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LMt,,,,INR APPLICATION FOS' PYP,R„ <br /> CITY OF CONSTRUCTION U <br /> eve ett PERMIT U <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259-8745 <br /> EVERETT,WA 90201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OW", MALI ADORE SS CII1 ZIP Iv. r.l <br /> r James F. Templin 27 76th S.W. Everett 98203 353-0828 <br /> AR[NITOCT OR UISIGNIR SAIL ADDRISS CITY ZIP Ig4Ai <br /> GINIRAL CONTRACTOR MAII ADDRISS CITY ZIP PHOM LICINHa <br /> Everett Builders , Inc. 5606 Evergreen Way Everett 98203 353-7161 <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY Lip PHONI LICINSE R <br /> (223-01-EV-ER-EB 301 PH) <br /> PIUMRWG CONTRACTOR MAIL ADDRISS CITY ZIP MONT LOCI NSI OF <br /> CLASS OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION 0111PAIR ❑DI MOLITION ❑FENCE ❑SIGN 6{kARAGF ❑BUILDING RELOCATION <br /> VALUATION OF WORK <br /> 1 12 , 110.00 <br /> DFSCRINI WORK <br /> Restructure roof on residence and 30 x 32 x 12 Pole type garage. <br /> PRl1NSHDlb1 OI RURDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> Sing le family residence . PLICATION AND KNOW THE SAME TO BE TRUE AND CORRFCT ALL <br /> _ L[CAI DISCRIPIIONOI PROPIRIY ISHOWN NIIOW OR AITMII IOURCOPIISI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> 6 O'Connor and Cronin 's OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> TOT_Btoct_L,T OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br /> TOR ADORE SS � <br /> 27 76th S .W. Everett , Washington 982 2 . //ri� —� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FE[ <br /> WATT R CLOSE T OF 011111 AIR COND UNITS-IIP LA <br /> BATHTUB REFRIGERATION UNITS-HP LA <br /> LAVATORY(WASH BASIN) I HOILIRS-HP [A <br /> SHOWER GASFIREDAC UNITS-TONNAGE EA <br /> KITCHEN SINK 8 DISP IORCED AIR SYSTEMS-BTU MEA <br /> DISWASHIR WALIHFATERS-BTU M <br /> LAUNDRYTRAY UNIT„IAIIRS-BTU M <br /> ('`OTITIS WASHER EVAPORATIVE COOLf RS <br /> SVAII R HEATER CLOIHf S DRYI RS <br /> URINAL VENTRAT10N FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN ATR HANDLING UNIT— C F M <br /> VACUUM BREAKERS SIOVI <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR.ETC 1 <br /> SUBTOTAL SUBTOTAL S <br /> PERMIT 1 PERMIT S <br /> TOTAL FEE s TOTAL [E S <br /> SIDE YARD SETRACK STREET SETBACK HI AH nYARD SI TRACK PLAN CHf CK NUMBER PLAN CHICK FII <br /> (.0 F= �r -!� Q./- /G Fit ' � k[CFIP <br /> USE Z(U)NI 1I LOT AREA vAC ANI SI V <br /> — ❑TIS OF II[S VALUATION Fit <br /> TYPE SOF CONST OCCUPANCY GROUP NO OF DWELLING UNITS <br /> 3z-7,) M _ - n <br /> BUILDING1 fc_ -I <br /> SIZE OF BLIx: NO OF STORIES MAX OCC TOAD _ <br /> 47&O 5,F PLUMBING <br /> FIRE ZO.rt BASIMINi I BEDROOMS TIRE SPRINKIIRS <br /> RIQSIRIID MECHANICAL i <br /> ilgn <br /> APPROVAL$ BY DAII OTHER _-1 <br /> 1 ENVIRONMENTAL CHICK IIST UBC <br /> PI NAI IY SfC YDXRI <br /> Z BUILDING PUNS <br /> S FIRE HYDRANT TOTAL it ��LI <br /> 1 FIRI PROTICIION SYSTEM PERMIT VALIDATION C"� <br /> WHIN PROPERLY VALIDATEDON THIS SPAC[I THIS IS YOUR PERMIT <br /> S GRADINGIIACAVATIONACLIARINGIGRUBBINC. <br /> L6 DRAINAGE <br /> 7 INVIRONMENTAL IMPACT SIATEM(NI <br /> B HEALTH DISTRICT <br /> APP`ICAI ION ACC BY PLANS CHECKED BY APPR FOR ISSUANCE BY <br /> L-- 6 1 <br /> 9.1-79 <br />