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rhe Evagn en <br /> ��TY°F � �ONSTRUCTIOI� � <br /> everett PERMIT PERMIT N0. 15491 <br /> CITY MALL 2558715 <br /> EVEREIT'WAgg�p� ❑ COMBINATION �] BUILDING ❑ MECHANICAL ❑ PLUMBINd � <br /> owNER MAIL�DURESS CITY ZIP PHONE <br /> DEAN DRAGOO , , - ��,-� ct cvoset�t��n ea2oi zs2 �sia <br /> �RCMIT �T OR DESI6NER MAIL ADURESS CITY 21P PMONE <br /> 6ENEq�L CONTqACTOR MAIL ADDRE55 GITY ZIP PHONE LICENSE/ <br /> MINOR HOME REPAIR 3402 - 112th SW Everett WA 98204 35 tii <br /> MECHANIC�LCONTRRCTOR MAILADDRESS CITY ZIP PHONE LICEI:SE/ <br /> PLUM8ING CONTflACTOR MAIL AOOpESS CITV 21P ANONE LICENSE I <br /> CLAS$OF WORK <br /> ❑NEW ❑ ADDITION ❑ ALTERATION �]REPAIR C; DEMOLITION ❑ FENCE ❑ S�GN O WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WOpK <br /> f450.00 <br /> DESCRIBE WORK <br /> Reroof <br /> PROPoSED USE OF BUILDING <br /> Residence � HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGALOESCHIPTIONOFPROPERTY�SHOWBELOWORATfACMFOURCOPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT__BLOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DGES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> — OR CANCEI. THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTFUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGNATUR OF CONTRACTO OF AUTHONI:cD AGENT DATE <br /> 1912 - 23rd St. X ��...� , � <br /> PLtiMBINIi MECFiANICAL <br /> N0. TYPE OF FIX1'URE OR IiEM FEE NO. TYPE OF EIIUIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND.UNITS—H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— <br /> H.P. EA. <br /> LAVATORY�bVASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIPE�A.C.UNI75— 70NNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M �� <br /> LAUNDRVTRAY UNIT HEATERS— 8.7.U. M � <br /> CLOTHES WASHER EVAPORATIVE COOLERS � <br /> WATER HEATER CLOTHES ORYERS <br /> URINAL VENTILA710N FAN <br /> ORINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METALFIREPLACE&CHIMNEY <br /> SINK(SERVICE— BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL f SUB TOTAL S <br /> PENMIT S PERMIT S <br /> TOTAL FEE S TOTAL FEE S <br /> SIDE VARD SETBACK STREET SETBACK REAR YARD SE7BACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> _SYES �.-�NO FEES VALUATION FEE <br /> NPE OF CONST. OCCUPANCV GROUP NO.OF�WELLING UNITS <br /> BUILDING $ lO 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> �-:YES i:NO <br /> APPq0VAl5 BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2.BUILDING PLANS SEC.303(a) <br /> 3.FIREHYDRANT TOTAL 10 00 <br /> d.FIRE PROTECTION SYSTEM pENMIT VALIDATION <br /> 5.GRADING WHEN PROPEFLY VALIOA7E0 QN THISSP�.CF�1 THIS I@�qRIPE�f f _�•.,t <br /> 6.DRAINAGE � ' � �� � I �I �� <br /> 7.ENVIRONMENTALIMPACTSTATEMENT <br /> t <br /> l�i f <br /> B.HEAL7HDISTRICT ` ��i'�,,Cli� k-� ; <br /> APPLICATION ACC. BV PLANS CHECKED BY APPR.FOR ISSUANCE BY �� <br /> . . , . , .. ��: '� l� <br /> . I �. <br /> i , .. ) r� / <br />� � �� �.��il UO <br /> 1 ADDRESS FILE <br />