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`,,`� `,`.rA.�"' rONSTRUCTIOn <br /> ��.,� �� � <br /> everett PERMIT PERMIT N0. �.�744 <br /> qTY MALL 259�67<5 <br /> EVERETT,WA 98201 � COMBINATION 7EX� RUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER .�Jli1LADDRF55 GITY � 2R PMONE <br /> �wxns 1611 Everetyt,�erett 98201 252-1212 <br /> Everett Masonic Corp. 826Zi}� <br /> ARCNIIEGT OR DESIGNER MAI1.ADORE55 CITY ZIP PMONE <br /> GENERALCONTRACTOR MRILADDRE55 CITY ZIP PMONE UCENSE• <br /> same <br /> MECMnNIGAL CONTRACTOH MnIL/A�RE55 CIiY 21P PNONE LICENSE� <br /> PLUMBING LONTR�GtOR M�IL AODRE55 CITY ZiP PMONE LIGENSE♦ <br /> CLA55 OF WORIt <br /> O NEW ❑ ADDITION ❑ ALTERATION O REPAIR SQH DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VALURTION OF WOpK <br /> i <br /> OESCRiBE WORN <br /> Demolish Single Family Residence <br /> PROPOSE�USE OF BUILDING <br /> I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLDESCRIPTIONOFPROPERTY�SMOWiiELOWORPTTAGHFOU�COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES •• <br /> �oT 23 eiocK 612oF Rucker's lst GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED hIEREIN OF NOT.THE GRANTING UF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE y �j <br /> PERFORMANCE OF CONSTRUCTION. �,.� � <br /> JOB RDDRE55 SIGNAt CONTPALTO' OR RUTHORRE=�GENT ATE (n <br /> 2616 Wetmore X 4 22/85 <br /> PLUMBIHO MECHANICAL �y <br /> NO. TYPE Uf FI7CTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE O � <br /> WATERCLOSET�TOILEn AIP COND.UNITS- H.P. EA. � � <br /> BATMTUB NEFRIGERATION UNITS- M.P.EA. H <br /> LAVATORY�WASH BASIN� BOILERS- H.P.EA. � z <br /> SNOWER GAu FIRED A.C.UNITS-TONNAGE EA. �'�' <br /> KITCHEN SINK 8 DISP. FORCED 41R SYSTEMS- B.T.U. M EA. � N <br /> DISHWPSMER WALL MEATERS- B.T.U, M <br /> LAUNDRYTRAY UNIi HEATERS- BT.U. M � � <br /> CLOTMES WASHER EVAPORATN[COOLERS � <br /> WATER HEATER CLOTHEu DRVERS H <br /> URINAL �ENTILATION FAN N <br /> _ DRINKING FOUNTAIN RANGE HOOD � �j <br /> FLOOR DRAIN �IR HANOLING UNIT- C.F.M. �n <br /> VACUUM BREAKERS STOVE-WOOD • � <br /> ROOF DRAINS- PAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE-BAFl,ETC.) FIREPLACE INSERT <br /> HEAT PUMP � � <br /> � <br /> SUB TOTAL i SUB TOTAL f �"� <br /> N <br /> PERM�T f FERMIT f � <br /> TOTAL FEE f TOTAL FEE f <br /> SIDC YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE � <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SI1E <br /> YES . NO FEES VALIIATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> BUILDING S OO OO <br /> SIZE OF BLOG. NO.OF STORIES MA%.OCQ LOAO <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> �ES NO <br /> APPROVAlS BV DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENA�T� U.B.C. <br /> SEG 303(a) <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRANi T�TA� OO 00 <br /> qFIREPROTECTIONSYSTEM PERMITVALIDATION - - � <br /> 5.GRADING WHEN P1iOPERLY VALIDATED pN T1iIS SPACq THIS IS YOURrPEIiM1T- �'� <br /> �' <br /> 6.DRAINAGE <br /> N <br /> LENVIRONMENTALIMPACTSTATEMENT . . � � <br /> 8.HEALTH DISTRICT � � �� <br /> APPUCATION ACC.BV PLANSCHECNED 8Y APPR.FORISSUANCEBY . . ' � <br /> ADDR[SS FILt <br />