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Ow EvergwR <br />C NST116CTION <br />CITYOF <br />everett <br />PERMIT <br />PERMR No. 07i75 <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 <br />❑ COMBINATION ❑ BURDINO ❑ MECHANICAL <br />❑ PLUMBING <br />OWA <br />MAIL ADDRESS CITY <br />ZP PHONE <br />Kenneth D. Collins B Terri <br />L. Collins P.O. Box 5045 <br />Everett 98206 252-7693 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CI iY <br />ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE E <br />Se-f <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTCR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />❑NEW ❑ADDITION EkLTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />b 600.00 <br />DESCRIBE WORK <br />Change flat roof to a slanted roof over garage 12Tx26L <br />PROPOSED USE OF BUILDING <br />residenriAT <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEC <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />BIGNATUR F CONTRACTOH �iR pllt/H9/gIZED AGENT I DATE <br />gi@fLLeE CTPTajgF PROPERTY (SHOW BELOW OR ATTACH FOUP COPIES) <br />Ci <br />.�O <br />LOT T ncT TRLOCK�601 <br />JOB ADDRESS <br />2017 Rucker <br />PLUMBING <br />MECHA )CAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H P. EA. _ <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED AC. UNITS —TONNAGE EA. <br />KITCHEN SINK A DISP. <br />FORCED AIR SYSTEMS — B T.U. M Ev,. <br />DISHWASHER <br />WALL HEATERS —BT. U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.IA. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC I <br />SUBTOTAL <br />SUBTOTAL f <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />f <br />TOTAL <br />FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CLNST, <br />V N <br />OCCUPANCY GROUP <br />R-1 <br />NO. OF DWELLING UNITS <br />BUILDING <br />b 600.00 <br />t. <br />DO <br />SIZE OF BLDG, <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />AYES I1NO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.BC <br />SEC. 303(a) <br />2. BUILDING PLANS <br />TOTAL <br />6 <br />DO <br />3. FIRE HYDRANT <br />4, FIRE PROTECTION SYSTEM <br />5 GRADING <br />— <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN TiIIC 7JUR PERMIT <br />ti <br />7557 <br />r <br />YOUR RECEIPT <br />THANK YOU <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION AOG. BY <br />PLANS CHECKED BY <br />APP.,. FOR ISSUANCE BY <br />