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tlicE��ergrecn �-� �pNSTRUCTION � <br />CITY OF <br />everett PERMIT pERMIT N0. O94H% <br />CiTr tiaLL 259-87a5 <br />e�eRETr,wn 9ezo� ❑ COMBINATION l�i cBUILDING ❑ MECHANICAL ❑ Pi.UMBING <br />UIVNER MAILADORL55 CItY ZIF aM096 <br />Stephen Beck 2906 Virginia Everett 98201 252-1816 <br />AnCMrtCCT OH CLSIGNEn MAIL ApDRE55 CitY ]Iv F�iONE <br />GENERAI:dJNiRAC10R MR4qDDRE55 qtT ZIP PMONE IICE�bE� <br />Same <br />MECIIANICALfANTRRLTOR MAILADDiiE55 CITV .IP PHON[ UCENSEI <br />PWIABINGGONIRACTOH MAILADDRESS CIiY ZIP PHONE LICENSEY <br />µ�v V^^ ❑NEW OADDITIDN ❑ALTERATION QZ�LPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VnLVATION OF \YOflR <br />5 ZOOO.00 <br />DCSCRiBE WORK <br />re-roof--composition and <br />i'ROPOSED USF OF OUIIOMG <br />single family residence <br />LEGAL O[SCR�PTION Of CROPERTY i5110W �ELOW OR r1TTPGN f i <br />:oT 29-��Q�K545o� Ruckers 3rd <br />2406 Virginia <br />PLUMBING <br />N0. TYPE OF FIX'� <br />WATER CLOSET QOILETI <br />KIICNEIJ SINK B DISP <br />DISHINASH[R <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER H[ATER <br />URINAI <br />DRINKING FOUNTAIN <br />FLOOP DflA1N <br />VACUUTA DREANERS <br />ROOF DRAINS — PAII <br />SIkK15ERVICE — BAI <br />YARD SETBACK <br />TVPE OF CANST. <br />SIZE OF BLDG <br />STREET <br />LOT AR <br />OR ITEM <br />N0. OF STORIES <br />BASEMENT <br />1 ENVIRONMENTAL CHECK LIST <br />2. BUILDING PIANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECiION SYSTEM <br />5. GRADING <br />6. ORAINAGE <br />7. ENVIRONMENTALIMPACTS7ATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. OV PLANS CHECKED BY <br />REAP VARD SET�ACK <br />VACANT SITE <br />❑Y[S f iN0 <br />NO. OF DWELUNG UI <br />MA%.00C.LOAD <br />APPR.FORISSUANCE 0� <br />I HEREBY CERTIFY THAT I HAVE READ A��.D EXAIdWED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND C�RRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNII IG THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PEfiMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TfiE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL lAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCT!ON. <br />SIGNotURFOFCONTRALiOROHAUi110Ri2[DA/GEN�T �RiE <br />X �,'t�,� � ,�. �yv_,C`�/�(,/ 7 / 15 / 81 <br />MECHANICAL <br />AIP <br />UNIT <br />iAT10N UNITS —LHP. I <br />— HP. EA <br />D A.C. UNITS — TJNN <br />Alfl SVST[MS — B T.U. <br />ATERS — B.TL. <br />�TERS — 6 T.U. <br />,TIVE Cf�LEFiS <br />DFY[RS <br />M <br />M <br />pIqNANDLINGUNIT— C.F.M. _ <br />SiOVE <br />tdETAL FIREPLACE 8 CHIMN[V <br />SUBTOTAL S <br />PERMIT s <br />TOTAL FEE S <br />HLCK NUMDER PLAN CNECK FEE <br />FEE RECEIPT NO. <br />FEES VALUAiION FEE <br />BUILDING <br />PLUM�ING <br />52000.00 <br />U.B.C. <br />SEC.303�a) <br />32 I 50 <br />32 I 50 <br />i VALIDdTION <br />PROPERLY VALIDATED �M THIS SPACE) iH15 IS YOUR PERlAIT <br />n - . � <br />� . ?2.)ii - <br />�' <br />� <br />� <br />ADDRESS PIL[ - I� <br />