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UicErergrecn CC'NSTRUCTIOR �� � <br /> CITY OF <br /> everett PERMIT pERMIT NO. O95S9 <br /> CITY HALL'Z59�B745 <br /> EveFerr.wn eezoi ❑ COMBINATION � BUILDING ❑ MECF;ANICAL ❑ PLUMBING <br /> O\YNER AIAILPODPE55 QTY ZIP PHON6 <br /> Don Loen 2409 Rucker Evere�tt 98201 252-8545 <br /> ARCH�L[Ci OR DESIGNER MNIL AOORE55 CI1Y ZIP PMONE <br /> G[NERAL CONLRPCTOR MAIL ADDRE55 CITY ZIP PMONE LICENSE� <br /> Wilkie Const. 10632 23rd Drive S .E. Everett 98204 337-310G <br /> '�AECHAWCALCANLRACiOR MARADDRE55 CIiV ZIP PIIONE l�C[NSEI <br /> f.t�NFV:�:t^NLRACTOP MAIIADDRE55 CITY ZIP PMONE LICENSE� <br /> CLA550�WORK <br /> ❑NEW �ADDITION ❑ALTERATION ❑REPAIP ❑DEIAOLITION ❑FENCE ❑SIGN �',ARAGE <br /> VALURl10N O�WORK <br /> E 4,000. <br /> oescaioE wo�K <br /> Construct car-port <br /> PPOPOSED USE Of EUILpING <br /> single family residence I HEREBY CERTIFY THAT I I-IAVE READ AND EXAMINED THIS AP- <br /> LEGRLDESCHIPiIONOFVROFERiY�SHOWBELOWORAITFLMFOURCAPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> S 4 5 5 Monitor ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ibF � o�ocK_`�A TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br /> VISIONS GF ANY OTHER STATE C1R IOCAL LAW REGULATING <br /> CONSTRUCTiON OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOBA�OflE55 SIGNAiURE CONiRACi OFA NOP�2E�AGENT D4iE <br /> 2409 Rucker Avenue X ,$ s'` <br /> PLUMBIN9 MECFiANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EDUIPMENT FEF <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H P.EA. <br /> BATHTUB REPRIGERATION UNITS—HP.EA <br /> LAVATORv(WASH MSINI, DOILERS—H.P.EA _ <br /> SHOK'ER GAS FIRE�A.C.UNIiS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR$Y57EMS—B T.U. M EA. <br /> OISHWASHER WALLHEATERS—�T.U. M <br /> LAUNDRY 79AY UNIT HEATERS—B T U M <br /> CLOTHE$WASNER EVAPORAiNECOOLERS <br /> WA1ER I1EAIER CLOTHES DRVERS <br /> URINAL VENTILhT10N FAN <br /> DRINKING FUUNTAIN NANGE 1100U <br /> FLOOR DRPIN AIR HANDIING UNIT— Qf.M. <br /> VACUUM BREAI<ERS STOVG <br /> ROOF DRPMS—RAINLEADERS METAL FIPEPLACE&CHIMNEV <br /> SINK�SEP410E—BAfi.E1C.� <br /> SUBTOTAL SUBTOTAL f <br /> PERMIT S PENMIT f <br /> TOTALFEE f TOTAL FEE S <br /> SI�E YARD SETBACK STPEET SETBACK REAR VARD SE78ACK PLAN CHECK NUMB[R PLAN CHECK fEE <br /> S � ZO ' N/A FEE RECEIPTNO <br /> USEZONE L.�TAREA VACANTSITE 81/9589 23.93 54564 <br /> R_4 ❑YES �1�0 FEES VAIUATION FEE _ <br /> TVPE OF CANSL OCCUPANCY GROUP NO.OF�WELLING UNI1S <br /> V-N M-I BUIIDING b4 �QOO. 44 SO <br /> SIZc OF BLDG. NO.OF STOPIES MAX.OCC.LOAD <br /> 2 4� X Z�+� I PLUMBING <br /> FIRE ZONE BASEMENT FIRL SPPINKLEIiS — <br /> FEOUIRED MECHANICAL <br /> ❑VES <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U B C. <br /> 2. BUILDING PLANS SEC,303(a) <br /> 3. FIRE NYDPANT TOTAL 44 S O <br /> 4. FIRE PROTECTION SYSTEM PEflMIT VALIDATION <br /> WHEN PROPERLY VALI�ATED�IN TNIS SPACE)THIS IS YOUF PERMIT <br /> 5 GRADING <br /> 6. DRAINAGE I . . . l ;'' (� l� C n — � <br /> Z EN\'IRONMENiALIMPACTSTATEMENT LI� <br /> B HEALTH DISTRICT . � <br /> APPLICATION ACC.BV � PLAIJS CH[CKED BY APPP.FOfl ISSUANCE BY ' � � O <br /> — I V.C. <br /> _L <br /> ADDRESS FIL[ � � � <br />