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the ErTYO <br />- `NSTRUCTION <br />Cr <br />CITY OF <br />CIF <br />everett <br />PERMIT <br />PERMIT NO.07445 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />OWNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />Richard CadmnR <br />3511 Rucker Everett <br />259-6840 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />Sinn in R dim. <br />470R Chenault Beach <br />353-0290 <br />GENERA CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE IT <br />I to <br />ZIP PHONE LICENSE IT <br />PLUMBING ONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />El NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE DOSIGN ❑GARAGE <br />VALUATION OF WORK <br />WORK <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LOT -BLOCK -OF 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 OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />RIGNATUREOFCONTRACTOR OR AUTIOCP17D AGENT I DATE <br />PLUMBING ME9.HMICA. <br />NO. TYPE OF FIXTURE OR ITEM FEE A O. TYPE OF EQUIPMENT FEE <br />WATER CLOSET (TOILET) AIR COND. UNITS — H P. EA. <br />BATHTUB REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) BOILERS — H.P. EA. <br />SHOWER GAS FIRED A . UNITS — TONNAGE EA <br />KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS — B.T.U. M EA. _ <br />DISHWASHER WALL HEATERS — B T.U. M _ <br />LAUNDRY TRAY _ UNIT HEATERS — D.T.U. M <br />CLOTHES WASHER EVAPORATIVE COOLERS <br />VENTILATION FAN <br />I FLOOR DRAIN I I I I AIR HANDLING UNIT — C.F.M. I I <br />ROOF DRAINS — RAINLEADERS II 1 METAL FIREPLACE 8 CHIMNEY <br />SINK IRFRVICF - PAR FTC 1 i I 1 <br />PERMIT $ <br />PERMIT S <br />TOTAL FEE S <br />I <br />I <br />TOTAL <br />FEE S <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 />DYES ONO <br />FEES <br />VALUATION <br />_ <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />125.00 <br />3 <br />00 <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 />[]YES ONO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />3 <br />O <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />0 7 3 5 t f 0 0 3.00 <br />Y�> U R RECEIPT CD <br />THANK YOU <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />