPLICATION ACC. BY PLANS CHECNED BY APpR.FOq ISSUANGE BV � . . � ��' � � • <br /> �) <br /> ADDRESS FILE � � � � <br />