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' <br /> . `S <br />,� <br />; <br /> I <br />�� <br />� dieE�'CTveO� � �d�NSTRIJCTSOfV � <br /> I <br /> e��erett �EFtMIT PERMIT N0. OHO47 <br /> CITY HALL 259�8�/45 <br /> EVERETT.WA 98201 ❑ COMBINATION L� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> O'1MER h1AILAU�RE55 C11V ZIP PHONE <br /> Jeff Anderson 1712 12th Everett <br /> ARCMITECTOFlDESIGN[R MAILADDPE55 CIfY 21P PIIOKE <br /> GENEFAL CONTRACTOR h1Nl ADOPESS CIiY ZIP PHONE UCENSE s <br /> Snohomish County Home Improvement Lake Stevens 98258 334-�683 <br /> AfECHANICFLCONiRhCiOP AIFILAO�RESS CITY ZIP PNONE IICEN5E1 <br /> FLUMBINGCONiRAC109 MNIIADDRGSS pTY ZIP PNONE LICENSEI <br /> G�455 OF WONK <br /> ❑NEW L�ADDITION ❑ALTERATION �LXFIEYHIR ❑DEMOLITION ❑FENCE ❑SIGN L]GAR�GE <br /> VA�UATION OF WORN <br /> g 4 ��0�. �� _ <br /> �ESCRIpE1Y0RK <br /> Re-side vinyl Sidin <br /> PROPOSEO USE OF BUILDING <br /> single family residence I HEREBY CERTIFY THAT I HAVF READ AND EXAMI�ED THIS AP- <br /> iecA�oescaianonoFaeuaeArvtsrwwae�owonnrracnFouacoaies PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT <br /> 17 23 Reights A�L PROVISIONS JF LAWS AND ORDINANCES GOVERNING THIS <br /> �oT o�aK_gF TYPE OF WORK NILL BE COMPJFD WITH WHETHER SPECIRED <br /> NEREIN OR NOT. T4E GRANTING OF A PERMIT UOES NOT <br /> PRESUME TO GIVE AUTHOhtITY TO VIOLATE OR CP.NCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AD�PE55 SiGNATUF� CONiP TOR R AUiH � AGF DPTE <br /> 1712 12th Street X � � � :R' / 8/4/80 <br /> PLUMBING MECHANICAL <br /> Np, TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> \4ATER CLOSET ROILET) AIR COND. UNITS—HP.EA. <br /> BATHTUB REFRIGERATION UNITS—HP.EA <br /> LAVATOPY�WASH�ASIN) �OILERS—HP.EA. <br /> SHOWEH GAS FIRED A.C.UNIiS—TONNAGE EA. <br /> KITCHEN SINK&DISP. FORCED AIR SYST[MS—B.T.U. M EA. <br /> DISHWASHER WALIHEATERS—BT.U. M <br /> LAUNDRY TRAV UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLEPS <br /> WATER HEATcR CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— CF.M. <br /> VACUUh1BREAKEFS STOVE <br /> ROOF DRAMS—RAINLEADEPS IAETAL FIREPLACE 8 CHIMNEY' <br /> SINK�SERVICE—BAR,ETC.) <br /> SUB TOTAL SUB707AL 5 <br /> PERMIT S PEPMIT S _ <br /> TOTALFEE S TO7ALFEE S <br /> SIDE VARD SETBACK STPEF.'SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLl�N CHEGK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> ❑YES ❑NO _ <br /> TYPE OF COHST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 54 ,000. 00 28 00 <br /> S2E GF BLDG. NO.OF STORIES �dAX.OGC.LOAD . <br /> PLUMBING <br /> FIflE ZONE BASEAIENT R Ol11RED KLERS MECHANICAL <br /> ❑YES ❑NO — <br /> qPPpOVALS BY DATE OTHER <br /> 7. ENVIR04MENTAL CHECK LIST pENAL7Y U.B.C. <br /> SEC.303(a) <br /> 2. BUILDINGPLANS TOTAI 28 00 <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROT[CTION SYSTEM PEflMIT VALIDATION <br /> WHEN PROPERLY VALIDA7ED 1M THIS SPACE)iHIS IS YOUR PERMIT <br /> 5. GRADIMG 5 � � a Q O 'L 8. (I O ••—� � <br /> 6. DRAINAGE y U <br /> 7. ENVIRONIdENTAL IMPACT STATEMENT � <br /> � <br /> 8. HEALTHDISTRICT ','�';��UR RECEIPT o <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.POR ISSUANCE BY ��-��"�„•.i K Y O U <br />