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the£vergreen <br /> �verett '� ��NpE R,U�TI O I� � <br /> CITYHALL259�87a5 u-. � ■ PERMIT (d0. �i6188 <br /> EVERETT,WA ye2at � COMBINATION � BUILnING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER <br /> MAIL qDDRE55 CITV Z�p � <br /> W. D. Hc�Nell 900 Pacific Everett W� 98pp� PMONE <br /> ABCM17EGT OR OESIGNER MFIL AO�RE55 <br /> CIiY ZIP PHONE <br /> GENERAL COkTqACTOR MAIL AppRt$S <br /> Same <br /> ��N Z�P PHONE UCENSE Ir <br /> MECHANICAI CONTRpCTOq MAIL ADOFE55 ' <br /> CITY ZIP PryONE LICENSE N <br /> PLUMBING CONiqACTOR M41L AODRESS <br /> dTY ZIP PHONE �ICENSE N <br /> CLA55 OF WOFK � <br /> �NEW O ADOI710N I] ALTERATION ❑REPAIq ❑ DEM1IOLITiON C FEN(.� ❑ SIGN ❑ WpOD STC'/E/FIREPLACE INSER7 <br /> VAWATIONOr WORyK <br /> 5 g���n���K��A <br /> DESCpIBE Y:OHR <br /> H1(Xd(X�6 Demolish single family residence <br /> PROPOSED USE OF BUIL�ING <br /> �XXdIXd( Cl 'Irl'IC I HEFtEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL DESCRIPTION OF PqppE�TY(SMOW BELOW OR AT7qCH FOUP COPIES) APPLiCATION NND KNOW THE SAME TO BE TRUE AND <br /> EVerett "M" CORRSCT. ALL PFlOVISIONS OF LAWS AND ORDINANCES <br /> �oT �7-2�LOCK 882oF GOVEia�iING THIS TYPE OF WO4K WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HE;�EIN OR NOT.THE GRANTING OF A <br /> _ PERMIT DOES NOT PRESUM�TO GIVE AUTHORI il'TO VIOLl�TE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONS1'RUCTION OR THE <br /> :OB ADDRE55 PERFORMANC— � CONSTR ION. <br /> 1823 - 37th SIGNATUFE 0 OR . iH DAGENT DAT[ <br /> ' X 3/7/R6 <br /> PLUMBING <br /> MECHA <br /> N0. TYPE OF FIXTURE OR ITEM FEE i�0. TYPE OF EOUIPMENT <br /> WATER CLOSET(TOILEn FEE <br /> BATHTUB AIR COND.UNITS— H.P. EA. <br /> REFRIGERATION UNI75— H.P. EA. <br /> LAVATORY(IYASH BASIN) BOILERS — <br /> SHOWEq H'P' EA' <br /> GAS FIRED P..C. UNITS— TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATER� — B.T.U. M <br /> LAUNDRVTR4Y <br /> UNIT HEATERS — B.T.U. M <br /> CLO�HES WASHER EVAPORATIVE COOLERS <br /> WA7EP HEA7ER <br /> CLOTHES�qYERS <br /> UR VAL <br /> VENTILATION FAN <br /> DRINKING FOUNTAIN _ FANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— <br /> VCCiJUM BREAr(EqS QF.M. <br /> AOJr DRAINS — STOVE — WOOD <br /> RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> � SINK�SERVICE — BAR,ETQ) FIREPLACEINSERT — <br /> _ HEAT PUMP <br /> Sliu T'JT.:.!. S SUB TOTAL 5 <br /> PEHMI7 S PEHMIT 5 <br /> TOTAL FEE 5 TOTAL FEE 5 <br /> SIDE VARD SETBACK STflEE7SETBACK REAR YARD SETBACK PLAN CHECK NUMBER <br /> PLAN CHECK FEE <br /> USE ZONE LOT AREA VqCANT SITE FEE RECEIPT NO. <br /> . YES �. NO FEES VALUATIOY FEE <br /> TYPE�F CONST. OCCl1PAp!GY GROUP NO.OF OWELLING UNITS <br /> SIZE OF BLDG. N0.OF STORIES MqX. Of;C. LOAD BUILDING g OO OO <br /> PLUM8ING <br /> FIRE ZONE BASEMENT FIRE SFRINKLERS <br /> FEQUIRED MECHANICAL <br /> VES :NO <br /> APPqOVALS BY DATE �7HER <br /> 1. ENVIRONMENTAL CHECK LIST U.B.C. <br /> 2.BUILDING PLANS PENAL7Y SEC.303�a1 <br /> �.FIREHYDRAN7 TO7AL OO OU <br /> d.FIRE PROTECTION SVSTEM PEHMI7 VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDATED pN THIS SPACE)THIS IS YOUR PERMIT <br /> 6.DFAINAGE ' <br /> 7.ENVIRONMEN7ALIMPACTSTA7EMENT , _ <br /> 9.HEALTH DISTRICT � �� <br /> APPLICArION ACC. BY PLANS CNECKED BY APPR. FON ISSUANCE 6Y , , <br /> ADDRESS FILE <br />