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I I— <br />� � <br />Uie EvC ivecF �O IV�TR lJ CTIO N <br />everett PERMIT pERMIT NO. 1O5ZH <br />GTY HALL 259�8745 <br />EVERETT, WA 982�1 ❑ COMBINATION G�t cBUILDING ❑ MECHANICAL ❑ PLUMBING <br />OVlNER MARqpUPE55 QTY IIP PMONE <br />Darwin Lilley 1832 Rainier Everett 98201 252-4315 <br />APCMIiEGiOPD[511NER A!AllAppRE55 CItY ZIP PHONE <br />GENEPAL CONTqACtOq MAIL AO�RE55 CIiV ZIP PHONE UCENSE F <br />Same <br />MECHANIC/LWNiPACTOR MAILAD�PE55 �ITY ZIP PNONE IICENSEI <br />PLUIdBINGCONifiACTOR MAILADORE55 CIfY ZIP PHONE LICENSEY <br />CLA55 GF PlOPK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION �EENCE ❑SIGN ❑GNFAGE <br />S 20�.�� <br />OESGRIBE WORK <br />construct 72" in rear prooerty <br />PROPOSED USE OF BUILDING <br />single family residence <br />IEGAL OES:.RIPTION OF PROPE�TV �SHOW �ElOY! OR PTTACH FOUfi COPoES� <br />LOi BLOC�_OF <br />JOp FOOR[55 <br />1832 Rainier <br />PLUMBIN � <br />NO. TYPE OF FIXTURE OR <br />WATER CLOSET (TOILET) <br />BATHTUB <br />L4VATORY IWASN OASIN� <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISHWASH'tR <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DPAIN <br />VACUUM BREAKERS <br />FOOF DRAINS — RAINLEA�ERS <br />SINK �SERVICE — BA�. ETC.1 <br />SUBTOTAL <br />PERMIT <br />YARD 5-E1B?GK <br />USE ZONE <br />STREET SETBACK <br />LOT <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIFE 1'.VDRANT <br />4. FIRE PROTECTION SVSTEM <br />�. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRIC7 <br />APPLICATION ACC. 8Y PLANS CHECKFD BY <br />FEE <br />REAR YARD SETBACK <br />VACANT SITE <br />C]YES ❑NO <br />NO. OF DWELLING UI <br />MAX. (!;G LOAD <br />FIRE SPFINKLERS <br />APPR. FOR ISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TN!S Ap- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS A�!G ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHEP Sf'ECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOL�S NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pR0- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONST UCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNF G OF CONI�A�TOR n'Ji PIZEp /yxNT DATE <br />X �/YH!/, ,� Qvi, ✓ 5/6/sz <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION LINITS — H. <br />GAS FIRED A.C. UNITS — TONNAGF EA. <br />FORCED AIR SYSTEMS — B.T.U. Id <br />WALLHEATERS—BLU. !d <br />IINITHEATERS—PTII. M <br />CLOTHES <br />RANGE HOOD <br />STOVE <br />FEES <br />FEE <br />FEE I RECEIPT N0. <br />BUILDING $ Zpp. 1� e� <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY U.B.C. <br />SEC. 303 (a) <br />TOTAL 10 0 <br />PENMIT VALIDATION <br />WHEN PROPERLV'/ALIDATF.D (IN THIS SPACE) THIS IS YOUR PERMIT <br />1235 EQ I �.00 =-cV <br />L!7 <br />YO�JR RECEIPT� <br />. E HAl�.K� YO U <br />ADDRESS FILE <br />- J uaY 8 2 <br />y <br />