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"�r`,�T�Yc°� ' ^ONSTRUCTION <br /> everett PERMIT PERMIT N0. �-4095 <br /> CITY HALL 259�87d5 <br /> EVEFlETT,WA 98201 (] COMBINATION �C BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAI�AD�RE55 CIiY ZIP PHONE <br /> Wallace Mandsager 1715 Wetmore Everett 98201 252-3497 <br /> ARGMrtEGi OR pE51GNER MAII/DONE55 GITY ZIP PHONE <br /> GEnF.RAI CONTR�CTOR MAIL RDORESS CITY 21P PMONE LiCENSE� <br /> Senior Service Snohomish County 3702 112th Street S7W7 98204 355-1112 <br /> MECMRNICAL CONTR�GTOR MAIL ADDRESS QiY 21P PMpN£ UCENSE� <br /> PLUMBING CONiRRGTOR MAIL A�OPE55 GTY ZIP PHONE LICENSE� <br /> GL�SS OF WORR <br /> O NEW �ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VRlWT10N OF WORN <br /> = 500.00 <br /> DESCRIBE WORIt <br /> construct wheelchair remp �i <br /> PROPOSEO USE OF BUILDING 1"f <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS M <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND � <br /> LEGRI�ESCRiPTiON OF PROPERtt�SNOW BELOW OR ATTRCH FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES .. <br /> LOT__BLOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OH NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CO[J STRUCTION OR THE y � <br /> PEFFORMANCE OF CONSTRUCTIO�I. <br /> JOB AppRC55 51 F GON ON RUTMORIZE�AGENT T �"� <br /> 1715 Fietmore � 10/�s/�84 � <br /> PIUMBINO MEC ANICAL � <br /> N0. TYPE OF FI%TURE OR�TEM FEE NO. TYPE OF EOUIPMENT FEE — "d' � <br /> WASERCLOSET�TOILET) AIR COND.UNITS— M.P.EA. � <br /> BATHTUB REFRIGERATION UNITS— M.P. EA. <br /> LAVATORVIWASH BASIN) BOILERS— H.P. EA. � z <br /> SHOWER GAS FIPED A.C.UNITS— TONNAGE EA. � <br /> KITCMEN SINK E DISP. FORCED AIR SYSTEMS— B.T.U. M EA. �..� <br /> DISMWASMER WA��HEATERS— B.T.U. M �R� <br /> LAUNDRY TRAY UNIT HEATERS— B.T.U. M O � <br /> CLOTHES WASMER EVAPORATIVE COGLERS <br /> '*J <br /> WRTER MEATER CLOTHES DRYERS � <br /> URINAL VENTILATION FAN �jj <br /> DRINKING FOUNTAIN RANGE HOOD � rr <br /> FLOOR�RAIN Alq MANDUNG UNIT— C.F.M. «� <br /> VACUUM BREAKERS STOVE—WOOD V� <br /> ROOF ORAINS— FAINLEADERS METAL FIREPLACE d CMIMNEY • � <br /> SINK�SERVICE— BAR,EiC.) PIREPLACE INSERT <br /> HEAT PUMP <br /> � <br /> SUBTOTAL f SUBTOTAL f � <br /> PERMIT f PERMIT f NzZ <br /> TOTRL FEE S TOTAL FEE f � <br /> SIDE YAFD SETBACK STHEET SETBACK REAR VAR�SETBACK PLAN CMECK NUMBER PLAN CHECN FEE py <br /> FEE RECEIPT NO. � <br /> USE ZONE LOT AREA VACANT SITE <br /> ,YES �. :NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> BUILDING $ SOO.00 lO 00 <br /> SI2E OF BLDG. NO.OF STORIES MAX.OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMEN� FIRE SPRINKLERS MECMANICAL <br /> REOUIRED <br /> �.-.YES �. �.NO <br /> APPROVAlS BY DATE aTHEH <br /> 1 ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2.BUILDINO PLANS SEC.307�a) <br /> 3.FIREMYI�RANT TOTAL ZO 00 <br /> a.FIqE PNOTECTION SYSTEM PERMIT VALIDATION <br /> 5.GRRDING WMEN PROPEALY VALIDATED pN TH�S SPAGE)TMISJS VO P�ERMIT � <br /> 6.OBAINAGE �- / � I�' � ' <br /> i <br /> 7.ENVIRONMENTAL IMPACT STATEMEkT � <br /> B.HEALTM DISTRICT � <br /> APPLICATION ACC.BY PLANS CHECNED BV APPR.FOR ISSUANCE BY �� �-� , I F T � <br /> , I <br /> DAB <br /> i1CURESS !IlF <br />