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dieE}'CiveOF � C�NSTRUCTION -� ��� . <br />everett �ERMIT PERMIT NO.OH544 <br />CITY HALL 259�8)d5 <br />EVERETT, WA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />01YNER MFILADDPE55 CITY ZIP PMONE <br />Michael R. Cross P. 0. Box 865 Everett 98206 252-0204 <br />ARCHITEGiOR�ESIGNER MAILADORE55 CIiY ZIP PHONE <br />GENERALCOMRAGTOR MAI�AD�f1E55 piY 21P PNONE LIGENSE� <br />MECHANICAI CANTRACiOR MAIL AD�PE55 GITV ZIP PMONE UCENSE / <br />PWMBINGGONiRAGTOR MAILA�DRE55 QT'/ ZIP PHONE LICENSEI <br />ClAS50F WOHK <br />❑NEW ❑ADDITION �ALTERATION ❑REPAI9 ❑DEN�OLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF V/ORK <br />S _ <br />DESCPIBE WORK <br />Wood heater and revent existinq gas furnace <br />PPOPOSED USE OF BUILOING ` <br />Residence I HEREBY CERTIFY THA7 I HAVE READ APJD [XAMINED THIS AP- <br />LEGAL OESCRIPTION OF GPOPERiY �SMOW OELOW OR A1TAC <br />LCT BLOC�_Or <br />JOB AD�RE55 <br />1209 - 35th, Everett <br />PLUMBING <br />NC TYPE OF FIXTURE OR ITEN <br />WATER CLOSE7 (TOILET) <br />BATHT:3 <br />LAVAT`.9Y (V✓ASM BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHEN <br />IAUNDRVTRAY <br />CLOTHES WASHER <br />WATER HEA7ER <br />UiiINAL <br />DRINKING FOUNT.41N <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SWN �SEHVICE — BAR, ETC.1 <br />SUBTOTAL <br />PEPMIT <br />TOTALFEE <br />SIDE VARD SETBACK STREET SETBACK <br />USE 20NE LOT AflEA <br />TYPEOFfqNST. OCCUPANCY GROUP <br />SIZE OF BLDG. NO. OF $TORIES <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDMNT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. OPAINAGE <br />7. ENVIRONMENTALIMPACTSTATEMENT <br />8. MEALTH DISTRICT <br />APPLICATION ACC. BV PLANS CHECKED BY <br />REAR YARD SETOACK <br />VACANTSRE <br />GYES ❑NO <br />NO.OF DWELLING UVITS <br />MA%.00C.LOAU <br />FIRE SPRINKLERS <br />REOUIRED <br />❑VES ❑NO <br />BY DATE <br />APPR. FOR ISSUANCE BY <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF IA�VS AND ORDINANCES GOVERNINC. THIS <br />TYPE OF WORK WILL BE CCMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIV: AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW FEGULATING <br />CONSTRUCTION OR THE PERFORMP.NCE GF CONSTRUCTION. <br />SIGNAiURE OF C.pNTRA�R OA PUINORIZED AGENT DATE <br />T // /1 ll _ <br />MECHANICAL <br />NO. <br />AIF. "7ND. UNITS— 11.P. EA. <br />FEFRIGERAiION UNITS — H.P. EA <br />BOILEflS — H.P. EA. <br />GAS FIRED AC. UNI7S--TONNAGE EA. <br />FORCED AIR SYSTCMS — B.T.U. M <br />WALL HEATFqS — � 1.U. M <br />11N1T HEATERS — 8 T.LL M <br />V��N7ILATION FAN <br />AIR HANDLING UNIT — <br />FIREPLACE 2� <br />SUBTOTAL <br />rte <br />TOTALFEE SI 1S <br />CHEGK NUMBER PLAN CHECK PEE <br />FEE I AECEIPT NO. <br />BUILDING � <br />PLUMBING <br />MECHANICAL ]_S SO <br />OTHER <br />PENALTV U.B (:. <br />SEC. 303 (a) <br />T°T"� 15 50 <br />PEHMIT VALIOATION <br />WHEN PROPERLY VALIDATED (IN 7HIS SPACE) THIS IS YOUR PERMIT <br />ot9i $015.50—�1 <br />� <br />� <br />'.; ; �: i l: �: � �T � <br />� �. .����. ����'U <br />