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IheC•vergreen ' �ONSTRUCTION �, � <br /> CITY OF <br /> everett PERMIT PERMIT NO. O93OH <br /> CITVHALL259�8745 � COMBINATION �cBUILDING ❑ MECHANICAL ❑ PLUMBING <br /> EVEREII.WA 88201 <br /> GTY ZIP PHONE <br /> ua�aooaess 2 5 2—713 6 <br /> OWNER Everett 98201 <br /> Arthur Olson 2104 Wetmore Z„ rHo�e <br /> ARCHrtELt OR DESIGNER <br /> MAI�PDDRE55 LITY <br /> C�T� Z�p GHONE UCENSE I <br /> MAIL ADDRESS <br /> GEN[RALGONIRACTOfl <br /> Everett Builders inc. 5606 Evergreen Way E�verett 98203 353-7 oNE UCENSE/ <br /> MECMANICAICONTRAGIOR <br /> ua�nooaess EV ER EB *301PH <br /> ��Ty Z�p PHONE LICENSE� <br /> f'WMBING CONTfl/CTOR <br /> MAIL AODRE55 <br /> CN55 OF wOPK <br /> ❑NEW ❑ADDITION X�'ALTERATION ❑FEPAIR ❑DEMOLITION ❑FENCE �SIGN GARAGE <br /> vpwnno�+oF woarc <br /> s 1861 <br /> DESCAIBE WORK <br /> re-roof composition <br /> PPOPOSED VSE OF BUILDING <br /> Single family residence pLICATON AND KNOW THE SAMEETO BE�T UEAND�CORRECT. <br /> �mn�oeseeiPrior+or raoPearr isNow ot�ow oe nrrncN Foua cories ALL PRO\'ISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> 31 435 Everett Div. 3 TYPE OF WORK VJILL BE COMPLIED WI7H WHETHER SPECIFIED <br /> '-OT B1O0N—OF HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS Q�ANY OTHE-R STATE OR LOCAL LAW REGIlIATING <br /> CONSTRUC, ION OR THE�PERFORMANCE OF CONSTR�UCTION. <br /> SiGNn1U 0 G01:1RACTO�OPAl1iHOt�iZI�AOLN1� <br /> JOBADDFE56 X � '�� � . � K���� 5�27�61 <br /> 2104 Wetmore <br /> � <br /> MECHANICAL <br /> PLUMBIN6 FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT <br /> AIR COND.UNITS—H P.EA. <br /> WATER CIOSEi(TOILET) R[FR�GERATION UNITS—NP.[A <br /> BATHTUB �{OILERS—H.P.EA. <br /> �AVATORY fWASH OASIN) GAS FlRED A C.UNITS—10NNAGE EA. <br /> SNOWER FORCED AIR SVSIEMS—B i.U. M EA. <br /> KITCHEN SINK 8 DISP. �yqLL HCAlERS—�1.� �`�' <br /> DISHWASHER UNRHEATERS—BiU. M <br /> LAUNDRV TRAY EypppqqilV[COOL[RS -- <br /> CLOTHES W�SHER CIOTHES DRv`cR5 <br /> WATER HEATER . yENTILATION FAN <br /> URINAL �ntJGE HOOU <br /> DRINKING FOUNTAIN qIP NANDLIVG UNIT— C F M <br /> FLOOR DRFIN STOVL <br /> VACUUM BREAKEfiS ��,t7qL FIFEPLACE&CHIMNEV <br /> ROOF ORAINS—RAINIEADERS <br /> S�NK(5[FVICE—OhR.EiCJ <br /> SUBTOTAL 5 <br /> SUB TOTAL _ pERM1T S -- <br /> PERMIT s TOTAL FEE f <br /> TOTAL FEE : p�,4N CHECK FEE <br /> SIDE YAHD SET6ACK STREEi SETBACK REAR YARD SETBACK PLAN CHECK NUM�ER RECEIPi NO. <br /> FCE <br /> USEZONE l01'�PEA VACANTS7E FEES VALUATION FEE <br /> ilYES L1N0 <br /> TYPE OF CONST. OCGUPAIJCY GROUP NO.OF DWELUNG UNITS y 1861. 31 OO <br /> BUILDING <br /> SIZE OF BWG. NO.OF SiORIES MA% OCC.LOAD <br /> PLUM�ING _ <br /> FIRE ZONE BASEMENT FIRE S7RINK�ERS A".ECHANICAL <br /> REOUIRED <br /> fiYES I1N0 <br /> gy DRTE OTHER <br /> APPHOVALS U.B C. <br /> 1. ENVIRONMENTAI CHECK LIST PENALTY SEC.3'i3�a) <br /> 2. BUILDINGP�NS TOTp� 31 0Q <br /> 3. FIRE HYDRANT <br /> WEE N'PROPERAV'V�A IDNTED(IN THIS tiP4CE'THIS IS Y Uqp� MI <br /> 4. FIRE PROT&CTION SYSTEM �'�,' � Z � fl 3� �i Q �� <br /> � <br /> 5. GRADING Q <br /> 6. DRAINAGE M <br /> 7. ENVIRONMENTALIMPACTSTATEMENT ' �- ,' ,., ; �r O <br /> B. HEALTM DISTPICT ' ' \ , �,� IJ <br /> APPLICATION ACC.OY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> -, r : •y $ I <br /> ADDRESS FILE <br />