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d�e E�ergieen ^,Q N�T RU CTI O N <br /> qTv OF <br /> evF�rett PERMiT pERM1T NO. 09165 <br /> CITY HALL 259�8745 <br /> eveaErr,wn 9ezoi ❑ COMBINATION � BUILDING ❑ MECHANICAL PLUMBING <br /> ��Jy � Z�p FHONE <br /> MPIL PUUACS$ <br /> OWt�EA <br /> Juanita Field 2715 Victor Place vere <br /> nRCHITECT OR DCSIGNEP M41L ADDRESS <br /> CI1V 21P PNONC <br /> GOiC�AI CON1RALlOR A�AIL AUDRESS <br /> G�iY ZIP PI�ONE IICEASE I <br /> J. W. Contracting 719 Baird Snohomish 'r1A 98290 JWSLO 222DS _ <br /> MECMANICALCAN1pACTOR <br /> 1AAll AODAF55 C�i� ZiP PHONF UCEN'v[1 <br /> PIUTABiNG CONIRAC:OP <br /> AIAILAODRE55 CItV Z�P PNObE IICENS[1 <br /> GiASSOF WORK y,y� <br /> ❑NE1Y ❑ADDITION ❑AUERATION "IJREPAIR ❑DEMOLITION ❑FENCE OSIGN GARAGE <br /> VPLUAiIGN Of VlORK <br /> 52��0�.00 <br /> DESCnIpE 1"ORN <br /> Foundation repair <br /> rnoroseo use or ounon+e <br /> Single fami!y residence I HEREBY CERTIFY TtiAT I HAVE READ AND [XAMINED THIS A - <br /> PLICATION AND KNOW THE SAME TO BE TRUE P.ND CORRECT. <br /> ucn�r,esc��irno�+oF caoren*r isawoEicwoa nirna�rouacov��Esi ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior ZO-Z� ijiaK�oF Read Lan COS �St addn t0 TYPE OF WORK WILL bE COMPLIED WITH WHETHEF SPECIFIED <br /> Everett HEREIN OR NOT. THE GRANTINi3 OF A PERMIT DOES NOT <br /> PRESUML TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER .^�TATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE�OF CONSYt�UCTIOh. <br /> Fi6N41UPLO�CCIIin>GiOqORAU1����iZCDAGENi ����E <br /> .�oA anoniss / 4�23�S� <br /> 2715 Victor Place X L � ��? '� ` t'` -- <br /> PLUMBIN(� ) ECHANICAL <br /> FEE N0. TYPE OF EOUIPM1IENT FEE <br /> N0. TYPE OF FIXTURE OR ITEM �,ii�COND.uNits—ti.P-[n — <br /> WATER CLOSET(TOILEf) — <br /> REFPIGEHATiON UNITS—N.P.EA <br /> pAiHTUO _ <br /> BOILERS—HP EA. <br /> �qVATORY pVASH BASM) _ <br /> GAS FIR'-D ".C.UNITS—���NNAGE EA. <br /> SHOWER <br /> FOPCED AIP SYSTEMS—Bi.U. M E . <br /> KITCHEN SINY.&OISP. M <br /> VlALL HEATERS—OT.U. <br /> DISMW�SHER M <br /> UNIT NEATFRS—O.T.U. <br /> LAUNDRVTRAV <br /> EVAPoRATIVE COOLERS <br /> CLUTHES WASH[P CLOiHES DRY.AS <br /> WATER HEATER _ <br /> V[NTILATION PPN <br /> URINAL pANG[HOOD <br /> DRINKING FOUNTAIN QFN. <br /> AIR HANDLING U�IT— <br /> FLOOR�RAIN STOVE <br /> VACUUM BREAKER$ <br /> MEiAL FIREPLACE 8 CHIMNE� <br /> ROOF DPAINS—AA�NLEADEFS <br /> SINK(SERVICE—BAR.ETC.) <br /> SUB T(`TAL S <br /> S11B TOTAL pERMIT f <br /> PERMIT S TOTAL FEE s <br /> TOTAL FEE s PLAN CHECK FEE <br /> SIDE VARD SETBACK STRC!7 SLTLl/�CK REAR YARD SETGACK PLAN CHECK NUMBEii FEE REC[IPT N0. <br /> USF ZONE LOT AREn VACAN7 SI7E FEES VALUATION FEE <br /> f1YE5 GNO <br /> TYPE OF CANST. OCCUPANCY GROUP HO.OF DWELLING UNI1S 5 2'�OO.o0 32 50 <br /> OUILDING <br /> SIZE OF BLOG. NO.OF SiORIES MA%.OCC.LOAD <br /> PLUMBING <br /> fIREZONE BASEMENi FIRESPRINKLERS MECHANICAL <br /> f7E0UIRED <br /> 1'�.VFS ❑NO <br /> APPPOVALS <br /> BY DATE OTHER _ <br /> 1 ENVIRONMENTAL C4ECK USi PeNALTY U B.C. <br /> SEC.303�a) _ <br /> 2. BUILDMG PIANS TOTAL 3� 5� <br /> 3. FIRE MYDRANT <br /> PERMIi VALIDATION <br /> 4. f`IPE PROT[CTION SYSTEM �VHEN PROPERLY VALIDATED�IN THIS SPACF)THIS IS YOUR PERMIT <br /> lf7 <br /> g. GRADING `� <br /> 6. DRAINAGE ! � � � � ' � 1. � r `c�'� <br /> 7 ENVIRONMENTAI IMPACT STATEMENT � <br /> 8. HC�ITH DISTRICT � <br /> APFLIGATION ACC.BY PLANS CH[CKED BY APPR.FOR ISSUANCE�V � �- : � ��l� <br /> LC . !.) <br /> ACDRE55 FILf: _ . . n � <br />