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lT• <br /> I —_� <br /> `"e£��R�eoF �- �ONSTRUCTION <br /> everett PERMIT PERMIT NO. 12121 <br /> CITV HALL 25&8745 <br /> � EVERETT.WA 98207 � COWIBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING <br /> OWNEP MAILAODRE55 CITY 21P PNONE <br /> � ROY J HUGHES 1501 SW 50th VERETT WA 9A7(1� �F� 438] <br /> ARGHITECT OR DESIGNEfl MRII ADDRESS CITY ZIP PHONE <br /> GENENALCONTRACTOR MRILADDRESS CITY ZIP PHONE LIGENSEI <br /> Owner <br /> MECHANICAL CONTNpCTOfl MAIL AODflESS CITY 21P PHONE LICENSE P <br /> PLUMBING CONTRACTOR MAII AODflESS CITY 21P PHONE �ICENSE N <br /> I <br /> cuss oF woaK <br /> ❑NEW ❑ AD�ITION � ALTERATION ❑REPAIq ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WURK ' <br /> f <br /> DESCRIBE WORK <br /> Replace 100' water line <br /> PROPoSED USE OF BUILDING <br /> Residence I F'.EREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL UESCRIPTION OF PflOPEflTY�SMOW BELOW OR ATTACH FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WITH <br /> WHETHER SFECIFIED HERE.N OR NOT.THE GRANTING OF A <br /> PERMIT DOES PIOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUC ON. <br /> J09 ADDiiE55 SIGNATbRE ONTF CTOR 0 THOfl12E GENT DATE <br /> 1501 SW 50th X <br /> PLUMBING MECHAHIC <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILEn AIR COND. UNITS—H.P. EA. <br /> 6ATHTUB REFRIGERATION UNITS— H.P.EA. <br /> � LAVATORY�WASH BASIN) BOILERS— H.P. EA. <br /> �� SHOWER GAS FIRED A.C. UNITS—TONNAGE EA. <br /> � KITCHEN SINK 8 DISP. FORCEO AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> � LAUNORV TRAV UNIT HEATERS— B.T.U. M <br /> �. CLOTHES WASHER EVAPORATIVE COOLERS <br /> �. WATER HEATER CLOTHES DRVERS <br /> . URINAL VENTILATION FAN <br /> � DRINKING FOUNTAIN RANGE HOOD <br /> - FLOOR DRA�N AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR, ETC.) FIREPLACE INSER7 <br /> HEAT PUMP <br /> ep ace water line 2 00 <br /> � SUB TOTAL S Q QO SUB TOTAL S <br /> � - PERMIT f 3 OO PERMIT S <br /> TOTAL FEE S 5 OO TOTAL FEE S <br /> SIDE YAR�SETBACK S7REET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE REGEIPT NO. <br /> � USE ZONE LOT AREA VP.CANT SITE . . <br /> � ❑YES ❑NO FEES VALUATION FEE <br /> ' TVPE OF CONST. OGCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S <br /> . SIZE OF BLDG. NG.OF STORIES AIAX.OCQ LOAD � <br /> PLUM6ING <br /> � FIRE ZONE BASEMENT FIRE SPRINKLERS M.ECHANICAL <br /> � REOUIRED <br /> ❑YES ❑NO <br /> APPHOVALS gY DATE OTHER � <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.303(e) <br /> 2.BUILDING PLANS 70TAL 5 OO <br /> 3.FIRE HYDRANT <br /> 4.FIRE PROTECTION SYSTEM PENMIT VALIDATION <br /> ' 5.GRADING WHEN PROPERLY VALIOATED(IN THIg�P3C'E)THIS�S���P�i�l=-� <br /> B.DRAINAGE � U <br /> � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT - � N <br /> B.HEALTH DISTRICT <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY YO U'R REC E!PT <br /> TNANK YOU <br /> 22 ,� 83 <br /> � ADDRESS FILE _ <br />