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the L1rF <br /> CITY OF CONSTRUCTION <br /> everett PERMIT PERMIT NO. 06214 <br /> 1 111 IIAL L F'a78745 <br /> I VERETT,WA 95201 ❑ COMBINATION ki BUILDING L MECHANICAL PLUMBING <br /> OWNER 1.1AI1 AUUP[SS r <br /> Carl Rogers 233 76th Place S.W. Everett 98203 353-9890 <br /> ARCHRECT OR D(51ONER MAIL ADDRESS .Uv In 1'nuNt <br /> GENERAL CONNIACTOR MAIL ADDRESS _ 71P PHONE 1141 h;I <br /> Snohomish County Builders 355-5757 <br /> MECHANICAL CONIRACTOR MAIL ADDRESS u. -_-- _ - ZIP PHONY LICLNCI <br /> EV EK EB 301 PH <br /> PLUM8IRGCON1PAc T0R MAILADDRESS 01, 71P 'HO-41 <br /> CLASS OF WORK, <br /> ❑NEW I.IADDITION L IALTERATION LPEPAIR ❑DEMOLITION I )FENCE LISIGN 11GARAGE <br /> VALUATION OF WORN <br /> t 5, 300. 00 <br /> DFSCRIRF WORK <br /> Retaining walls <br /> PROPOSED USE OF BUILDING <br /> Single family I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGAL DESCAIPT*NOF <br /> P•LEGALDESCAIPT*NOF PFIDPLRTYISHOW RLLOW ORATTACHIDUHCOPiISI PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 11 View Crest ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> OT nLoc._or TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <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 /> CONS IOR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AODRLSS —" SIG USE DO CTOR0 PMLD AC4141 DATE <br /> 233 76th Place S.W. z XtSSRYSx <br /> PLUMBING ME ANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET ITOILET) AIR COND UNITS—H P EA <br /> BATHTUB REFRIGERATION UNITS—H EA <br /> LAVATORY WASH BASIN) I BOILERS—H P EA. <br /> SHOWER GAS FIRED A C UNITS— TONNAGE EA <br /> _ KITCHEN SINK &DISP FORCEU AIR SYSTEMS—R T U M EA <br /> DISHWASHER WALL HEATERS—D 1 U M <br /> LAUNDRY TRAY UNIT HEATERS—B T U M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— CIM <br /> VACUUM BREAKERS STOVE <br /> R00F DRAINS—RAINLEADERS PETAL FIREPLACE S CHIMNEY <br /> SINK(SERVICE —BAR,ETC I <br /> SUBTOTAL SUBTOTAL f <br /> PERMIT i PERMIT 11 <br /> TOTAL FEE 11 TOTAL FEE f <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 79/413 FEE 18.00 RECEIPT NO <br /> USE ZONE LOT AREA VACANT SITE 1 40521 <br /> LYES !:NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO OF DWELLING UNITS <br /> BUILDING S 5300.OC 36 00 <br /> SIZE OF BLDG N0.OF STORIES MAX DOC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRCD MECHANICAL <br /> 'YES '. 'NO <br /> APPROVALS BY DATE OTHER <br /> I. ENVIRONMENTAL CHECK LIST PENALTY UBC <br /> Z BUILDING PLANS <br /> SEC.303(a) _ <br /> -- <br /> 3 FIRE HYDRANT TOTAL 3 G OO <br /> 4 PIPE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED TIN THIS SPACE)TH1515 YOUR PERMIT <br /> 5 GRADING <br /> 6 DRAINAGE <br /> 7. ENVIRONMENTAL IMPACT STATEMENTPL •• • 04 <br /> 6 HEALTH DISTRICT YOUR RE`C3Etl4 <br /> APPLICATION ACC.BY PUNS CHECKED BY APPR FOR ISSUANCE BY <br /> =LJIW K YOU ' <br /> ADDRESS FILE <br />