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�'�!.�I <br /> '; <br /> ihe £��rrerern r._ �0 N ST R U CT I 0� _ <br /> ��T�oF <br /> everett PERMIT PERMIT NO. 1�.98Z � <br /> CITV HALL 259�8745 <br /> EVERETT.WA 98201 ❑ COMBINATION G�c BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEB MAII AD�FESS CRY ZIP PMONE <br /> '" Kenneth L. Patrick 903 Logen Alderwood Manor 98036 778_8343 _ I <br /> . — <br /> ARCNITEi.�OR OESIGNEH MFIL ADDRE55 CITY ZIP PHC NE <br /> J <br /> GEHERAL CONTRAGTOR MAI�AODRE55 CITY ZIP PHONE UCENSE x <br /> Sane — <br /> MECHANICAL CONTRACTOF MAIL FDDRESS CITY 21P PMCNE LICENSE N <br /> PLUMBING CUNTRFCTOR MPIL AOOflESS pTY 21P PMUNE UCENSE X <br /> � — � � <br /> CLA55 OF WORK <br /> � NEW ❑ P.DDI710N C�K4LTERA710N O REPAIR � D�MOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE IIlSERT <br /> VALUATiO' OF WORK <br /> = 400.00 <br /> OESCRIBE WORK <br /> extend foundation <br /> PROPOSEL USE OF BUIL�ING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXA��IINED THiS <br /> sin le famil re�idence APPLICATION AND KNOW THE SAME TO BE TRUE AND � <br /> LEGAL�ESCRIViIONOFPROPERTY�SHGPl�ELOYJORATfACHFOUFCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND GRDINANCES <br /> GOVERNING 'iHIS TYPE OF WOP.K WILL BE COPAPLIED WITH <br /> �OT_BLOGK__OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> 20 29 5 PERMITDOESNOTPRESUMETOGIVEAUTHORI','YTOVIOLAT� ' <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOC.4L LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOd A�DRESS SIGNTt E OF GONTRACTOF OR THORIZ�1 AGFfJi / DATE <br /> 25015 Maple Xs �� cL�j� 5 12/83 <br /> PLUMBING MECHANICAL , <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE ' <br /> VJATERCLOSET�TOILET) AIR COND. UNITS— H.P. EA. _ � <br /> BATHTU6 REFRIGERATION UNITS— H.P. EA. _ � <br /> LAVATORY�WASH BASIN) BOILERS— H.P. EA. ' <br />� SHOWER GAS FIRED A.C. UNITS — TONNAGE EA. <br /> KITCH[N SINK 8�ISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISMWASHER WALL H[ATERS— B.T.U. M <br /> LAUNDRY TR.1Y UNIT HEATERS— B.T.U. M <br /> CLO7HES WASHER EVAPORATIVE COOLERS <br /> WA7ER HEATER CLOTHES DRYERS <br /> i1RINAL VENTILATION FAN <br /> DRINKING FOUNTAItJ FANGE HOOD <br /> FLOOR�RAIN iJR HANDLING UNIT— G.F.M. <br /> VACUUM BREAKERS S70VE —WOOD <br /> ROOF DRAINS— RAINLEADEiiS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR, ETCJ FIREPLACE INSERT . <br /> � HEAT PUMP <br /> SUBTOTAL f SUB TOTAL S <br /> PEFMIT E PERMIT 5 <br /> 70TAL FEE 5 TO7AL FEE E <br /> SIDE YPRD SETBACK STREET SETBACK REAR YAR�SETBACK PLAN CHECK NUMBER PLAN CHE(:K FEE <br /> FEE RECFIPT VO. <br /> USE ZJNE LOT AflEA VAGAhT SITE — FEES VALUATION FEE <br /> YES NO <br /> TYPE OF�ONST. OLCUPANCY GROUP NO. OF DWELLING UNITS _ <br /> BUILDING S�j��,�� ].O OO <br /> SIZE � 'DG. N0.OF STORIES MA%.OCG LOAD <br /> PLUI.IBING <br /> FIRE ZONE 6ASEh1ENT FIRE SPRINKLERS MECHANICAL <br /> RE�UIFED f <br /> l� ._YES ..NO .j <br /> APPFlOVALS BY DATE OTHER _' <br />� 1. FNVIRONMENTAL CHECK LIST PENAL7Y �.B.C. <br /> SEC.303�a1 <br /> I2.BUILDING PLANS 70TAL �.O OO <br /> i 3.FIRE HYDRANT <br /> 4.FIRE PRO7ECTI04 SYSTEM PEHMIT VALIDATION <br /> . 5.GRADING WHEN PFOPERLY VALIDATED pN THIS 9PSCF)TMISQSII'Q�111 FBiY�T__ �,. <br /> b d U .1 U � U V U <br /> �"� 5.DRAINAGE � ' O7 <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � � <br /> r� <br /> I'� B.,,E��THo�STR��; YOUR RECEIPT .—� <br />� APPLICATION ACC. 9Y PLANS CHECKED BY APPR. FOR ISSUANCE BV ��-I�N�,� V O U <br /> II EB WC <br />; I 3 �'�Y 8 3 <br />� <br />� AD�JRESS FILE <br />, _ .. _ <br />' J �� <br />