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r <br /> r <br /> 1 <br /> ''ONSTRUCTION <br /> everett PERMIT PERMIT NO. 11198 <br /> LVL Sit WA ❑ COMBINATION ❑ BUILDING �I MECHANICAL I PLUMBING <br /> OWNER MAIL AUDNL:,:. PP MgllL <br /> WTT.T.TAM W- MORGAN 13n 7nth St E.VERETT- WA -8203. <br /> ARCHIRC1OR nl SLL.HIR MAIL ADDRESL UTY IIP PHONE <br /> GE NLML CONTRACTOR MAIL ADDRESS CM IIP PHONE LICENSE <br /> r MECHANICAL CONTRACTOR MAIL ADDRESS CRY IIP PHONE LICENSE/ <br /> SELF <br /> PLUMBINGCONTRACIOR MAN.ADDRESS CITY ZIP PHONE LICENSEE <br /> CLASS OF WOR <br /> ,[JNEW ❑AOD'IION []ALTERATION LIREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION Or WORK <br /> E <br /> DES,AI FL WOR✓. <br /> INSTALL WOOD STOVE <br /> PROPOSED USE or BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br /> LEGAL DEBCRRn ION Of IM KRIY iStwW BELOW OR ATTACH'OUR CCPR SI PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> Lor mxK_rn TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPFCIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THF PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> A)n ADDRf 55 - SIGNATU O CqONTRAC1nn Lm AUTHORIZED AGENT 0411 <br /> 130 76th St. X CA Y 1. RO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMEN FEE <br /> WATER CLOSETTOILET) _ AIR CORD.UNIIS—H P EA <br /> BATHTUB _ REFRIGERATION UNITS—H EA <br /> LAVATORY ASH BASIN) BOILERS—H P.EA <br /> SHOWER GAS FIRED A C UNITS—TONNAGE EA <br /> KITCHEN SINK 8 DISP FORCED AIR SYSTEMS—B T U M EA. <br /> DISHWASHER WALL HEATERS—81 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— C F M <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY S O <br /> SINK ISERVICE—BAR.ETC. <br /> SUBTOTAL BUB TOTAL f7 50 <br /> PERMIT B PERMIT f 10 00 <br /> TOTAL FEE S TOTAL FEE 17 SO <br /> SIDE YARD SETBAC+ STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO <br /> USE ZONE LOT AREA VACANT SITE <br /> OYES []NOES NO FEVALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING f <br /> SSE OF BLDG NO OF STORIES MAX.DCC.LOAD <br /> PLUMBING <br /> L FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> )YES I)NO <br /> APPROVALS BY DATE OTHLR <br /> 1. ENVIRONMENTAL CHECK LISTpENpL7y U B C <br /> SEC 3031A) <br /> 2. BUILDING PIANS <br /> 3 FIRE HYDRANT TOTAL 17 50 <br /> L A FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5 GRADING 9 5 S S S 017.5 0 -- <br /> 8. DRAINAGE <br /> T. ENVIRONMENTAL IMPACT STATEMENT L <br /> 8. HEALTH DISTRICT rr{ <br /> rYt7U+R RECEIPT <br /> APPLICATION ACC.BY I PLANS CHECKED BY APPR FOR ISSUANCE BY THANK YOU <br /> ADDRESS FILE <br /> 4 <br />