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�her°�RYo° � CC`�'�STRUCTION � <br />everett PERMIT PERMlT NO.OHO4H <br />CITY HALL 259�8745 <br />EVERETf. WA 98201 ❑ COMBIN.4TION � BUILDING ❑ hSECHANiCAL C PLUMBING <br />OVlNER MAtL NDURE55 GTY ZIP PRONE <br />Elsie Ringen 2914 19�h SL-reet Everett <br />ARGHITfLT OB CESIGNLR M; IL AO�R[SS GI7Y ZIP PHONE <br />GENERFLCO�IiRACtOR M41LF�L3ESS GI7Y 21P FNONE LIGENSEI <br />Snohomish County Home Improv�ment Lake Stevens 98258 <br />MECMA6'CALCANTfl4CTOR MAtLPODRE55 CITY ZIP PHONE LICENSEI <br />PLUM6�NGL0lliR�CTOR lAAILADDRE55 CITY ZIP PMON[ LIGENSEI <br />C1A55 oF v/U'rc <br />❑M1EW ❑ADDITION ❑ALTERATION <br />VALUATIGN OF Y/ORh <br />E 2500.OG <br />oEscaioe wonK <br />re-roo_` composition <br />PFOPOSED USE OF �UILDING <br />single family residence <br />lEG4L �ESCRIPiION Of PROPERiV ISHOR' 9ELOW OR FTTACM FOUR COPIE'ul <br />7-8 Ready Land Co. <br />LOT BLOCK_OF <br />JOB A�DRE55 <br />2914 19th Street <br />PLUMBING <br />N0. TYPE OF FIXTUR <br />WATER CLOSEI� (101LET) <br />BATHTUB <br />LAVAfORY (WASH BASIN) <br />SHOWER <br />KIiCHEN SINK 8 DISP. <br />�ISHWASHER <br />IAUNDFVTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />URINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRFINS — RAINLEADER: <br />SINK �SERVICE — BAR, ETC.) <br />�UB TO' <br />PENMIT <br />SETBACK <br />SIZE OF <br />STREET SETBACK <br />N0. OF STORILS <br />1: ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br />4. F:RE PROTECTION SYSTEM <br />5. GRADING <br />E. DRAINAGE <br />7. ENVIFONMENTALIMPACTSTA?EMENT <br />8. HEALTH �ISTRICT <br />APPLICATION ACC. BY PLAHS CHECKED BY <br />�IREPAIR CJDEMOLI710N ❑FENCE ❑SIGN ❑GARAGE <br />FEE <br />REAR YARD SETBACK <br />VACANT SITE <br />❑YES ❑NO <br />NO.OF DWEILING UP <br />MAX.00C.LOFD <br />APPR.FORISSUANCEBY <br />I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF VJORK WIL: BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. TN: GFANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTti�RITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER S'ATE OR LOCAL LAW REGULATING <br />CONSTRUCTION THE P RFc;9MANCE OF CONSTRUCTION. <br />$IGN/ATy�/,o,�. �O'Ni CTO OR ! ,Z,ED A�C'rRi DFTE <br />X i/�L. �. q/�_ 8/4/80 <br />TYPE OF EC <br />AIRWND UNITS—H.P.I <br />REFRIGERATION UNITS — <br />GAS FIRED AC. UNITS —TONN� <br />FORCED AIR SYSTEIdS — B T.U. <br />1VALL HEAT[RS — 9.T.U. <br />UNIT HEATERS — O.7.U. <br />A1 <br />VENTIIATIUN FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.`.M. <br />STOVE <br />METhL FIREPLACE 6 CHIMNEY <br />SUBTOTAL <br />PEPMIT <br />TOTALFEE <br />'LAN CHECK NUMBEfl PLAN CHI <br />Ftt <br />FEES VALUATION <br />BUILDING $ 2500.00 <br />PLUMBING <br />MEC4ANICAL <br />PENALTY <br />TOTAL <br />U.B.C. <br />SEC. 303 (a) <br />FEE <br />RhCEIPT NO. <br />24 I00 <br />__ _ __ <br />WHEN PROPEflLY VALIDATED (IN THIS SPACE) THIS IS VOUR PERMIT <br />5713 $�524.00 �oQ <br />� <br />� <br />��c;ur, R�CEIPTo <br />� f-t/t�1K YO U <br />ADDpE55 FILE <br />- !� AUG $ O <br />