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dieEvergreen �� ����'RUCTION �� �� <br /> CITY OF P�R��� <br /> everett PERNIIT NO. Og74H <br /> �iTVHn��zssa7�s � COMBINATION �XI BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> EVEPETT.WA 98'201 Ziv pHpuE <br /> �ITY <br /> UAIL ADDHE55 2 5 2—6 415 <br /> owr+ea Everett 98201 <br /> g. Michael Nickerson 1512 13th Street Z�P P„o,+E <br /> CITY <br /> MAIL AO�RE55 <br /> ANCHITEGT OP DESIGNEP <br /> Z�P PHONE UCENSE� <br /> MAIL ADORE55 <br /> CITY <br /> GENERALCONTRPGTOH <br /> same ZIP PHONE I�CERSE� <br /> MFIL AD�RF55 ��TY <br /> AI[QIAWGAL CONtRACTOR <br /> CITY <br /> LP — �'nuNE UnpNSee <br /> IAAIL ADORE55 <br /> P W M�ING CONTPFGTOR � <br /> ClASS OF WORK <br /> ❑NEW ❑ADDITION ❑0.LTERATION UREPAIR ❑DEMOLITION �,[+ENCE ❑SIGN GARAGE <br /> VPLUATION OF WORN <br /> 5 SOO. 00 <br /> oEscRiee woNK <br /> constzuct 42+ Fence <br /> PROPOSED US[OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMWED THIS AP- <br /> single family residence pLICATION AND I<NOW THE SAME TO BE TRUE AND CORRECT. <br /> �Ec��oescaiPTioNovaaoaeArvtsNo�veE�owoanrracnFouecoaies ALLPROVISIONSOFLAWSANDORDINANCESGOVERNINGTNIS <br /> W 6 . 5 ' ��—K 240�: Everett Div. R TYPE OF WORK WILL BE COMPLIED WITH VJHETNER SPECIFIED <br /> �o'� HEREIN OR NOT. THE GRANTING GF R PERMIT DOES NOT <br /> 3 2 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO� <br /> VISIOhS OF ANY OTHER STATE OR LOCAI LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTR�UCTION. <br /> S�GNAil1RL�O/F CUNiRACiOR nOF AUTHOPIZ D AGENT 9�3�81 <br /> JOB ADDRESS J(�, //4fML�l� <br /> 1512 13th Street MECHANICAL <br /> pLUMBING FEE <br /> FEE NO. TYPE OF E�UIPMENT <br /> NO. TYPE OF FIXTURE OR ITEM q�R COND.UNITS—�{�P�EA. <br /> WNTER CLOSET QOILET) REFRIGERATION UNITS=-H.P.E��—. <br /> BATHTUB BOILERS—H.P.EA. <br /> LAVATORY(WASH BASIN) GNS FIRED A.C.UNITS--TONNAGE EAM EA. <br /> S,�OVlER FOflCEU AIR SYSTEMS—BT.U. <br /> KITCHEN SWK 8 DISP. WALL HEATERS—g 7�U. M <br /> Di5HWA5HER M <br /> UN IT HEATERS—B.f.U. <br /> LAUNDRYTRAY EVAPORATNECOOLERS <br /> CLOTHES WASHER CLO'.HES DRVERS " <br /> WATER NEATER VENTILl�T�ON F�N <br /> URINAL RANGE HOOD QF.M, <br /> DRINKING FOUNTAIN FIR FIANULING UNIT— <br /> FLOOH DRAIN STOVE <br /> VACUUM BREAKERS METAL FIREPLACE&CHIMNEY <br /> ftOOF DRAINS—RAWLEADERS <br /> SWK(SERVICE—BAR.ETC.1 <br /> SUBTOTAL : � <br /> SUB TOTAL PERMIT = <br /> PEHMIT S TOTAL FEE S � <br /> TOTAL FEE S PLAN CHECK FEE <br /> RPAR YARD SETBACK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> SIDE YAflD SETBAGK STREET SETBACK _ <br /> VACANT SITE VALUATION FEE <br /> LO7AREA FEES <br /> USEZONE ❑YES ❑NO <br /> TYPE JF CONST. OCCUPANCY GROUP NO.OF OWELLiNG UNITS <br /> oU�LDING s500. 00 10 00 <br /> NO.OF STORIES MA%.OCC.LOAD <br /> � SIZE OF BLDG. PLUMBING <br /> BASEMENT FIRE SPRINKLERS MECHANICAL <br /> FIRE ZONE R'O SIREDNO <br /> pPPROVALS BY <br /> DATE OTHER <br /> U.B.C. <br /> 1. ENVIPONMENTAL CHECK LIST <br /> PENALTY SEC.303(a) _ <br /> �� �0 <br /> 2. BUILDINGPLANS TOTAL <br /> 3. FIFE HYDRANT pEHM1T VALIP.TION <br /> VlHEN PROPERIY':4LIDATED(IN THI'i SPACE)THIS IS YOUR PEFMIL <br /> 4. FIRE PFOTECTION SYSTEM r � , :,. I C� ,� �' _ _ QQ <br /> , . . < ,�. <br /> 5. GNADING � <br /> 6. DRAINAGE � <br /> 7. ENVIROhMENTAL IMPACT STATEMENT ,- � � <br /> �—� <br /> B. HEALTH DISTRIC? APPR.FOR ISSUANCE BY � .. <br /> APPUCA710N ACC.BY PLANS CHECKED BY <br /> ACDRESSFILE <br />� <br />