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d�eCcer��een � �ONSTRUCTIO� � <br />GlrO� � <br />everett PERMIT PERMIT N0. 1552$ <br />CITY HALL 259�8745 <br />EVERETT,WA9B20t ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILADORE55 CITY ].IP PMONE <br />Bob Humphrey 725 Rucker Everett 98201 339-4542 <br />ARCNIiEGi OR UESIGNER MAIL ADDRE55 ��TY ZIP PHONE <br />GENERALCONTRPGTOR MAILADDRE55 CIiY 21P PHONE UCEI.SE• <br />Everett School Dist. #2 601 Casino Road Everett 98203 339-4542 <br />MELNANICRLGONTRAGTOF MAILADDRESS CITY ZIP PMONE LICENSE� <br />PLUMBING CONTRACtOR MAIL ApDRE55 GITY ZIP PMONE UCENSE II <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN � WOOD STOVEIFIREPLACE INSERT <br />S 15�0.�� <br />Construct Car-Port <br />SingleVFamily Residential Carport <br />cov�esr <br />�orls eiocK 13GoF Grandview <br />Lot 15 less 20' all lots 16 to 20 inc. 6 <br />less 20' Lot 21 <br />JOB Ap�RESS <br />725 Rucker <br />PLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />W ATER CLOSE7 (TOILEn <br />BATHTUB <br />LAVATORV�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASMER <br />LAUNDRY7RAV <br />CLOTHES WASHER <br />WA7ER HEATER <br />URINAL <br />DRINKING F(1UNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF ORAINS - RAI <br />SINK (SERVICE - 3A <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />SIDE VARD SETBACK STP.EET SETBACK <br />6� zo� <br />USE ZONE LOT AREA <br />R-1 <br />iYPE OF CONST. OCCUPANC'.Y GROUP <br />V-N M-1 <br />SIZE OF BLDG. NO. OF STORiES <br />500 Sq. Ft. 1 <br />FIRE ZONE BASEMENT <br />APPflOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. P�iLDING PLANS <br />FIr7E HYORANT <br /><. I 9E PROTECTION SYSTEM <br />5. GRAOING <br />5. DRAINAGE <br />7. EP'VIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKEO BV <br />JEF <br />S <br />5 <br />REAR YARD SET <br />zo� <br />VACANT $ITE <br />::YES j�}[JO <br />NCI. OF DWEI.LII <br />0 <br />MA%. OCG LOAI <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING T�iIS TYPE OF WORK WILL BE COMPLIEO WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOEu NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />�ANCE OF CONSTRUCTION. <br />SIGNATURE f CONTpPCTOR OR AUjMOR12ED AGENT DATE <br />N0. <br />AiH COND. UNITS - H.P. EA. <br />REFRIGERAiION UNITS - H.P. EA. <br />BOILERS - M.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALL ME4TER5 - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORA7IVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT - C.F.M. <br />S70VE - WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />PLAN CMECK NUM1 <br />ss�issis <br />FEES <br />BUILDING <br />PLUMBING <br />MLGHANICAL <br />DAT� OiHER <br />SUB TOTRI S <br />PERMIT f <br />TOTAL FEE f <br />PLAN C <br />FEEl�i. ZS <br />VALUATION <br />$ 1500.00 <br />RECEIPT NO. <br />FEE <br />25 � �� <br />PENALTV SEC 3031a1 <br />TOTAL ZS OO <br />PERMIT VALIOATION <br />WHEN PROPERLY VALIDATEO QN TI'IS�SHA�E) THI� I� VQpfi �jjM1T •; <br />+ CJ U � <br />�) � <br />�. . , i . i : _ � . r I � ' I� . � <br />BY <br />..�,. ,� <br />� . .i.., k1..��.� <br />.�,DDRESS FILE <br />% ) LLI UJ <br />