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- ,,,�.�,�,�.��„ ; __, -;ONSTRUCTIO�� <br /> PiY Of <br /> everett PERMIT P�annir No. 13636 <br /> CITY NALL 259�87d5 <br /> EVFRETT.VJA98201 � COMBINATION u�c BUILDING ❑ NYECHANICA'� PLUMBING <br /> GIiV 21P PMONE <br /> OWNEP MA�LADDRE55 Everett 98za4 , <br /> Frank Stipek 9905 19th Avenue S.E. Z�P PNONE <br /> pRCHIiEGT OF OESiGNER <br /> MAIL AD�RE55 LITV <br /> C�TY Z�p PHONE LICENSE M <br /> �� MAIL ADDRE55 Redmond 98052 455-2480 <br /> GENERALGONTRPCiOB P.O $OX BZ�I <br /> Lease Cz'utcher CITY ZIP PHONE �ICENSE� <br /> MECNNNICALGONiRAGTOR <br /> MAIL PDORE55 <br /> MAIL P�ORE55 <br /> CITY ZIP PHONE LiCENSF M <br /> P W MBING GONTRAGTOR <br />� <br /> CLA55 CF WORN <br /> ❑NEW � AOOITION ❑ ALTEFATION ❑REPl.IR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ W00�STOVFJFI9EPLACE INSER <br /> VAWATION OF WORN <br />, S 15��.0� , <br />/ DESCRI9E WORR _ <br /> install handicap ramp <br /> I PROPOSED USEOF BUILOING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />', qppLICATION aND KNOW THE SAME TO BE TRUE PND <br /> LEGAL OESGRIPTION OF PPOPEPTY�SNOW BEL^K OR FTfACH FOUP GOPiES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANGES <br /> GOVERNfNG THIS TYPE OF WGRh WiLL BE COMPLIED W��.TH <br /> ��T�BtOCN_OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br />' PERMIT DUES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCf:L THE PROVISIONS OF ANY GTHER STPTE OR <br /> LOCAL I.AW REGULATING CONSTRUCTION O13T8 E <br /> PERFORMANCE OF CONSTRUCTION. oATE� <br /> SIGNAT F CONiRA P 0 IHORIZEO AGENT &?L#?*$ <br /> I �°�$$�pEs�s9th Avenue S.E. X - <br /> MECHANICAL <br /> PLUMBING TYPE OF E�UIPMENT FEE <br /> FEE N0. <br /> N0. TYPE OF FIXTURE OR ITEM pIR COND.UNITS— H.P.EA. <br /> W ATER CLOSET(TOILEn <br /> REFRIGERATION UNITS— M.P.EA. <br /> BATMTUB BOILERS— H.P.EA. <br /> LAVATORY�WASH BASIN� <br /> GAS FIPED A.C.UNITS—TONNAGE EA. <br /> SHOWER FORCED AIR SYSTEMS— B�T.�. M EA. <br /> KITCHEN SINK 8 DISP. M <br /> WALL HEATERS— B.T.U. <br /> DISITYJASHER M <br /> UNIT MEATEFS— B.T.U. <br /> LAUNORYTRAV EVAPORATIVE COOLERS <br /> CLOiMES WASHER CLOTMES DflVERS <br /> � WATFR HEAIER <br /> VENTILATION FAN <br /> UflINAL RANGE HOOD <br /> DRINKING FOUNTAIN AIR MANDLING UNIT— C.F.M. <br /> FLOOR ORAIN STOVE—W000 <br /> VACUUM BREAKERS METAL FIREPLACE&CHIMNEV <br /> ROOF�RAINS— AAINL[ADERS FIREPLACE INSERT <br /> SINK(SERVICE— �7AR�ETC.) MEAT PUMP <br /> . SUBTOTAL f <br /> -- SUB TOTAL � pERM1T S <br /> PERMIT f <br /> TOTAL FEE S <br /> TOTAL FEE s PLAN CHECK FEE <br /> SIDE VAR�SETBACK STREET SETBACK REAfl YARD SETPACK PLAN CHECK NUMBER 16.25 qECFIPT N0. <br /> 84/13636 FEE $H�X �0742 <br /> LOTAFEA VACANTSITE FEES VAWATION FEE <br /> USEZONE ;,YES �,-�.NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING $ 1500.00 25 00 <br /> SIZE OF BLDG. N0.OF STORIES MA%.OLC.LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT fIRESPRINKIEPS MECHANICAL <br /> pEOUIRED <br /> VES NO <br /> nATE OTHER <br /> APPROVALS B� U.B.C. <br /> t.ENVIRONMENTAL CHECK IIST PENALiY SEC.9031a� — <br /> 25 00 <br /> 2.BUILOING PLNNS TOTAL <br /> 3.FIPEMVDRANT pERMIT VALIDATION <br /> d.FIRE PROTECTION SYSTEM WHEN PROPEflLY VALIDATED(IN TH16 @P�GE)THISl1�Y�U�P���T—' M <br /> � S.GRAOING (D <br /> 6.DRAINAGE (Y') <br /> 7.ENVIRONMENTALIMPACTSTATEMENT �� ._ �,.���I � <br /> B.HFALTM�ISfRICT � � ��r •. �� <br /> APPLICATION ACC.BY PLANS CMECKED BV APPR.fOR ISSUANCE BY . � � '. <br /> sa wc � <br /> , � ,� � <br /> �� . � - � : <br /> noo�r.,s rae <br />