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r <br />L <br />the <br />f;IT.11('i CONSTRUCTIOP' <br />everett PERMIT PERMIT NO. U996 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ❑ COMBINATION Ll BUILDING L MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS I . ZIP PHONE <br />Mark Wilson 1522 73rd Street Everett 98203 353-.')C _ <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE A <br />PermaBilt Inc. <br />3416 Everett Avenue <br />Everett <br />98201 <br />252-5575 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE A <br />PERMABL179 SR <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE A <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ W000 STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />f 5500.00 <br />ronatrncr GArAao <br />PROPOSED USE OF BUILDING <br />Single Family Residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE O NSTRUC I N. <br />SIGNATURE OF CONTRA CT OR AUTHOR' ENT GATE <br />X . - - <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIESI <br />LOT 3 BLOCK 2 OF. Park CitV <br />JOB ADDRESS <br />1522 73rd Ftrest <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - M.P. EA. <br />LAVATORY(WASH BASIN) <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS - B i.U. M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS - B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUBTOTAL f <br />SUB TOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE $I <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />61 <br />STREET SETBACK <br />201 <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />83/11999 <br />PLAN <br />FEE36.73 <br />CHECK FEE <br />62%V'TNo. <br />USE ZONE <br />R-1 <br />LOT AREA <br />10500 <br />VACANT SITE <br />YES IM <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />M <br />NO. OF DWELLING UNITS <br />BUILDING <br />f 5500. <br />56 <br />50 <br />SIZE OF BLDG. <br />864 Sq. Ft. <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />YES 7C 7P/0 <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (al <br />2. BUILDING PLANS <br />TOTAL <br />56 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMWHEN PROPERLYVALIDATED(IN THI SPACEI THIBfIETIYP P IT- <br />Qn <br />� <br />YOUR RECEIPT" <br />THANK YOU <br />S. DRAINAGE <br />7.ENVIRONMENTAL IMPACT STATEMENT <br />S. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />EB <br />PLANS CHECKED BY <br />RWM <br />APPR. FOR ISSUANCE BY <br />LC <br />ADDRFSS FILE <br />3 1 MAY S 3 <br />