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Ihr E��erxreen .— <br /> ��i� °F � � �ON�TRUCTIOf�' <br /> e�erett pERMIT PERMIT N0. �64�G <br /> CITV MALL 259�8745 <br /> EVERETT,WA 90207 ❑ COMBINATION ❑ BUILDING CC�t MECHANICAL ❑ PLUMBING <br /> D�vNth MAIL q00PE55 CITY ]IP PHONE <br /> Lessley Construction <br /> ARCHREGT OR OESIGNER MAIL A�ORESS CRY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL qDDRE55 CITY ZIP PHONE LICENSE� <br /> MFCMANICAL GONiRACTOR MAIL FODFE55 CITY 21P PHONE LIGENSE M <br /> Reliable Sheet Metal <br /> PLUMpING CO:JTRACTOR MAIL ADORESS CITY ZIP PMONE LIGENSE x <br /> CLA55 OF WORN <br /> � NEW ❑ ADDITION ❑ ALTERA710N ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIFEPLACE INSERT <br /> VALUATION OF WORK <br /> E <br /> DESCRIBE WORK <br /> Cas Rurnace <br /> PROPOSED USE OF BIIIL�ING <br /> Sin le Famil Residence I HEREBY CERTIFY THA'i I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �EGAL DESCRIPTION OF PqOPEPTY(SHOW BELOW OF ATfACH FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br />! JOB ADDRESS SIGNATURE OF CONTRFGTOR OR AUTHOR2E0 AGENT DAiE <br /> S 4th Dr. S.E. X Check No. 14754 <br /> i - <br /> PLUhS81NG MECHANICAL <br /> i <br /> S N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> I WATERCLOSET(TOILEn AIR COND. UNITS— H.P. EA. <br /> BATHTUB qEFFIGERATION UNITS — H.P. EA. <br /> LAVATORY�WP.SH BASIN) BOILERS— H.P.EA. <br /> SHOWER GAS FIRED A.C. UNITS — TONNAGE EA. <br /> KI7CHEN SINK&DISP. FORCED AIR SYSTEMS— B.T.U. M EA. 4 SQ <br /> DISHWASHER Y✓ALL HEATERS— B.T.U. M <br /> LAUNDRYTRAY UNI7 HEATERS— B.T.U. M <br /> CLO7HE5 WASHER EVAFORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAI VENTILAfION FAN <br />� DRINKING FOl1NTAIN qANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— L.F.M. <br /> VACUUM 9REAKERS STOVE—WOOD <br /> ROOF DHAINS— RAINLEADERS METAL FIREPLACE&CHIMNEY <br /> SINK(SERVICE — BAR,E7CJ FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TO7AL a SUB TOTAL S 9 �O <br /> PERMIT 5 PERMIT S ].O OO <br /> TOTALFEE S TOTAL FEE 5 14 50 <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIP7 NO. <br /> USE ZONE LO7 AREA VACAN7 SITE <br /> � VES NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> 3UILDING $ <br /> SIZE OF BL�G. NO. OF STORIES MAX.OCC. LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT FIRE SPRINKLFFS MECHANICAL <br /> REOUIRED 1<I SO <br /> YES NO <br /> APPfiOVALS BY OATE O7Ht9 <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2.BUILDING PLANS SEC.303(a) <br /> 3.FIREHYDRANT TOTAL ].A SO <br /> 4.FIRE PqO7ECTION SYS7EM PEflM1T VALIDA710N <br /> S.GRADING WHEN PROPERLY VALI04TED pN THIS SPACE)THIS IS YOUR PERMR (� <br /> 6.ORAINAGE 2 J I �: . �� I '�. �' 1 '"— � <br /> 7.ENVIFONMENTALIh1PACTSTATEMENT <br /> B.HEALTN DISTRICT ��7 <br /> APPLICATION ACC.BY PLANS CHECKED BV APPR. FOR ISSUANCE BY � ' <br /> ��orzEss ri�F <br />