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n <br />r <br />;ONSTRUCTION <br />everett PERMIT PERMIT NO. 12643 <br />CITY HALL 259 8745 _ <br />EVERETT. WA 98201 ❑ COMBINATION ❑ BUILDING XX MECHANICAL .. PLUMBING <br />r <br />OWNER MAIL ADDRESS ( i'v PHONE <br />CARRO NELSON 4905 View Drive Everett WA 98201 252-4781 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE A <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE• <br />r <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE A <br />L <br />L <br />yam..- ••V Cj NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION O FENCE 0 SIGN IX WOOD STOVE/FIREPLACE INSERT <br />f <br />wnnd stove <br />PROPOSED USE OF BUILDING <br />Residence - rentc' <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINFD THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED 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 />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERF R A E CONSTRUCTION O <br />11 7 A R" F C01 RAG OR AUTHOR ) AGE I 11 �2 ATE <br />X <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _OF --- — <br />-- <br />JOB ADDRESS <br />3607 Wetmore <br />PLUMBING <br />MECHANICAL i <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — M.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA, <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK S DISP. <br />FORCED AIR SYSTEMS — S.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — BT.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS — B T.U. M <br />_ <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE — OAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />— <br />oo stove <br />7 <br />0 <br />SUBTOTAL <br />S <br />SUBTOTAL f <br />7 <br />O <br />PERMIT <br />f <br />PERMIT i <br />O <br />O <br />TOTAL FEE <br />III <br />TOTAL FEE <br />17 <br />iO <br />SIDE YARD SETBACK <br />STREET SETBACK <br />LOT AREA <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />'•CANT SITE <br />'.NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />S <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />YES NO <br />MECHANICAL <br />17 <br />50 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />17 <br />O <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />S.GRADING <br />PERMIT VALIDATION <br />WHEN PROPEPLY VALIDATED IIN THIS SPACE) THISflYQUq PffT <br />J O[ C I Co <br />C\j <br />YOUR RECEIPT <br />THANK YOU <br />6, DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />- 2 NOV 83 <br />L J <br />