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- . <br /> .� <br /> ',t�`°�,�eoF CONSTRUCTION - , <br /> everett PERMIT PERMIT NO. O�T147 <br /> CITY HALL 259�8745 <br /> EVERETf.WA 98201 ❑ COMBlNATION �BUILDING ❑ MECFIANICAL ❑ PLUMBING <br /> pyyry�p MAIL�DDPlSL GIiY ZIV PMONL <br /> David Peters and Judith Rolstad 2520 Rucker 98201 <br /> ARCMIiECi UR DCSIGNEF MRIL A�Df1[55 CITY 21P PHONE <br /> GENERFLCONiRACiOR MARADORE55 CiTv 21P PHONE UCCNSEI <br /> Same <br /> MECNANIGFI CANipAQOR MAIL ADDRE55 CI1Y 21P PNONE LICENSE� <br /> PLUMBINGCOMRACiOR MPILAO�RE55 CITY 21P PMONE LICENSE� <br /> CLA55 OF WORM <br /> ❑NEW ❑ADDITION ❑ALTERATION ��HFPAIR ❑D[MOLITION ❑PENCE ❑SIGN ❑GAPAGE <br /> VaLURT10N^OF 1YORN <br /> ( G100�.00 <br /> �ESCRIBE WOAK <br /> concrete footing installed, house leveled, chimnies repaired <br /> PROPOSED USE OF BUIIDING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �ecn�o;:xaiPnonoFvuoveamrs�oweeiowoannnceFouawaiesi . PLICATION �ND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior 23 eia:K SS9oF Rucker's lst TYPE OF WORY.WILL BE CONPLIED 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 OF ANY OTHER SiATE OR LCCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANC[CF CONSTRUCTION. <br /> J09 N 51 E OF GONiRnCiC OR nl ORI AGENT DATE <br /> g.�i�1� Rucker Avenue i - 1/18/80 <br /> PLUMBIN6 HANICAL <br /> . NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE� <br /> WATER CLOSiT(TOILET) AIR COND.UNITS—HP.EA. <br /> �ATH1U8 REFRIGERATION UNITS—H.P.EF <br /> LAVP?JRY(WASH BASIN� �OILERS—��P.EA. _ <br /> SNOWER GAS FIRED A C.UMTS—iONNAGE EA. <br /> KITCHEN SINH 8 DISR FORCED AIR SYSTEMS—�T U. M EA. <br /> DISHWASNER WALLHEATERS—BT.U. M <br /> LAUNDRV TRAY UNIT HFATERS—B T U. M <br /> CLOTHES WASHER EVAPORATNE COOlF-RS <br /> WATER HEATER CLOTHESDRYERS <br /> URINAL VENTIWION FAN <br /> DRINHING FOUNTAIN �ANGE HOOD <br /> FLOOR DRAIN AIR HANDIING UNIT— C F M. <br /> VACUUM BREAK[RS S70VE <br /> ROOP D9eIN5—RAWLfADERS METAI FIREPIAC[R CHIIANEV _ <br /> SINK�SERVICE—BAR,ETC� __— <br /> SUB70TAL SUBTOTAL 5 <br /> PEflMIT f PERMIT f <br /> TOTALFEE f TOTAL FEE S <br /> SIDE YARD SETOACK STREET SET�ACK REAR VAFD SET9ACK PLAN CHGCK NUId�ER PLAN CHEGK FEE <br /> FEE RECHPI NO. <br /> USE ZONE LOT AREA VACANi SITE <br /> IIYES ❑NO FEES VAWATION FEE <br /> TYPE OP CONST. OCCUPANCY GROUP NO.OF DWELI.ING UNITS <br /> BUILDING b2,000.00 20 00 <br /> 512E OF dLDG. N0.OF STORIES MAX.OCC.LOAD <br /> PLUMOING <br /> fIRE ZONE BASEMENT REOUIRED KLERS MECHANICAI <br /> f7VES ❑NO .__ <br /> APPROVALS BY D11TE OTHER � <br /> 1. ENVIRONMENTAL CHECK LIST PFNFLTY U GC <br /> SEC.303(a) <br /> 2. BUILDING PU+NS <br /> TO7A_ 20 00 <br /> 3. FIRE HYDRANT <br /> a. FlPE PROTECTIUN SYS7EM PERMIT VALIDATION <br /> WNEN FROPERLI'VALIOATED(IN THIS SPACE)THIS IS YOUfl PERMIT <br /> 5. GPADMG � I � * <br /> 6. DRAINAGE � � 0 �O. � Q ""�' � <br /> 7. ENVIRONMENTq�IMPACTSTATEMENT . �""� <br /> 8. MEALTN UISTRICT r~ <br /> APPLICATION ACG BY PLANS CHECK[D BY APPR FOR ISSUANCE BY Yo u ,; r Ec c i�r O <br /> K.c. ; T�;tANK YO U <br /> , <br /> � <br />