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d�c Ll•crereeri <br /> ���� �� �� ���� ;ONSTRU�TIO (�` <br /> everett pERnnIT PERMIT NO. 16� g� <br /> CITY HALL 259�0745 <br /> EVERETT,WA 98201 � COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OYJNER MFIL ADDRE55 GTV ZIP PHONE <br /> Lessley Construction <br /> AfICH1TEGi OR pE51GNER MAIL AODRESS GTY ZIP PHONE <br /> GENEPAL CONTRAGTOR MAIL ADDRE55 Gli' ZIP FMONE LICENSE x <br /> MECMANICAL CONTRACTOR MAIL AOUPESS CITY ZIP PHONE LICENSE� <br /> Reliable Sheat Metal <br /> PLUMBING GONTRAQOR MAiL ADDRESS CITY ZIP PHONE LICENSE x <br /> CLA55 Of-WOPK <br /> � NEW ❑ ADDI710N ❑ AL7ERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVE/FIREPLACE INSBFiT <br /> VqI.UATION OF WORK <br /> 5 <br /> OESCFIBE WOPN <br /> Gas Furnace <br /> PROPOSEO USE OF BUIL�ING <br /> Single Family Residence � I HEREBY CERTIFY THA7 I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESLRIP'iIONOPPROPEFTV�SNOWBELOWORATfACMFOURCOPIE51 CORRECT. A�L PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COh1PLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERi�S1T DOES NOT PRESUMETO GIVE AUTHORIlYTO 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 CONiFACTOR OR AUTHOR¢E�FGENT DnTE <br /> 12022 - 14th Dr. S.E. X Check No. 19754 <br /> PLUMBING . MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF �OUIPMENT FEE <br /> WATER CLOSET�TOILE'� AIR COND. UNITS — H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY�WASH BASIN) 001LERS — H.P. EA. <br /> SHOWER GAS FIRED A.C. UNI75 —TOtJNAGE EA <br /> KITCHEN SINK 8 DISP. 1 FORCED AIR SYSTEMS— P.7.U. M EA. 4 SQ_ <br /> DISHWASHER WP.LL HEATERS— B.T.U. M <br /> LAUNDRYTRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> SVATER HEATER CLOTHES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DFAIN AIR HANDLING UNIT — C.F.M. <br /> VACOUM BREAKERS STOVE — WOOD <br /> pOOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE — BAR, ETQ) FIREPLACE INSERT <br /> NEA7 PUMP <br /> SUd TO7AL a SUB TOTAL 5 q <br /> PERMIT S PERMIT 5 <br /> TO7AL FEE 5 70TALFEE S 4 <br /> SIDE YAFiD SETBACK S7'REET SETBACK REAR YARD SETBACK PLAN CHGCK NUMBER PLAN CHEGK FEE <br /> FEE RECEIPT 40. <br /> USE ZONE LOT AREA VACANT SITE — <br /> YES NO FEES VALUATION FEE T <br /> 7YPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS I <br /> BUILDING � <br /> 5!ZE OF BLC1Ci NO.OF STOR�ES MAX.OCG LOPO <br /> PLUMBING <br /> FIfiE ZONE BAS'cMENT FIRE SPRINKLERS MECHANICAL <br /> REQUIPED 14 50 <br /> VES NO <br /> APPROVALS BY OA7E �THER <br /> 1.ENVIRONMENTAL CHECK LIST pENALTY U.BC. <br /> SEC.303�a) <br /> 2.BUILDING PLANS ].4 SO <br /> 3 FIRE MYDflANT TOTAL <br /> 4.FIRE PROTECTION SYSTEM PEflM1T VALIDATI01! <br /> 5.GRADING WHEN PROPEflLY VALIDATED QN THIS SPACE)THIS IS YOUR PERMIT (�p <br /> 6.DRAIIJAGE :- � �) � �, � �� � — — "'� <br /> ti}' <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> (i'� <br /> 8.HcALTH DISTRICT . _� <br /> APPLICATION ACC.8Y PLANS CHECKED BV APPR. FOP ISSUANCE eY ' � <br /> 1 <br /> ADDRE55 FIIE � <br />