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,,«.,,�..�.�.�.» -� �,ONSTRUCTIOt� � ,_, , <br />everett RE�MIT PERM�T ��. � ������ � <br />CITY HALL 259�B7A5 <br />Eveaerr, �vn �ezoi � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />01':NER MA�L AppRE55 CITV ZIP PMONE <br />CLIFFORQ HENDRICKSON 2114 Virginia Everett WA 98201 252-5824 <br />nRGNIi[Gi OH OESIGNER MAR ADDRE55 CITY Z�P PHONE <br />GENEHRL GO4iRRGTOR MAIL ApDRE55 GITY ZIP PHONE LILENSE • <br />NORTH SOUND BUILDEfLS 9208 Smokey Point Blvd Marysville WA NORTH228J4 <br />MEGMANICAL GONiRRCTOR MAIL AODRE55 CiiY ZiP PNONE LILENSE • <br />PWMBINGCONiFACfUR MAILAD�RE55 GitY ZIP PMONE LiCENSE� <br />JJ y V O NEW ❑ ADDITION G ALTERATION CXREPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD SLOVFJFIREPLACE INSENT <br />.UATION OF 1YOFN <br />E4000.00 <br />foundation araund perimeter of existinq residence and pour floor in carport <br />Residence <br />L[GAL DESCPIPiION OF PqOPEPTY <br />�or25&26��ocn 942 oF_ <br />211�3 ' <br />FLUMBING <br />OR ATTAGM FOUI <br />Hill Addn <br />TYPE OF FIXTURE OR ITEM <br />ClOSET (701LEn <br />SHOWER <br />KITGHEN SINK 8 DISP. <br />DISHWASMER <br />LAUNORYTRAY <br />CLOTHES WASMER <br />\NATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEAOERS <br />SINK �SERVICE - BAR, EiC.) <br />SUB TOTAL <br />PEHMIT <br />TOTAL FEE <br />SIOE YAFD SETBACK STREET SET6A <br />USE ZONE LOT AREA <br />TVPE OF CONST. OCCUPANCY G <br />SIZE OF BLDG. NO. OF STORIE <br />FIRE ZONE BASE�dENT <br />APPROVALS <br />1. ENViRONMENTAL CMECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROiECTION SYSTEM <br />5. GRADING <br />6. DfiAINAGE <br />7.ENVIflONMENTALIMPACTSTATEMENT <br />8. MEALTH DIS <br />APPLICATION <br />I HEREBY 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 OTHER STATE OR <br />LOCAL LA�(J REGULATING CONSTRUCTION OR THE <br />P��iAL�% iC� �ON�TION. <br />51 N R[ F NT G10 OR 0/+GENT �PiE <br />X L G �--�f 3L3� /86 <br />FEE N6. TYPE OF EOUIPMENT <br />AIR COND. UNITS - N.P. EA. <br />REFflIGERATION UNITS - H.P. [A. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOIHES�RYERS <br />VENiILATION FAN <br />f'.ANGE HOOD <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - wOOD <br />1dE1AL FIREPLACE 8 CNIMNEV <br />FIREPLACEINSERT <br />� <br />5 <br />S <br />REAR VARO S <br />VACANT SITE <br />vE5 NO <br />NO. OF DWEL <br />MA%. OCQ L( <br />BV IAPPR.FORISSUANCEBY <br />ftt <br />SUBTOTAL f <br />PERMIT S <br />TOTAL FEE f <br />PLAN CHECK Nl1MBER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />86/ <br />FEES VALUATION FEE <br />BUIlOING <br />PIUMBING <br />MECMANICAL <br />OTHER <br />PENALTV <br />Sn000.00 I aa Iso <br />TOTAL I � I <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIOATED pN THIS SPACE� THIS I� YOUF� PERMIT . <br />I.:G : �:�I.), —_ .t <br />. ,�;Jf:c.b I q I- <br />e <br />