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L <br />rhP Evergrn <br />CITITY OECONSTRUCTIOI <br />everett PERMIT <br />CITY HALL 2598145 <br />EVERETT, WA S&Z01 ❑ COMBINATION ®C BUILDING G MECHANICAL <br />PERMIT NO. 12515 <br />❑ PLUMBING <br />OWNER MAIL ADDRESS ' 71 ZIP <br />DON HEGKF_.NDORF 1427 - 73rd St..._ Everett WA 9R703 35S-2445 <br />ARGNIIEDI OP ESIGNER MAIL ADDRESS CITY 21P PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />Everett Bldrs 5606 P.yerareen Everett WA QR701 363-7161 <br />MECHANICAL CONTRACTOR MAIL ODRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />�-11-111. ❑ NEW ❑ ADDITION ❑ ALTERATION KI REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />1 3900.00 <br />DESCRIBE WORK <br />Reroof and regable <br />PROPOSED USE OF BUILDING <br />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 FKTES NOT PRESUM E TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL W REGULATING CONSTRUCTION OR THE <br />PERF R NCE.OE CONSTRUCTION. <br />SIGNAT RE CONTRA oR AUTH IZE AGENT GATE <br />X 10/5/83 <br />LLG.'. rrerNPTION OF PROPERTY B BELOW Oft ATTACH FOUR COPIE81 <br />LOT l2,BLocxJ—oF' <br />_ ____ <br />JOB ADDRESS <br />1527 - 73rd St. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE _ <br />WATER CLOSET ITOILET) <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS - M.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK& DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS-B.T.U. M <br />CLOTHESWASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />_ <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 <br />{ <br />SUBTOTAL f <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />I <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />YES NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCVUPANCY GROU <br />NO. OF DWELLING UNITS <br />BUILDING <br />i <br />SIZE OF SLOG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />YES NO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />I. ENVIRONMENTAL CHECK LIST <br />.- <br />PENALTY <br />U.B.C. <br />SEC. 309 IA) <br />2. BUILDING PLANS <br />TOTAL <br />44 <br />SO <br />S. FIRE HYDRANT <br />I. FIRE PROTECTION SYSTEM <br />&.GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THISP/LCESI THIS y4xQt11LPf��(IT�� <br />(( is uu yy qq uu 4 T <br />T�I <br />YOUR RECEIPT• -I <br />iHIANK YOU <br />S. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />S. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />- 6 OCT 8 3 <br />