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d�eEvCiTveOF � ��NSTRUCTION � .l-�-��� <br />everett P�RMIT PERMIT N0. O7Z5� <br />CITY HALL 259�8745 <br />EVEREIT. WA 9820t ❑ COMBINATION � RUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEN MAILAUpRE55 CITY 21P PHONE <br />Puget Sound Properties, Inc. 6916 Evergreen Way 98203 355-9100 <br />APCNITEGTOROESIGIIER MAILADDRE55 LITY 21P PMONE <br />GENERAL CONTRACTOR MFIL ADDRESS CITY ZIP PHONE IICENSE I <br />PU GE TI D210PE <br />41ECHANIGALCANTPACTOR MAILADDRESS CITY Z�P PNONE LICENSEI <br />PlUA1BINGG0i1TBAC10R MFILADDRE55 CIiV ZIP PHONE LICENSE� <br />GIASS OF WORN <br />RXNEW ❑ADOI�ION ❑ALTERATION ❑R[PAIR CIDEMOLITION ❑f�ENCE ❑SIGN OGARAGE <br />f 72,000.00 <br />�ESCRIBE WORK <br />Erect D�xplex <br />PROPOSED USE 0� dWLDING <br />Two Family Dwelling <br />LEGAI DESCRIPTION OF PflOPERTY ISMOW <br />ior 3 B�OCK_OF Se <br />OR <br />C/F 1-28-4 <br />OB AD�FC55 <br />724 A£• B S5th Street S.W. <br />PLUMBING <br />NO. TYPE OF FIXTURE OR �TEM <br />WATER CLOSET (TOILEn <br />Z BATHTUB <br />LAVATORY (W�H BASIN) <br />SHOWER _ <br />KITCHEN SINK 8 DISP. <br />�ISHWASHER <br />LAUNDRY TRAV <br />2 CLOTHES WASHER <br />2 WATER HEATER <br />URINAL _ <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOFDRAINS—���� '40ERS <br />SINK (SERVICE � ' -� CJ <br />SUBTOTAL <br />SIDE VARD <br />$� <br />TYPE OF CANS <br />V-N <br />SIZE OF BLDG. <br />46'x56' <br />STREETSETBACK <br />20' <br />LOT AREA <br />7714 Sq. Ft. <br />OCCUPANCY GfiOUP <br />R- 3 <br />i <br />BASEMENT <br />none <br />1. ENVIRONMEN7ALCHECKLIST <br />2. BUILDING PLANS � <br />3. FIRE HYDRANT �D <br />4. FIRE PROTCSYION SYS M <br />� 5. GRADING�. <br />0�6. DRAINf�GE <br />� 7. ENVI MENTAL IMPl.BiSTATEMEN7 <br />r.. �'G�1,�_— <br />B. HEALTH D16QpICT � <br />tOAPPLICAIIONT . BY �pLANS CHECKED BY <br />i.� i v.c. <br />• c -`v <br />_{ <br />REAR YARD SI <br />20' <br />VACANT SITE <br />(�S ❑NO <br />MA%.00C.LOAD <br />I HEREBY CERTIFY THAT I HAV[ READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PRO��ISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WOR!C WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VI� :ATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OF LOCAL LAW REGULATING <br />CO/N YNUCTION OR THE PERFORM CE OF CONSTRUCTION. <br />SiGf!/.T�RE OF GONiRACTOR OR AUTH(JRIZED JT DATE <br />tlUILtH.I — n.r. [M. <br />GAS FIRED A.C. UNI7; <br />FORCED AIR SYSTEM; <br />WALL HEA?ERS — B.1 <br />UNIT HEATERS — B T <br />EVAPORATIVE COOLEI <br />CLOTHES DRYERS <br />VEN7IIATION FAN <br />RANGtHOOD <br />AIR NANDLING UNIT � <br />STOVE <br />:HECK NUMBER <br />80/7253 <br />PLUMBING <br />MECHANICAL <br />PENALTY <br />TOTAL <br />— B.iU^u L^M EA. <br />8 CHRdNEY <br />W <br />FEE 92 �� <br />5 72,000. <br />U.B.C. <br />SEC. 303 (a) <br />RECEIP7 NO. <br />47605 <br />FEE <br />231 00 <br />40 OC` <br />26 00 <br />� �� <br />WHE4 PROPERLY VALIDATEO (IN THIS SPACE) THIS IS VOUR PERMIT <br />�oao.00— � 919i az{�.00— � <br />�' i� 2 REC[IPT Y� o <br />APPR. FOR ISSUANCE Or , Y4( U p R E C E � PT <br />� � ;/..��r;.: YO U <br />T�-!P,h•�K YOU <br />