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— _"� <br /> the£verRre¢n <br /> everett � ;ONSTRUCTIOP " <br /> CITVHqLL25&8745 PERMIT PERMIT NO. ZZZHO <br /> , EVEqET7,WA 98201 � COMBINATION �XgUILDING ❑ MECHANICAL ❑ PLUMBING ' <br /> OWNEfl MAIL ADDRESS CITI' 21P PHpNE <br /> , William Richacdson 7124 - 20th eF F r+ WA 8 n 34 4 0 <br /> ANCHITFCT OR DESIGNEri MAIL ADORESS CITY ZIP PHONE <br /> GENEPAL CONTRACTOR MAIL ADORESS CITY ZIP PMONE LICENSE� <br /> Owner <br /> MECHANICFL CONTRACTOR MAIL AODRESS CITY 21P PHONE LICENSE� <br /> PL7MBING CONTRACTOq MAIL ADOHESS CITY 21P PMONE LICENSE I <br /> r � <br /> � GLASS OF WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION X$REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVE'FIREPLACE INSERT <br /> VALUATION OF WORN <br /> = 600, Q0 <br /> DESCRIBE WOPK <br /> Reroaf <br /> PROPOSED USE OF B�ILDING — <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> IEGAL OESGRIPTION OF PROPERTY(SMOW BELOW OR ATfACM FOUR COPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. O.LL PROVISIONS OF LAWS AND ORDINANCES <br /> �orl�� l�ec�c9!Z�F $lk 1 Sunnyside Land GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> Co First Addn to Everett WHETHERS?ECIFIEDHEREINORNOT.THEGRANTINGOFA <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> aoe aooREss PERFORMANCE OF CONSTRUCTION. <br /> ' SI�NATURE OF CO RACTOR OR AUTMOflIZED AGENT OATE <br /> 3413. - 23rd X '�; 7 29 83 <br /> � PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FIXiURE OH ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND.UNITS—H.P. EA. <br /> BATHTUB REFRIGFRATION UNITS— H.P.EA. <br /> � LAVATORV(WASH BASIN) BOILERS— H.P. EA. � <br /> �. SHOWER GAS FIRED A.C. UNITS—TONNAGE EA. <br /> . �, KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br />� , DISHWASHER WALL HEA7ERS— B.T.U. M <br /> I � IAUNDqYTRAY _ UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPCRATIVE COOLEqS <br /> V WATER HEATEq CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br />� DRINKING FOUNTAIN RANGE HOOD <br /> � FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br />` VACUUM BREAK'eR5 STOVE—WOOD <br />` � ROOF DRAINS— RAINLEADERS METAL FIREPLACE d CHIMNEY <br /> SINK(SERVICE— BAR,ETC.) FIREPLACE INSEHT <br />� ��� HEAT PUMP <br />� �� SOB TOTAL a' SUB TOTAL f <br /> .� PEpM1T S PERMIT S <br />! TOTAI FEE S TOTAL FEE S <br /> I SIDEVARD SETBACK STREETSETBACK REAR YARD SETBACK PLAN CHECK NUMDER PLAN CHECK FEE <br />� �EE qECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> i]YES iJNO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> BUILDING $(OO. OO �.1 S O <br /> SI2E OF BLOG. NO.OF S70RIES MAx.OCC. LOAO <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> � REOUIRED MECHANICAL « <br /> ❑YES ❑NO <br />, APPqOVALS BV OATE OTHER � � <br /> 1.ENVIRONMENTAL CHECK LIST PENALiV U.B.C. j <br />'� 2.BUILDING PLANS SEC.303(a) <br />� 3.FIRE HYDRANT TOTAL 11 5 O <br /> I.FIRE PROTECTION SYSTEM PENMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDATED(IN THI�S8P,C`)THISyS�C�J�Pr,HA�1T--�•. <br /> I� � 8.DMINAGE O 9 r � 5 u <br /> I7.ENVIRONMENTALIMPACTSTATEMENT (V <br />� 8.HEALTH OISTRICT (V <br /> L APPLICATION ACC.BV PLANS CHECKED BY APPR.FOR ISSUANCE BV YO U R REC E IPT� <br />� <br />' i HANK YOU <br />! 1 <br />� � ADDRESS FILE 2 g � 83 � <br /> i _ I <br /> � <br />