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the£rrrcrcen -- <br /> ����� °� ; -- �- CONSTRUCTI ,. IV <br /> everett PERNIIT PERMIT NO. 1550�' <br /> CI7V MALL 259�0745 <br /> C-VEIlETT,WA 9E2GI ❑ COMBINATION ❑ BUILDING � MECHANICAL !� PLUMBING <br /> OYJNER MAIL AUDRE55 CIiY �ZIV' PHONE <br /> Richard W. Graham 8121 East Glen Urive Everett 98203 353-4507 <br /> APCNITECi OR�ESIGNER MAIL f00RE55 CITY 21P PflpNe <br /> GENERFL CONiPAGTOR MFIL FOORE55 CITY ZIP PHONE LICENSE M <br /> MECHANICAL CONTRACTOR MAIL FDURE55 CITY ZIP PHONE UCENSE M <br /> Same <br /> PLUMBING CONTflACTOR MAIL AO�RE55 CITY ZIP PHONE LICENSE x <br /> CLASS OF WOPK <br /> ❑ NEW � ADDITION ❑ AL�ERATION O REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN []_VJOOO S70VEIFIREPLACE INSERT <br /> X7c <br /> VALVATION OF WORK <br /> f <br /> DESCRIBE WORN <br /> Install wood stove <br /> PROPOSED USE OF BUI�OING <br /> I HEREBY CFRTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGAL0E5CRIPT10NOFPROPERTY�SHOV�BELOWOFFTTAGHFOIiRCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HERF.IN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHEFl STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFO NCE OF C STRUCT ON. <br /> JOB AOOFE55 SIG FE CONTRF TO AUTHO GENT p9TE <br /> 10415 lOth Drive S.E. �" ('�F1'*$ <br /> PLUMBING ME HANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET(TOILEP AIR COND, UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UNIiS— H,P.EA. <br /> LAVATORY�WASH BASW) BOILERS — H.P. EA. <br /> SHOWER GAS FIHED A.C.UNITS — IONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS — B.Y.U. M EA. <br /> DISHWASHEF WALL HEATERS— B.T.U. M <br /> LAUNDP'(TRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATNE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> 11RINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT — C.F.M. <br /> VACUUM BREANERS 1 S70VE— WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK(SERVICE— BAR, E7C.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB 70TAL a SUB TO7AL S r,�_ <br /> PEfiM1T 5 PERMIT 5 <br /> TOTALFEE 5 TOTALFEE S 1� SO <br /> SIDE VARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBEfl PLAN CHECK FEE <br /> FEE RECEIPr NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> YES :-.NO FEES VALUATION FEE <br /> TYPE OF WNST OCCUPANCY GROUP NO. OF DWELLING UNITS <br /> BUILDING 5 <br /> SIZE OF BLDG. NO.OF STORIES MAX. OCC. LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> FEOUIRE� 17 50 <br /> YES NO <br /> APPROVALS BV DATE OTHER <br /> 7.ENVIflONMENTAL CHECK LIST PENAl.TY U.B.C. <br /> 2.BUILOING PLANS _ SEC.3W(a) <br /> 7.FIREHYDRANT T�TA� 17 SO <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5.GRA�ING WHEN PROPERLY VALIDATE�(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 6.ORAINAGE � '� I � v� l' { 7. 5 0 - q� <br /> 7.EN VIRON MENTAL I hiPACT STATEh1ENT <br /> B.HEALTH DISTRICT <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY , 1 n .r <br /> � .. i . ��_� �- ���j <br /> -� . � �v �� .. �� <br /> . 1l <br /> r <br /> ADDRF.SS FIIE I 'i J�' p� <br />