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!hellrnvren . ,,,1��i./'������� pe <br /> iV <br /> eve�ett PERMIT PERMIT NO. ; I `� � ;i <br /> CITY HALL 2`vS�P7a5 <br /> eveaerr,�in �:+zoi � COMBINATION I24S BUILDING CI MECHANICAL ❑ PLUMBING <br /> r OWHER �dAIL CODHE55 C17Y 21P PHONE <br /> C. L. Wiley 8606 lOth Avenue S.E. Everett 98204 355-4613 <br /> AflCHITECT OR DESIGNER h1AIL��ORLSS CIiY ZIP PHONE <br /> GENEPALCONTRFCTOR h1AILADOfiESS CITY 21P P�iJNE LICErv;E> <br /> Shc[IC <br /> MWHANIGALGONTRACTOR M0.'l A�ORE55 C�TV ZIP PMONE LIC[NG[u <br /> PLUMBING CONTROGTOR MPIL AO�RE55 CITY 21P PMONE LICENSE X <br /> CLA55 OF W ORK <br /> ❑;�r-yq �pD�ITION ❑ ALTERATIOIJ ❑REFAIR ❑ DElAOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERI <br /> VALUATION OF\YORN <br /> E 2�0��.00 <br /> �ESCR16'�vORK <br />� Enc_ose carport <br /> PROPOSEDUSEOF BUILOIHG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> single family resi �knce garage APPLICATION .4ND KNOW THE SNME TO BE TRUE AND = <br /> i iecr�ioescaianorvoFvaoaeaTv�snowee�owor+arTncnFouewaiesi CORRECT. AL� PRGVISIONS OF LAWS AND ORDINANCES � <br /> � <br /> Cas�ade Mouitain View GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH �--, <br /> �or?aBLOCK oF_ WHEl-HER SPECIFIED HEREIN OR �OT.THE GRANTING OF A �''� <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO VIOLATE � <br />�I OR CkNCEL THG PROVISIONS OF ANY OTHER STAT[ OF <br /> LOCAL LAW REGULATIN:; CONSTRUCTION OR THE -+ T� <br />� PERFORMANCE OF CONSTflUCTION. � -+ <br /> SIGNATUR[OF 80� A�TOP i�fAUiHOR12E�AGENi OPTE N = <br /> 99 ADORESS m <br /> 8606 lOth Avenue S.E. X (�� 'L�--��/�� Z�zs/8� � o <br /> / <br />�If PLUMBING — MECHANICAL � _ _ o� <br /> I NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE �, <br /> AIF COND.UNITS - H.P. EA. � � <br /> WATERCLUSEi(701LET� m � <br /> BATI1iU8 REFRIGERATION UNITS- H.P. EA. i-+ <br /> O � <br /> LAVATORYIWASH BASIN) BOILERS- H.P. EA. C � <br /> - GAS FIRED A.C.UNITS - TONNAGE EA. D � <br /> SHOWER — r = <br /> - PORCED AIR SVS7EMS- B.T.U. M EA. � <br /> KITCHEN SINK 8 DISP. � � <br /> -c <br /> DISHWASHER WALL HEATERS - B.T.0 M TI <br /> O A <br /> LAUNDRYTRAY UNIT 4EATERS- B.T.U. M �7 D <br /> CLOTHES WASHER EVAPORATIVE COOLERS ---I IT� <br /> _ <br /> WATER NEATER CLOTMES DRYERS m � <br /> IIRINAL VENTILATION FAN O r <br /> - RANGEHOOD n �^ <br /> DRINKiPlG POUNTAIN C cn <br /> FLOOF DRAIN AIR HANDLING UNIT- C.F.M. 3 (1� <br /> m <br /> VACUUM BREAKERS STOVE- WOOD _ ' n <br /> �r <br /> ROOF DRAINS- RAINLEADEflS METAL FIREPLACE& CHIMNEV I'Ti <br /> a <br /> SINK(SERVICE- BAR,ETG.) FIREPLACE INSEHT A <br /> -- HEAT PUMP � <br /> _ <br /> D <br /> — T <br /> — -I <br /> — S <br /> SUB TOTAL S SI1B TUTAL 5 V: <br /> PERMI7 5 PERMIT 3 _ zo <br /> T�TAL FEE 5 707AL FEE 5 -1 <br /> SIDE YAR�SETBACK STREEi SETBACK REAR YARD SETBACK PLAP'CHECK NUMBER PLAN CHECK FEE n <br /> FEE 9ECEIP7 NO. r" <br /> USE ZONE LOT AREA VACANT SITE FEES YALUATION FEE <br /> ( vES :. NO — - <br /> TYPE OF CONST. OCCUPANCY GflOUA NO.OF DWELLING UNITS _ <br /> BUILDING S L��OO. 32 SO � <br /> SIL3 OF BLOG. N0.OF STORIES MAX.OGC. LOAD — <br /> PLUMBING _ i <br /> FIFEZONE BASEh7ENT RIEOUSRED KLERS MECHANICAL �i <br /> YES NO <br /> BY DA7E OTHER J <br /> APPROVALS � <br /> U.B.C. <br /> i. EtJVIRONMENTAL CHECK LIST PENALTY SEC.303(a) �, <br /> 2.8UILDINGPLANS TOTAL 3Z SO ' <br /> 3 FIREHYDRANT <br /> t.FIRE PHOTECTION SYSTEM PERMIT VALIDATION _ <br /> WHEN PROPERLY VALIDATED pN THIS SPACE)THIS IS YOUR PERMIj , <br /> S.GRADING � � . � . <br /> 6.DPAINAGE " <br /> 7.CNVIRONMENTALIMPACTSTATEMENT `'v j <br /> 8.HEALTN CISTRICT � ' ' ' ° ' <br /> APPLICATION ACr, gy PLANS CHECKED BY APPR.FOR ISSUANCE [3Y . , ' <br /> �DAB DAB <br /> ,i,��r-, ,�,i; <br /> � <br />