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�hc Ll•cr,tir,�en <br />cr r oE <br />e�er�tt <br />CITV HALL 259�8745 <br />EVERETT, WA 982a1 <br />' COIVSTRUCTI�'" <br />PERMII' <br />❑ COMBINATION � BUILDING ❑ MECHANICAL <br />PERMIT NO. <br />❑ PLUMBING <br />120'9 <br />OWN[F MAIL ApORE55 <br />GITY ZIP PHONE <br />Delmer Bramer P522 9th Avenue Everett 98203 355-5189 <br />ARCHREC70RpE51GNER MAILADORESS CITY 21P PHONE <br />GEVERAL CONTpACTOfl IdAIL ADORESS LITY ZIP PNONE UGENSE N <br />S dID l'. <br />MECHANICAL LONTRACTOR MAI� AOORESS CITY JP PHONE LICENS= i: <br />PLUM9Wo GONTqqCTOfl IdAll ADORESS CITV ZIP FMONE LICENSE M <br />❑ NEW ❑ ADDI710N ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION O FENCE O SiGN O WOOU STOVE/FIREPLACE INSERT <br />s 4,312.00 <br />Construct Garage <br />PROPOSED USE OF 9UILOING <br />Single Family Residence <br />IEGAL DESCRIPTION OF PqOPERTV �SMOW BELOW OR 4RAC4 FOUR COPIES� <br />ior a BLOCN_OF �ascade Mountain Vie� <br />Tracts <br />JOB AODRESS <br />3522 9th Avenue <br />PLUMBING <br />TYPE OF FIXTURE OR <br />WA7ER CLOSET (TOI LE7� <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 �ISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES VJASHER <br />WATCR HEATER <br />UFIIJFL <br />DRINKINC. FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEPDERS <br />SINK (SERVICE — BAR, ETC.1 <br />FEE <br />SU9 TOTAL S <br />PERMIT 5 <br />TOTALFEE S <br />SETBACK STREETSETBACK REAR VAqO SETBACK <br />' �n� <br />R-1 <br />V-N <br />OF BLDG. <br />M <br />1 <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />7. FIRL HYDRANT <br />4. FIRE PRO7ECTION SYSTEM <br />5. GRADING <br />fi. DRAINAGE <br />7. ENVIRONM ENTAL IMPACT S7ATEMF.NT <br />d. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHE <br />HWM <br />.;YES �7{yp <br />I HEREBY CERTIFY THAT I HAVE READ AN� EXAMINED THIS <br />APPLICATIOtJ AIJU KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS iYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT D�ES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF AN1' OTHER STATE OR <br />LOCAL LAW FiEGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTFUCTION. <br />SIGNPT� R�F.�O7F CONTRFCTOR OR AUTHOFIZED AGENT DATE <br />%� L(i(-f�G.--� �.CiL�2C..._.e' ile.�._. _"]7.,�• <br />MECHANICAL <br />NO. TYPE OF E(]UIPMENT <br />AIR COND. UNITS - H.P. EA. <br />FEFRIGERATION UNITS - H.P. EA. <br />601LERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HE.�TERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT - C.F.M. <br />S70VE - WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />rIREPLACEINSERT <br />HEAT?UMP <br />PLAN CHECK NUMB <br />83/12079 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />BY I DATE I OTHER <br />BY � APPR. FOR ISSUANGE BY <br />PENALTY <br />FEE <br />SUB TOTA� 5 <br />PEFMIT S <br />TOTAL FEE S <br />PLAN CHECK FEE <br />FEE 3 2. 8 3 RECEIPT NO. <br />63282 <br />VAIUATION FEE <br />S 4312. <br />U.B.C. <br />SLC.303 <br />50 � 50 <br />TOTAL I I S O I S 0 <br />PEFMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THISgRr��THIS IB Yb�i1pE1QdR �M .. <br />.D V J U J U �,•� <br />� <br />1'OuR REC[IP'� <br />� ;-!,af�1K YG� Li <br />2 3 .�r� S 3 <br />� ADDRESS f-ILE <br />