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rhB::YTYC CIOF <br />CITY OF - CONSTRUCTIOt <br />CI <br />everett PERMIT PERMIT NO.08790 <br />CITY HALL 259 8745 T� _ <br />EVERETT. WA 98201 ❑ COMBINATION @KBUILDING MECHANICAL PLUMBING <br />OWNER <br />Judy McCoy <br />MAIL AODPESS <br />1525 74th Street <br />�ii —__ <br />al' <br />everett 98203 <br />PHONE <br />353-1040 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CRY ZIP <br />PHONE <br />D NT <br />rrles Siding <br />MAIL ADDRESS <br />and Const. Co. <br />CITY <br />Snohomisv, <br />ZIP <br />98290 <br />PHONE LICENSE F <br />568-4616 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />L.rtr <br />ZIP <br />PHONE LICENSE F <br />TH RE <br />EL *5202P4 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSEE <br />❑NEW ❑ADDITION ❑ALTERATION fIREPAIR L-IDEMOLITION AFENCE I]SIGN ❑GARAGE <br />VALUATION OF WORK <br />E 3800.00 <br />DESCRIBE WORK <br />re-r00f-Como.. repair rear Dorch. cutters <br />PROPOSED USE OF BUILDING <br />single family residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE (.F WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN 011 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 />CONSTRUCTION OR THE PERFOR ANCE OF CONSTRUCTION. <br />SIGNATURE OF 00 TRACTORI-M MORIZE NT OAIE <br />1 1/19/81 <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COMES) <br />LOT 7 BLOC:K_OF Park City <br />JOB ADDRESS <br />1525 74th Street <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 />RATI ITUB <br />REFRIGERATION UNITS - H.P. EA <br />LAVATORY ASH BASIN <br />BOILERS - M.P. EA. <br />ShOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK 6 DISP, <br />FORCED AIR SYSTEMS - B T.U. M EA <br />DISHWASHER <br />WALL HEATERS -B.TU M <br />LAUNDRY TRAY <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 <br />ROOF DRAINS - RAINLEADEFS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK SERVICE - BAR, ETC. <br />SUBTOTAL <br />SUBTOTAL <br />PERMIT j <br />PERMIT j <br />TOTAL FEE j <br />TOTAL <br />FEE 11 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT S1TE <br />AYES LINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />j 3800. <br />44 <br />50 <br />SIZE OF BLDG. <br />NO, OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />R OU <br />SPRINKLERS <br />R D <br />MECHANICAL <br />_ APPROVALS <br />BY <br />DATE <br />OTHER <br />1. EN IRONMENTAL CHECKLIST <br />PENALTY <br />SEC. 303,(B) <br />2. Bl'LDINO PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />44 <br />50 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />f r <br />CO <br />O <br />S. GRADING <br />S. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APFR FOR ISSUANCE BY <br />ADDRESS FILE <br />