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- , <br /> 4 <br /> 1 <br /> 1heE��ergrecn - CC"�ISTRUCTION � - ��� <br /> CITY OF <br /> everett PERMIT PERMIT N0. O�990 <br /> CITY HALL 259�87a5 <br /> EVERETf.WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAiLRUOR[55 GiY ZIP FMON[ <br /> E. Norman 1423 Wetmore Everett 98201 252-3232 <br /> RRCnRECT OR DESiGNCR MA�L PDORE55 CIiY ZIP 1'MONE <br /> GENERAL CONiRACiOR MAIL FDORE55 LIiY 21P FNONE 4CENSE I <br /> MdCo Const. Co. ,507 144 Drive S.E. Snohomish 98290 :i68-5578 <br /> MECMANIGAICONLRACiOR IAAILAD�RE55 GTY ZIP PNONE UCENSE� <br /> AN DC lK.' 240JN <br /> PWMBINGCONTRACTOR MAILADORE55 GILY ZIP PHONE IiCENGc� <br /> CVSS OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION 7fJ�REPAIR ❑DLMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAIUAT10N OF WOPN <br /> 3 Z1OO.O0 <br /> DESCNIBE wORK <br /> repair foundation <br /> PROf'OSED USE OF BWLDING <br /> sinqle family I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> iecnioesceivnoNOF�vaorean�sNoweaowoanncuiFouawrrzs PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 11-12-13 291 Hilton s lst ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or eiocK_ov TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. iHE 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 /> JOBAO�PE55 SIGNAiUPk„ iRnCLOROP iH0 .EDPGE DAiE <br /> 1423 Wetmore ��� � 7/23/80 <br /> PLUMBINO MECHANICAL <br /> � N0. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� AIp COND IINITS—HP.EA <br /> BATNTUB REFRIGCRATION UNITS—IiP.EA <br /> UIVATORY(WASH BASIN) �OILERS—HP.EA <br /> SHOWER GAS FlRED A C.UNi75—TONNAGE EA <br /> KITCHEN SINK 8 DISP. FORCED AIR Sv5TEM5—B T.U. M EA. <br /> DISHWASHER WALL HEAT[RS—�7.U. M <br /> LAUNDRV TRAY UNIT HEATERS—B T.U. M <br /> CLOTMES WASHER EVAPORATIVECOOlERS <br /> WA1ER HEATER CLOTHES OfiVERS <br /> URINAL VENTILATION FAN <br /> ORINKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAM AIR HANDLING UNI7 — CFM. <br /> VACUUM BREAKERS STOVE <br /> ROOF CRAINS—RAMIEADERS METAL FIPEPIACE 8 CNIMNEY <br /> SINK(SERVICE—BPH,ETC.) <br /> SUB TOTAL SUB TOTAL S <br /> PERMIT f PERMI7 f <br /> TOTAL FEE 3 TOTAI FEE f <br /> SIDE YAFD SETBACK STREET SET�ACK REAR YARD S[TBACK PLAN CHECK NUM�ER PIAN CHECK FEE <br /> fEE RECEIPT NO. <br /> USE ZONE LO7 AREA VACANT SITE <br /> IlYES i1N0 FEES VALUATION FEE <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> SIZE OF BLDG. N0.OF STORIES MA%.OCC.LpqD BU�LDING ' Z1UQ.00 Z�} OO <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPROVALS BY DATE O7HER <br /> t. ENVIRONMENTALCHECKLIST UBC. <br /> PENALTY $EC.303(a) <br /> 2. BUILDING PLANS <br /> 3. FIPEHVDPANT TOTAL Z¢ QQ <br /> d. FlRE PROTECTION SYSTEM PEHMIT VALIDATION <br /> WHEN PFIOPERLY VALIDATED(IN THIS SPACE)THIS IS Y U P R IT � <br /> 5. GRADING <br /> 5203 1� . 00 '�`0 <br /> 6. DRAINAGE <br /> � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT - <br /> e. HEALTN DISTRICT ����U R REC E 1 <br /> APPUCATION ACC BV PLANS CMECKED 9Y APPR.FOR ISSUANCE BV ��{AN K Y O lF' <br /> DAB <br />