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�heEvergreen 1 'pNSTRUCTION �� �^ <br /> CITY OF <br /> everett PERMIT pERMIT NO. 09665 <br /> CITY HALL 259�8745 <br /> EVLRETf.WA 98201 ❑ COMBINATION ��UIIDING CI MECHANICAL PLUMBING <br /> OWNER MAILADDRE55 CIiY 21F PMON[ <br /> H. S. Ledbetter 2307 Wetmore Everett 9b201 252-0189 <br /> ARCNIiEGT OR DES�GNER MAIL AD�RE55 CITY ZIP PHONE <br /> GEN[RAL WNiPACTOR M41L ADDRE55 CITY ZIP PNONE LICENSE I <br /> Same <br /> AIECMANICAL CONiRIx:TON MPI�AD�RES$ Cltt ZIP PHONE UCENSE� <br /> PLUMBINGCANiMCiOR MAILApOBE55 CITY 21P PHONE IICENSE� <br /> ClA55OF WORK <br /> ❑NEW ❑ADDITION ❑ALIERATION '}�V[PAIR ❑DEMOL�TION ❑FENCE OSIGN GARAGE <br /> YALUATION OF WORK <br /> E 390.00 <br /> CESCPIBE WOPN <br /> Repair existing porch <br /> �ROPOSEO USE OF BUILDING <br /> single family residence I HEREBY CERTIFY THAT I HAVC READ AND EXAMINED THIS AP� <br /> LEGALDESCRII'TIONOFPPOPERtt�5HGW0ELOWOA/TTACMFOIIPGOPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �ar 3-4 Bi�K 497aF Everett TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTR TION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAi F CONIFACIO AViNO IZ T '� DATE <br /> �oe�o��� Wetmore 19�81 <br /> PLUMB�N6 MECl�ANICAL _ <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(�OILET) AIR COND.UNITS—H.R EA. <br /> BATHTUB REPRIGEfiATION UNITS—H.R EA <br /> LAVATORY(WASN BASIN) BOILERS—HP.EA. — <br /> GAS FIRED AC.UNITS—TONNAGE EA <br /> SHOWER <br /> KIiCHEN SINK 8 DISP. FORCED AIR SYSTEMS—d iU. M EA. _ <br /> WALL HEAIERS—B.T.U. M — <br /> DISNK'ASHER M <br /> UIUNDRYTRAY <br /> UNIT HEATERS—B.T.U. <br /> CLOTHE$WP.SHER EVAF'ORATWE COOLEPS <br /> WAiLR HEA7ER CLOTHES DRYEPS <br /> VENTIWTION FAN <br /> URINAL <br /> DRINKING FOUNTAIN FANGE HOOD <br /> AIR HANDLING UNII — C.F.M <br /> FLOOR DRAIN <br /> VACUUM BREAKERS STOVE <br /> ROOF OPAINS—RAINLEADERS METAL FlFEPLACE 8 CHIMNEY <br /> SINK�SERVICE—BAR,ETC.) <br /> SUB TOTAL s <br /> SUB TOTAL <br /> PERMIT S PERMIT S <br /> TOTAL FEE S TOTALFEE s <br /> PLAN CHECK FEL <br /> SIDE YARO SETBACK STREET SETOACK REAR VARD SET�ACK PLAN CHECK NUM�ER FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACAM SITE FEES VALUATION FEE <br /> UYES CNO <br /> TYPE OF CONST. OCCUPANCY GFOUP NU.OF DWELLING UNITS <br /> oui�oirvc $390. 00 10 00 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOA� — <br /> PLUMBING <br /> RPE ZONE BASEMENT FIRC SPRINKLERS MECHANICAL <br /> flEOUIREO <br /> f 7VES �'.NO <br /> APPPOVALS BY DATE OiNER <br /> 1 ENVIRONMENTAL CHECK UST PENALiV U.BC <br /> SEC.303 la) <br /> 2 BUILDINGPLANS TaTA� LO OO <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTIOM SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED�M THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING � ' '. .. . I � �: . --- � <br /> 6. DRAINAGE � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT __. r-�� <br /> � �c:.�iuuuir � — __ — —'— <br />