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--''�`__' . � , � <br /> � . <br /> � <br /> . i � <br /> , <br /> tlle E�•ergre.•n pY�� � �' <br /> CITYOF ��• _����I����� . <br /> �verett ��° '��' ° pERBAIT NO. 09033 � <br /> CITY HALL 259�B7J5 <br /> eveaerr.wn 9e�oi �};COMBINATION �BU!LDING �tMECHANICAL � PLUMBING <br /> 1 <br /> OWNER I.V.IL AUDPSS QTY ZIP PHONE <br /> John S. hiartin 8811 t4hitechuck Drive Everett 98204 337-0208 <br /> AFCHITEGTOR�[SIGNER IdAILADDRE55 CITY 21P PHONE � <br /> G[RERAL CONTRAC�OR E'ML AOORE55 GIiV ZiP �"�ONE IICENSE� ' <br /> i <br /> Same <br /> 1.1ECHANIULCONTFACTOR Ma!LADDPESS CITV ZIP PMCNE LICENSE� ' <br /> . � <br /> PWMBINGCONiRAGTOfi MAILADORESS CITV ZIP PHONF LICENSEI <br /> CLASS OF WOPK I <br /> K}FlEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DE:AOLITION ❑fENCE ❑SIGN ❑GARA3E ' <br /> VAWAiION OF VIORK �, <br /> 1 45 � ���. �� � <br /> GESGRI�E WOflF <br /> Construct single family residence <br /> anoaoseo use oF oui�oine; <br /> single family residence IHEREBYCERTIFYTHATIHAVEREADAfJUEXAMINEDTHISAP� <br /> �ecnioesenianeNocaHOPemr�sHowoi�owonnrrncHwuacoaies� PLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. I <br /> , AlL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �oT o�ocK 5 oF Friday s 2nd TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> E 75 ' of S 27 ' of Lot 5 and the E 75 ' HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRcSUMF �OGIVEAUTHORITYTOVIOLATEORCANCELTHEPRO- <br /> �-�—a��— VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTAUCTION. <br /> sicNnrur+ oF NrancrononauTNoaizEon �vr on�E <br /> �oenoonEss - <br /> 1015 36th Street X ^� � <br /> PLUM8ING � M HANICAL I � <br /> N0. TYPE OF FIXTURE OR ITEM FEE O. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—HP.EA. <br /> 2 BATHTUB Q OO PEFRIGERATION lMlTS—H.P.EA <br /> A LAVATORY(�VASH BASIN) S OO BOILERS—H.P.EA. <br /> Z SHOVlER <} OO GASFlr7EDA.C. UNITS—TONNAGE;.. <br /> 1 KITCHEN SINK 8 DISP. 2 OO FORCED AIR SYSTEMS—B.T.U. M EA. _. <br /> 1 OISHWASHER Z OO IYALL HEATERS—9 iU. M <br /> IAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> ], CLOTHES\YASHER EVAPORATI'J�COOLERS <br /> ], WATEF HEATER 2 OO ]. CLOTHES DRl'EFS �} S O <br /> URINAL A VENTIIl�TION FAN _ H OO <br /> DRINKING FOUNTAIN 1 PANGE HOOD �l S O <br /> FLOOR DRAIN Aln HANDLING UNIT— C.F.M. <br /> VACWM BREAKERS STOVE <br /> ROOF DRAINS—F 41NLEADERS 1 METAL FIREPLACE 8 CHIMNEY `� �n <br /> 1 SINK�SEFiVICE—BAfi.ETG) l O — <br /> SUBTOI'AL 34 00 SUBTOTAL S 27 SO <br /> PERMIT S PERIAIT S <br /> TO7AlFEE S 70TALFEE 5 <br /> SID"c YARD SETBACK STREET SETBACK FEAR 1'ARD SETBACK PLAN CHcCK NUMBER PLAN CHECK FEE <br /> 6 ' 20 ' z0� 81/9033 FEE 169. 35 �E4d�'3d� <br /> USE ZONE . LOT AREF VACANT SITE FEES VHLUATION FEE <br /> R_I- � rj{,�s nNo _ <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF�WELLING UNITS <br /> V-N R-3 S BUILDING �45 , 000 . 260 50 <br /> SIZE OF BLOG. NO.OF STORIES MAX.OCC. LOAD <br /> 42 ' x48 ' 3 PWMBING 34 00 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL 2� S O <br /> • REOUIF� <br /> Y e S f]YES '2 C <br /> APPROVALS BY UATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST pENALTV U.�.G. <br /> SEC.303(a) <br /> 2. BUILCINGPLANS � <br /> 3. FIRE HYDRANT '` TOTAL 32 Z O O <br /> 4. FIRE PROTECTION SYS'iEM PEflMIT�ALIDATION <br /> • WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GFADING . ; - '___ � i ( :� I ��.' Z U l�. .1 O -- 1 ' <br /> � <br /> 6. DRAINAGE ' ' � ' �� CT7 <br /> .—Z. ENVIRONMENTALIMPACTSTATEMLNT C <br /> � 8. HEALTH DISTR�CT �� " . . . . ., �- ��'� � <br /> ' Q <br /> —APPLICATION ACC.BV PIFNS CHECKED�Y FPPR.FOR ISSUANCE BY � � � . , . . . <br /> �J <br /> , VC <br /> .. � , . - ; � . , <br /> ADDRESS FILF ' <br />