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d�e Ll�rrArrrn � `O N ST R U CT I O� ` <br /> c�1�� Gr � <br /> everett PERMIT PERMIT NO. 13Hn5 <br /> CITV HALL 253�8745 <br /> EVERE77,WA 98201 X�I COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEN MAILADDRE55 CITY ZIF PHONE <br /> REX BARNES 1307 RUCKER AVENUE EVEREtt WA 98201 252-9022 <br /> RRGHRECT OR DESIGNEP MAIL qDDRE55 CITY ZIP PNONE <br /> GENERALCONTPFGTOP MAILRODRESS QTY 21P PHONE 4CENSE� <br /> Same <br /> MELNANICNLGONTRRLiOR MRILADDRESS GtY 21P PNONE LICENSEI <br /> PLUMBING CONTRAGTOR MA4 ADDPESS CITY ZIP PMONE LIGENSE II <br /> C1A55 OF WORN <br /> �NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION O fENCE � SIGN � WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF 1YORK <br /> , 6,900.00 <br /> oEsc24W xK'14 ara e <br /> � � 9 9 <br /> P90POSED USE OF NURDING <br /> Garage I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGNL DESCRIPTION OF PROPEfliY�SHOW BELOW ON ATTACN FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �oT 3�48L0CN241 oF Everett Div "R" GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HFREIN 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 REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB PD�RE55 SIGNAtURE OF CONTFAGTOR OR RUiHORIZED RGENT DATE <br /> 1307 Rucker 9���54 <br /> PLUMBING MECMANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WAiERCLOSET�TOILETI A�R COND.UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H,P. EA. <br /> LAVATORY(WASH BASIN) BOILERS—H.P.EA. <br /> SMOWER GAS FIREO A.C.UNITS—iONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSiEMS— B.T.U. M EA. <br /> DISHWASHER WALL MEATERS— B.T.U. M <br /> LAUNDRY TRA� UNIT HEATEflS— B.T.U. M <br /> CLOTMES WASHER EVAPORATIVE COOLERS <br /> WATER HEATEH CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIL— GF.A1. <br /> VACUUM BFEAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAI FIREPLACE 8 CMIMNEY <br /> SINK(SERVICE —BAR, ETC.) FIR[PLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL i SUB TOTAL S <br /> PEPMIT S PERMIT f <br /> TOTAL FEE S TOTAL FEE f <br /> SIDEVARD SETBACK STFEETSETBACK REAR YARD SET9ACK PLAN CMECK NUMBER PLAN CHECK FEE <br /> 84/13865 FEE 28 93 RECEIPT N0. <br /> USE 20NE LOT AREA VACANT SITE <br /> " �.VES �. :NO FEES VALUATION FEE _ <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> V�N M gUILDING $ <br /> 512E OF BLDG. NO.OF STORIES MA%.OCC.LOAD Ilfl�� <br /> 576 Sf PLI�MBING <br /> FIRE ZONE BASEMENT FIRE SPRINNLERS MECMANICAL <br /> REOUIRED <br /> �..YES � �.NO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CMECK LIST PENALTY U.B C. <br /> SEC.303 lal <br /> 2.BUILDINGPlANS TOTAL 6Z SO <br /> 9.FIFE H1'DRANT <br /> d.FIRE PROTECTION SYSTEM PEflM1T VALIDRTION . C <br /> 5.GRADING WHEN PROPERLY VALIOATED pN THIS SI�ACE)THIS I$`IOI�i�ERMII_ � <br /> , - � <br /> 6.DRAINAGE <br /> 7.ENVIRONMENTALIMPACTSTATEMENT 11 .70 due on plan check fee � <br /> B.HEALTMDISTflICT � ' �� � �--� <br /> APPUCATION ACC. 6Y PLANS CHECKED BY APPR.FORISSUFNCEBV � , ., i <br /> � <br /> stg hwm lc <br /> 0 <br /> , i <br /> ADDRE55 fILE <br />