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IlIV EFergreen <br /> everett ro /CONSTRUCTION <br /> PERMIT PERMIT W.). 15352 <br /> CITY HALL 259�BIA5 <br /> EVERETT.WA 98201 ❑ COMBINATION I BUILDING Ci MECHANICAL U PLUMBING <br /> OWNER MAIL ADDRESS CITY ZIP PHONE <br /> Orville M. Wilcox Everett 98203 353-21.96 <br /> ARCHITECT ON <br /> DE514NEA MAIL AOpRE55 CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br /> Same <br /> MECHANICAL CONTRACTOO MAIL ADDRESS CITY ZIP PHONE LICENSE 0 <br /> PLUMBING CONTRACTOR MAII ADDRESS CITY ZIP PHONE LICENSE 0 <br /> CLASS OF WORK <br /> CINEW ❑ADDITION ❑ ALTERATION UREPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> f 1466.00 <br /> DESCRIBE WORK <br /> Be-roof-Composition <br /> PROPOSED USE OF BUILDING <br /> Duplex I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 1 HIS <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIES) APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT-BLOCK-OF Peck's Bayview Tracte GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> E 75' of W 190' Lot 2 together with N 20' WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> Vacated Avenue B LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGNATURE OF CONtAACTqR OR AUTHORIZED AGENT DATE <br /> 303 61st Street X 8/23/85 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> ( WATER CLOSET(TOILET) AIR COND.UNITS - H.P.EA. <br /> BATHTUB REFRIGERATION UNITS- H.P. EA. <br /> LAVATORY[WASH BASIN) BOILERS- H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS- TONNAGE EA. <br /> KITCHEN SINK B DISP. FORCED AIR SYSTEMS- B.T.U. M EA. <br /> DISHWASHER WALL HEATERS- B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS- B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> Wt TER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE-WOOD <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 6 CHIMNEY <br /> SINK(SERVICE- BAR.ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL j SUBTOTAL ! <br /> PERMIT f PERMIT f <br /> TOTAL FEE f TOTAL FEE f <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZOITE LOT AREA VACANT SITE <br /> . .YES NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO,OF DWELLING UNITS <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD BUILDING f 1466. 25 00 <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REQUIRED MECHANICAL <br /> YES NO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2.BUILDING PLANS _ SEC.3031A) <br /> 3.FIRE HYDRANT TOTAL 25 00 <br /> A.FIRE PROTECTION SYSTEM PERMIT VALIDATION 199I�.� <br /> 5.GRADING WHEN PROPERLY VALIDATED ON THIS SPA E)THI I IT <br /> S.DRAINAGE Ln <br /> 7.ENVIRONMENTAL IMPACT STATEMENT YOUR RECEIPT lM <br /> 8.HEALTH DISTRICT LL <br /> APPLICATION ACC.BY PLANS CHECKED BY APPH.FOR ISSUANCE BY THANK YOU <br /> 13Kc85 <br /> ADDRESS FILE t <br />