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the EverKreen <br /> �,ONSTRUCTION <br /> everett PERMIT PERMIT NO. 15316 <br /> CITY HALL 259-8745 <br /> EVERETT,WA 98201 El COMBINATION XX BUILDING LI MECHANICAL Ll PLUMBING <br /> OWNER MAIL ADDRId'= CITY ZIP PIIpRE <br /> EARL B. BOYENGA 108 - 77th Pl SE Everett WA 98203 355-021 <br /> ARCHITECT ON DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IT <br /> Same <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br /> PLUMBING CON74ACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE II <br /> CLASS OF WORK <br /> kI NEW ❑ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WORK <br /> f 500.00 <br /> DESCRIBE WORK <br /> Install cover over existing patio slab z <br /> PROPOSED USE OF BUILDING p <br /> Single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL DESCRIPTION OF PROPERTY ISMOW BELOW OR ATTACH FOUR COPIES) APPLICATION AND KNOW THE SAME TO BE TRUE AND C'm <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> L07?BLOCK_OF Cedar Ridge GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR v i <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. p <br /> JOB ADDRESS SIGNATURE OF O TORO AUTHORIZED AGENT DATE fTl C <br /> 108 - 77th PL SIJ X ) c <br /> O <br /> PLUMBING MECHANICAL -1 z <br /> x -1 <br /> NO TYPL OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE rn., <br /> WATFR CLCSLT(ro.LET) _ AIR COND. UNITS- H.P. EA. <br /> L 'O z <br /> C <br /> THTUB _ REFRIGERATION UNITS- H.P. EA. fn' i <br /> AVAi 511Y IIVASH BASIN) BOILERS- H.P.EA, N <br /> SHOWER _ GAS FIRED A.C.UNITS- TONNAGE EA. < <br /> KITCHEN 9INK f I11SP. FORCED AIR SYSTEMS- B.T.U. M EA. y <br /> DISHWASHER WALL HEATERS- B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS- B.T.U. M <br /> CLOTH'S WASHER EVAPORATIVE COOLERS <br /> _ O <br /> W;TER1 SEATER CLOTHES DRYERS C:) <br /> URIM1-1L VENTILATION FAN N <br /> DRINKING FOUNTAIN RANGE HOOD = n <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. �'r- <br /> VACUUM BREAKERSSTOVE-WOOD D <br /> A <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE& CHIMNEY <br /> SINK(SERVICE- BAR,ETC.) FIREPLACE INSERT y <br /> HEAT PUMP = <br /> ti <br /> S <br /> n. <br /> N <br /> 2 <br /> SUB TOTAL f SUB TOTAL f C) <br /> H. <br /> PERMIT f PERMIT f r <br /> TOTAL FEE f TOTAL FEE f m <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 61 201 ' 85/15309 FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> R-1 <br /> ..YES NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING UNITS <br /> V-N MBUILDING 110.00 <br /> SIZE OF BLDG, NO.OF STORIES MAX.OCC. LOAD .I10_ <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REQUIRED MECHANICAL <br /> YES NO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U B.C. <br /> 2.BUILDING PLANS SEC.003(q <br /> J.FIRE HYDRANT TOTAL 10 <br /> 00 <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5.GRADING - WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOYI,PERMIT _ <br /> B.DRAINAGE I <br /> 7.ENVIRONMENTAL IMPACT STATEMENT (h <br /> B.HEALTH DISTRICT Ln <br /> APPLICATION ACC. BY PLANS CHECKED BY APPA.FOR ISSUANCE BY I I <br /> stg Stg dab <br /> ADDRESS FILE <br /> _ I <br />