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�he Evngr�tn <br /> ��T�°F '� i CON:�TRUCTI(�I � <br /> everett PERMIT PERMIT NO. 15991 <br /> aTr H���naa��s <br /> EVEREIT,WA9B201 � COMBINATION � BUILDiNQ ❑ MECHANICkL ❑ PLUMBINa <br /> ONTlER MAIL AD�RESS CITY ZIP PXON--� <br /> WESTERR REAL ESTATE 10512 - lq*h_SE Fvoratt .in nc�nn <br /> �flCMITECT OR DESIGNER MAIL A�URE55 CITY ZIV PMONE <br /> GENERAL CONTRACTOR MAIL A�DRESS CITY � 21P PHONE UCENSE I <br /> Jim Mann9nq & Associates 9003 - 22oth Mu dmnndc wu qan�n tTMMq��Rp�g <br /> MEGHANICAL GONTqACTGH MAIL ADOflE55 CITY ZIP PHONE LICENSE M <br /> VLUMBING CONTPACTOR MAIL AODiiE55 CITY ZIP PHONE LICENSE 1 <br /> CLA55OF WORK <br /> ❑NEW ❑ ADDITION ❑ ALTERATION ❑qEPAIR ❑ DEMOLITION � FENCE O SiGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> A <br /> VALUATION OF WOflK <br /> f 2�00.0� <br /> DEfiCRIBE NORK <br /> Install 6'x8'sign <br /> PPOGOSED USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAI DESCHIPTION OF PROPERTY�SHOW BELOW OR ATfACH iOUR COPIES) APPLICATION AND KNOW THE SAME 'i 0 BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_e�ocK_oF __ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GPANTING OF A <br /> PERMIT DGES 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 /> PERFORMANCE OF CONSTRUCTION. I <br /> JOB AODflE55 SIGNATU E OF CONTRACTOF OR AUTHOFI2ED AGENT DATE <br /> 10512 - 19th SE X <br /> PLUMBING CHANICAL <br /> N0. TYPE OF FIXTURE OA ITEM FEE N0. TYPE OF E�UIPMENT FEE �� <br /> WATERCLOSET(TOILEn AIR COND.UNITS— H.P.EA. <br /> _ BATHTUB REFRIGERATION UNITS— H.P. E'A. <br /> LAVATORYryJASH BASIN) BOILERS— H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED Alfl SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> _ LAUNDRVTRAY UNIT HEPTERS— B.T.U. M <br /> CIOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER GLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKIN� FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACe 8 CHIMNEY <br /> SINK(SERVICE— BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL S SUB TOTAL S <br /> PERMIT S PERMIT S <br /> IOTAL FEE S TOTAL��EE S <br /> SIDE YARO SETBACK STREET SETBFCK REAR VAqD SETBACK PLAN CHECK NUMBER i�LAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACAN7 SITE <br /> ._iYES ,-�NO FEES VALUATIAN FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING SpOOO.00 9 OO <br /> S2E OF BLDG. NO.OF S70RIE5 MA%.OCC. LOhi <br /> PLUMBING <br /> FIRE20NE BASEMENT FIRESPRINKLERS MECHANICAL <br /> REOUIRED <br /> ::VES ��:NO . <br /> APPHOVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIS7 U.B.C. <br /> PENAL7Y SEC.3031a; <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRANT T�TA� J O�1 <br /> /.FIRE PqOTECTION SYSTEM PENMIT VALI�ATION <br />' S.GflADING WHEN PROPERLY VALIDATED(IN 7HI PpG�)THIS� Yp�ry P q�1 IT a-�I <br /> �� 71I •D� Ul. � il — Q� <br /> B.DRAINAGE Sign must be on private property. <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> 8.HEALTM DISTRICT . � r� r,�- <br /> r <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY '' � ',��"�' �� � ' ' <br /> . . . � .; , ., , , I <br /> lc/gs <br /> % `' �;,� u� <br /> u � <br /> ADDRE.SS FILE <br />