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theL•eO CITYOFF V C^NSTRUCTION <br />CITY <br />everett PERMIT PERMIT NO.09855 <br />CITY HALL 2598745 <br />EVERETT. WA 98201 U COMBINATION 7❑i (BUILDING ❑ MECHANICAL El PLUMBING <br />OWNER MAIL AODTIL55 CIl1 ZIP PH@NL <br />Robert E. Dexter 1801 72nd Place <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GE RAL NTRACT <br />">;moley �oo£ing Company <br />MAIL ADDRESS <br />4601 84th N.E. <br />Lake Stevens <br />�" ----'" <br />98258 <br />MECHANICAL CONTRACTOR <br />MAIL ADOAE55 <br />CITY <br />ZIP PHONE LICENSE D <br />SM OK ER 267NW <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CTY <br />ZIP PHONE LICENSED <br />CLASS or WORK <br />❑NEW []ADDITION ❑ALTERATION ®11EPAIR ❑DEMOLITION ❑FENCE ❑SIGN EIGARAGE <br />I OF <br />.0 <br />DESCRIBE WORK <br />L­ <br />zu-1w. .nLunco o y.. q.. ......� <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />Single family residence <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIES) <br />5 BLOCK_OF Monte Vista <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTR CTION OR THP IjFORMANCE OF CONSTRUCTION. <br />SIG RE CO 0{I DEAL" I )ZED AGENT DATE <br />"X l O 1 81 <br />JOB ADDRESS <br />72nd Place <br />_1801 <br />MECHA )CAL <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. TYPE OF EQUIPMENT FEE <br />WATER CLOSET (TOILETJ <br />AIR COND. UNITS - H.P. EA, <br />REFRIGERATION UNITS - H.P. EA <br />BATHTUB <br />BOILERS - M.P.EA. <br />- <br />LAVATORY ASH BASIN) <br />GAS FIRED AC. UNITS - TONNAGE EA. <br />_. <br />_ <br />SHOWER <br />FORCED AIR SYSTEMS - B T.U. M EA. <br />KITCHEN SINK A DISP, <br />WALL HEATERS - B.T.U. M <br />DISHWASHER <br />UNIT HEATERS - BTU, M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER HEATER <br />VENTILATION FAN <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT - C.F.M. <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR. ETC) <br />SUBTOTAL <br />SUBTOTAL <br />PERMIT i <br />PERMIT <br />f <br />TOTAL FEE <br />TOTAL FEE <br />777 <br />SIDE YARD SETBACK STREET SETBACK <br />{ <br />REAR YARD SETBACK <br />PLAN CHECK PLAN CHECK FEE <br />FEE RECEIPT NO. <br />NUMBER <br />USE TONE <br />LOT AREA <br />VACANT <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OUPANCY GROUP <br />CC <br />NO. OF DWELLING UNITS <br />BUILDING <br />$729.00 <br />14 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OOC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE RED KLERS <br />MECHANICAL <br />IIYES nNO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />Us C. <br />SEC. 303 (31 <br />2. BUILDING PLANS <br />50 <br />TOTAL14 <br />3. FIRE HYDRANT <br />A. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT , r <br />LC <br />O( <br />6, GRADING <br />B. DRAINAGE <br />7. ENVIRONMENTA711MIPACTMENT <br />Cr <br />Ij') C <br />S, HEALTH DISTRI <br />APPLICATION AEC <br />CHECKED BY <br />APPR. !FORSSUANC!BY <br />• <br />ADDRESS FILE <br />