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R <br /> theEvcrroF C �NSTRUCTION . <br /> everett PERMIT pERMIT NO. 09263 <br /> CITV HALL 259�ei45 <br /> EVERETf,WA 98201 ❑ COMBINATION � BUiLDING ❑ MECHr1NICAL ❑ PLUMBING <br /> OWNER MAILADDRE55 CIiY ZIP CMONE <br /> Henry Bianco 5002 Sound Avenue Everett 98201 353-3410 <br /> ARCNITEGT OR DESIGNER MRIL PppPE55 Cli1' Z�P 1'NONE <br /> GENERAlCON1PACi09 MARAD�P[55 GIiY 21P PMONE UCENSEI <br /> Everett Builders Inc. 5606 Evergreen Way Everett 98203 353-7161 <br /> MLCMANIC/LCANiRAGiOR MniLA00PE55 CITY Z�P PMONE UCENSE/ <br /> EV ER EB *301PH <br /> PLUMOiNGCONIRAGiOR MAILADDRE55 G*Y ZIP PNONE UCEHSE� <br /> CLASSOF WORK <br /> ❑NEW �DDITION ❑ALTERAiION ❑REPAIR ❑DEIdOUiION ❑FENCE ❑SIGN ❑GARPGE <br /> VALUAiION Of WOPK <br /> s 6200.00 <br /> '.ESCRIUE WORK '� <br /> Enclose entry <br /> PROi'OSED USE OG dUIIDING <br /> single family residence I HEREBY CERTIFY THAT I HAV[ READ AND EXAMINED THIS AP� <br /> �ecn�oescniWnoNOFPaorentv�s��owee�owoanrrn:�vouaeoPi�s� PLICATION AND KNOW THE .AME TO BE TRUE AND CORRECT. <br /> ALI. PROVIS�ONS OF LAWS A'JD ORDINANCES GOVcRNING THIS <br /> �or 39 eiocK_oF Edgewater ___ TYPE OF WORK WILL BE C�M?LIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE G:IANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHCRITY TO VIOLATE OF CANCEL THE PRO- <br /> - — VISIONS QF ANY OTHER ST.4TE OR LOCAL LAW REGULATING <br /> CONSTR1I�TION 05 THf PERFORMANCE OF CO STRUCTION. <br /> JOBA�ORESS ' SiGNFtURE FCAN1qACt0�iOliaUiHORiZED.��E� � ,'J C�.TE <br /> 5002 Sound Avenue � <br /> X � � �� �� �� ���L � C <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEW1 FEE N0. TYPE OF E�UIPMENT FEE <br /> WnTER CLOSET 1701LE?) AIR COND. UNITS-HP.[A _ <br /> BATIIIUB riEPRIGEFATION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN) ' � BOILEFS—H.P.EA. _ <br /> $HOWER _ G�5 FIRED A.C.UNITS—iONNAGE EA. <br /> KITCHEN SINM,ti�ISP. fOPCED AIR SVSTEMS—B T U. M EA <br /> DISHWASHEf1 WALI HGATERS—�T.U. M <br /> LAUNDf7V TNAY UNIT HEAT[RS—�T.U. �" <br /> CIATHES WASHER EVAPORFTN�COOLERS <br /> WATER HEATER CLOTHES DPYFRS <br /> URINAL VENTILATION FAN _ _ <br /> DRINKI!JG FOUNTAIN _ RANGE HOOD . <br /> - FLOOR DRAIN AIR HANDLING UNIT— C.EM. <br /> VACUUM BREAKERS STOVE <br /> ROOF DHAIN3—RAMLEADERS METAI FlREPLACE 8 CHIMNEY <br /> SINK�SERVICE—BAH,ETC.) <br /> SUBTOTAL SUBTOTAL = <br /> PERMIT S PERMIT f <br /> TOTAL FEE S TOTALFEE S � <br /> SIDF YARO SE-BACK STPEET SET6ACK FEAR YARD SEiBACK PLAN CHECK NUMBER PLAN CNECK fEE <br /> 7,�' 25 ' 25 ' 81/9263 Fee 40.63 �EceiPrao. <br /> USEZONE LOTAPEA VAC/NT51T[ 53599 <br /> A-S Z�ZSO SQ. Ft ��'tES X�10 PEES VALUATION FEE <br /> TYPE GF CON51 OCCUPANCY GROUP N(�.OF DWCLIING UNITS <br /> V-N R-3 I ouiioirvc $ 6200. 00 62 50 <br /> SIZE OF BLDG. NO.OF STOPoES MAX.OCC. LOAO <br /> I PLUMliING <br /> fIREZONE BASEMENT FIRFSPRwKLERS MECHANICAL <br /> lEOUIRf�. <br /> ' �7vE5 h+}�O <br /> APPROVALS BY DATE �THER <br /> i. ENVIRONMENiAL CHECK LIST PENALiY U O C <br /> SEC.303(a) <br /> 2. BUIL�ING PL./�NS ' <br /> rorni 6 2 5 0 <br /> 3. FIRE HVORANT <br /> n. NRE PROTECTION SYSTEM PERMIT VALIOA110N ' <br /> . WHEN PROPERLY VALIDATED(M THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GFADING � � _ _ M <br /> r f, ^ � <br /> 6. DRAINAGE ' '� <br /> 7. LNVIRONMENTALIMPACTSTATEMENT N <br /> � <br /> 8. HEALTH DISTRICT � . � <br /> APPUCATION ACC.BY FLANS CMECKED BY APPR.FOF ISSUANCL BY � . . <br /> �'.C. L.C. � � � J <br /> ADDRESS FILE � J I <br /> • <br />