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(he E`CXV`OF <br />^ONSTRUCTION <br />everett <br />PERMIT PERMIT NO. 14574 <br />CITY HALL 2598745 <br />EVERETT. WA 98201 ❑ COMBINATION <br />❑ BUILDING XX MECHANICAL ❑ PLUMBING <br />OWNER <br />MAIL ADDRESS L.Iv br PHONE <br />ORVILLE WOOD 2316 - 74th <br />ST EVERETT WA 355-5102 <br />PHONE <br />ARCHITECT OR ULSIGNLF <br />MAIL AOORESS CITY ZU' <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />W. E. Wehme er PO BOX <br />261 Lake Stevens WA 98258 334-6551 <br />PLUMBING CONTRACTOR <br />MAIL AODRESB GIIY ZIP PHONE LICENSE <br />CLASS OF WORK <br />C� NEW ❑ ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION Cl FENCE CI SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />VALUATION OF WORK <br />It <br />DESCRIBE WORK <br />Install fireplace insert and chimne line) <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Residence <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />o <br />DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIESI CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />rn <br />LOT_BLOCK_—OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />•• <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTI.ER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />., <br />PERFORMANCE OF CONSTRU TION. <br />m <br />SIGNATURE CONTRACTOR OR A) E AGENT DATE <br />JOB ADDRESS <br />(�� � <br />X OA�L 3 4 85 <br />C O <br />m <br />2316 - 74th St <br />PLUMBING <br />MECHANICAL � <br />p <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 />F•1 <br />REFRIGERATION UNITS — H.P. EA, <br />G 2 <br />BATHTUB <br />> <br />BOILERS — H.P. EA. <br />—I <br />LAVATORY (WASH BASIN) <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />< -n <br />KITCHEN SINK A DISP. <br />WALL HEATERS —B.T.U. M <br />'*1 <br />O <br />DISHWASHER <br />UNIT HEATERS —B.T.U. M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />m <br />WATER HEATER <br />CLOTHES DRYERS <br />N <br />C <br />VENTILATION FAN <br />8r <br />URINAL <br />rn <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />C N <br />3 N <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />iY1 <br />VACUUM BREAKERS <br />STOVE — WOOD <br />r- <br />rn <br />RS <br />ROOMNER <br />METAL FIREPLACE 6 CHIMNEY <br />SINK) <br />FIREPLACE INSERT <br />HEAT PUMPTAL <br />SUBTOTAL f <br />T <br />f <br />PERMIT f <br />O <br />TOTAL FEE iRn <br />FEE <br />YARD SETBACK EI BACK <br />f <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEESIDE <br />RECEIPT NO. <br />FEE <br />USE ZONE LOT AREA <br />VACANT SITE <br />FEES VALUATI�.. FEE <br />YES NO <br />TYPE OF CONST. OCCUPANCY GROUP <br />N0. OF DWELLING UNITS <br />BUILDING f <br />SIZE OF BLDG. NO. OF STORIES <br />MAX. OCC LOAD <br />PLUMBING <br />FIRE ZONE BASEMENT <br />FIREUSPRI KLEHS MECHANICAL 17 50 <br />IRED <br />YES ,.NO <br />APPROVALS <br />OTHER <br />BY DATE <br />U.B.C. <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY SEC. 303 (11) <br />2. BUILDING PLANS <br />TOTAL I7 50 <br />3. FIRE HYDRANT <br />PERMIT VALIDATION <br />4. FIRE PROTECTION SYSTEM <br />WHEN PROPERLY VALIDATED (IN THIS, SPAC�) THIS IS YOIIR1PEIRMIT <br />5. GRADING <br />II r[+ <br />B. DRAINAGE <br />7. ENVIRONMENTAL IMPA'.'ATEMENT <br />I 1 <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY 'lANB CHECKED BY <br />APPR. FOR ISSUANCE BY , <br />J <br />ADDRESS FILE <br />