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- � <br /> r <br /> 1 <br /> d„� r:���.c.����„ <br /> ���� ��: ' 10NSTRUCTION� <br /> everett PERMIT° PERMIT NO. �2442 <br /> CITY HALL 259-8745 <br /> EVERETT.WA9B201 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> � OLVNER MAIL AO�RE55 CIiV 21P PMONE <br /> VIDA AMDAL 2304 6th St EVERE"_'T WA� q8201 JSQ-d�R7 <br /> ARGMIiEGi OR OESIGNER MAI�A�DRESS GrtY ZIP PMONE <br /> GEN[RAL GONiRACTOF MAIL ADO�ESS QTY ZIP PMONE LIGENSE II <br /> DAVE HANSON 1054 N PARK DR SVER£TT 9820i �59-�QSn <br /> MECHANICAL CONiRFCiOF MAIL A�ORE55 CRV ZIP PMGNE LICENSE• <br /> � PLUMBING GUNiRAGiOP MAIL AOORE55 CITY ZIP PMONE LICENSE Y { <br /> GLA55 OF WORK <br /> ❑ NEW O A�DITION ❑ ALTERATION ❑AEPAIR ❑ DEMOLITION ❑ FEMCE O SIGN ❑ WO00 STOVEiFIREPLACE INSER7 <br /> X <br /> VA�UATION OF WORK <br /> S fJ��. 00 <br /> DESCPIBE WORK <br />. 1/2 reroof and new pochh <br /> PROPOSED USE OF BUiL01N4 <br />. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> SINGLE FAMILY RESIDENCE APpLICATION AND KNOW THE SAME TO BE TRUE AND <br />, LEGAL DESLFIP110N OF PROVEBiV ISHOW BEL01Y OR ATIPCH FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />� LOi_BLOCN__OF GOVERNING THIS TYPE OF WORK WILL BE CQMPLIED WITH <br />� WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br />� � PER�tITDOESNOTPRESUMETOGIVEAUTHORITYTOVIOLATE <br /> OR CANCEL THE PFOVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PER MANCE F CONSTRUCTION. <br /> JOB PD�RE55 6 SIGN E OF CO CTOF OR AUiHORIZED FGENT OATE <br /> 2304 bth St. X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> I�� WATERCLOSET�TOILEn AIR COND.UNITS— H.P.EA. <br /> BATHTUB REFRIGERATION UNITS— H.P.EA, <br /> LAVATORY�WASH BASIN� BOILERS— H.P.EA. <br />� SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCMEN SINN 8 OISP. FORCED AIR SVSIEMS— O.T.U. M EA. <br /> DISHWASHER WALL HEATEFS— B.T.U. M <br /> LAUNDRY TFiAY UNIT MEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER MEATER CLOTHES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINNING FGUNTAIN RANGE HOOD <br /> FLOOR OflA1N AIR MANOLING UNIT— C.P.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DPAINS— RAINLEADERS METAL FIREPLACE 8 CMIMNEY <br /> SINK�SEflVICE— 9AR,ETC.� FIREPLACE INSERT <br /> HEAT PUl.:P <br /> i� <br /> SUBTOTAL i SUB TOTAL f <br /> PERMIT S PERMIT S � � <br /> TOTALFEE S TOTAL FEE f � <br /> SIOE YARD SETBACK STREETSETBACK REAR VARD SETBACK PLAN CHECK NUMDER PLAN CHECK FEE <br /> FEE RECEIPT 40. <br /> USE ZONE LOT AREA VACANT SITE — <br /> VES . NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROU? NO.OF DWELLING UNITS <br /> 9UILDING 5 SOO. 00 <br /> SIZE OF�LDG. NO.OF STOf71ES MA%.OCG LOAO <br /> L PLUMBING � <br /> FIREZONE BASEMENT FIRESPRINKLERS MECHANICAL <br /> REQUIRED <br /> YES NO <br /> APPROVALS BY OATE OTHER <br /> 1.ENVIFONh1ENTAL CHECK LIST PENALTV U.B.C. � <br /> SEC.303�a� <br /> 2.BUILDING PLANS � <br /> 9.FIREHYDR4.NT TOTAL LO OO <br /> L 4.FIREPROTECTIONSYSTEM WHENITPROP'ERLYOALIOATED�INTHIS$P f�E+THISI `(QyR E ,� <br /> 5.GRADING I �1 J �U 1 �.� � <br /> 6.ORAINAGE ' <br /> �' � <br /> 7.ENVIPONMENTAL IMPACT STATEMENT r(��� � <br /> B.HEALTH OISTqICT �`� �� � R L C E I P 1�--� <br /> APPLICATION ACC.0Y PLANS CHECKED BV APPP.FOR ISSUANCE BY � ���� � � <br /> ' '� YOU <br /> i� ic <br /> �� �F•.iW„ <br /> 20 �P83 <br /> ADDRG55 PILE � <br /> L I <br /> � <br /> J <br /> _ _ � <br />