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lheEverRrOn ��,^. ����V�����IOI � . <br /> everett PERMIT PERMIT N0. 146H9 <br /> GTV HALL L59�87a5 <br /> EVERETf.WA 9N2D7 � COMBINATION Gt�t BUILDING ❑ MECHANICAL ❑ FLUMBING <br /> OWNER MAiL ADORE55 CITY ZiP PHONE <br /> Richard J. Sullivan 2722 Colby Avenue #722 Everett 98201 259-3656 <br /> ARCMITECT OR DESIGNER MRLL A�DRESS QiY ZIP PNONE <br /> GENERRL LONTR�GTOR MAIL RD�RE55 CIiY ZIV PMONE 4CENSE I <br /> Same <br /> MECMANICRL CONTRFCTOR MAIL RDORE55 CIiY 21P PMONE LICENSE� <br /> PLUMBING COM1'R�CTOR MAII ApDpESS CIiY Zlp PMONE LIGENSE� <br /> CU55OF WORR <br /> ❑NEW ❑ ADDITION O ALTERATION C}�XIEPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VAUTATION OF WOflK <br /> S 6����0.�0 <br /> OESCFIBE WORK <br /> PROPOSEO USE OF BUIIDMG <br /> Single Family Reside�ce I HEREBY CERTIFY THAT I I1AVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEWL DESGRIPTION OF PROPEHTY�SHOW BElOYI OR ATTRGH FOOR WPIES� CORRECT. Al1 PROVISIONS OF LAWS AND ORDINANCES <br /> 9 p�a.10 e�ocK 367oF Everett Div. B GOVER�it1G THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPFCIFIED HEREIN OR 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 /> Z 18 29 5 LOCAI LAW REGUL,4TING CONSTRUCTION OR THE <br /> PERFO 1AN E OF ST UCTION. <br /> JOBAD�RESS SIGNR RE FC FFCT R UT IZEO T r, OR <br /> 1817 Wetmore Ave X � <br /> PLUMBINO MECHANICAI <br /> N0. TYPE OF FIXTURE OP ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> Z WATEHCLOSET�TOILET) AIR COND.UNITS—H.P.E0. _ <br /> 1 BATNTUB AEFFIGERATION UNITS—H.P.EA. <br /> 2 LAVATORY(WASH BASIN) BOILERS —H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> 1 KITCMEN SINK d DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> 1 �ISHWASMEH WALL HEATERS— B.T.U. M <br /> LAUNDRV TRAV UNIT HEATERS— B.T.U. M <br /> CLOTMES WASHER Z QQ EVAPORATIVE COOLERS <br /> 1 WATER HEATER CLOTMES DRYL-RS <br /> URINAL VFNTILATION F4N <br /> ORINKING FOUNTAIN PANGE MOOD <br /> FLOOP DRAIN AIR HANOLING UNIT— C.F.M. <br /> VACUUM BREAKEflS STOVE—WOO� <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 6 f,HIMNEY <br /> SIKK(SERVICE— BAR, ETC.) PIREPLACE INSERT <br /> MEAT PUMP <br /> SUBTOTAL f SUB <br /> PERMIT f PEA <br /> TOTAL FEE S j$X Q TOTRI FEE f E OO <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CNECK NUMBER PLAN CHECK FEE <br /> 85/14689 FEE143.00 ' AECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE 75996 <br /> : .YES ..NO FEES VALURTION FEE <br /> TYPE OF CONST. OCCUPANCY GflOUP NO.OF DWELLING UNITS <br /> V—N R-3 �. BUILDING <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCQ LOAD �� 313 O <br /> 18�9 SQ. Ft� Z ] PLUA•BING 0 <br /> FIRE ZONE BASEMENT q�E�USHEDNKLERS MECHANICAL � t .� q 0 <br /> �YES . NO �j �' <br /> APPROVALS BY OATE OTHER �_�, <br /> 1. ENVIRONMENTAL CHECK LIST PENALTV ���a) ,� <br /> 2.BUILDING PLANS <br /> 3.FIREMYDRANT TOTRL 3Q1 Q <br /> d.FIPE PROTECTION SYSTEM PERMIT VALIDRTION ] �q��ry� <br /> S.GRACING WHEN PROPERLY VALIDATED QN��']�1'T1�R51S'1'OUR PERMIT � <br /> l � <br /> 6.DRAINAGE Additional Plan Ch�}�ee �60.95 � <br /> 7.ENVIRONMENTALIMPACTSTAT[NENT TLEdS11T'BY�S Receiptl!(ILl!!�� ,�, <br /> B.YEALTH DISTRICT #C�r� <br /> APPUCATION ACC.BV PLANS CHECNED BY APPR.FORISSUANCEBY <br /> ss xwM Lc It is owners responsibllity t� establish and slake a1� <br /> property Ilnt a. <br /> ADDRESS fILE ' <br />