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ONSTRUCTIOP <br /> everett PERMIT PERMIT NO. 133J9 <br /> CITY HALL 2594745 <br /> Et 6RETT,WA 9B20I 0 COMBINATION xx BUILDING MECHANICAL ❑ PLUMBING <br /> UC.pt n <br /> PHONE <br /> MAIL AUUPE55 Crt, I <br /> 44 <br /> Z. <br /> Brian Waugh 6 77th Street S.E. Everett 98403_ PSONE7B <br /> ARCHITECT OR DESIGNER <br /> MAIL ADORESS CITY <br /> GENERAL CONTRACTOR <br /> MAIL ADDRESS LITY 21P _ --PHONE LICENSE E <br /> Same <br /> CITY <br /> MECHANICAL CONTRACTOR <br /> --- MAIL AODPE65 ZIP PHONE LICENSE E <br /> PLUMBING CONTRACTOR <br /> MAIL ADDRESS CITY ZIP PHONE LICENSE E <br /> CLASS OF WORK <br /> ❑NEW CRX.ODITION C1 ALTERATION ❑REPAIR ❑ DEMOLITION C) FENCE ❑ SIGN ❑ WOOD 6TOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> { 1050.00 <br /> DESCRIBE WORK <br /> Construct Deck <br /> PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> Single Family Residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF VROPEPTY ISHOW BELOW OR ATTACH FOUR COPIESI CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 27 Cedar Ridge Estates GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCK_OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE I ROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REG u. AT'NG CONSTRUCTION OR THE <br /> PERFORMANCE OF CON. .RUCTIOy. DATE <br /> JOB ADDRESS SIGNATURE CONTRACTOR OR�•IT ORIZED AOIq.+T` 5/11/64 <br /> 6 77th Street S.E. X L//l// <br /> PLUMBING MECHANICAL <br /> FEE ND TYPE OF EQUIPMENT FEE <br /> N0. TYPE OF FIXTURE OR ITEM __ Alp COHO.UNITV— H P.EA. <br /> WATER CLOSET(TOILET) --- -- <br /> REFUNITS—M.P.EA. <br /> BATHTUB <br /> OILERS—H.P.EA. <br /> LAVATORY(WASH BASIN) B <br /> OAS FIREO A.C.UNITS—TONNAGE EA. <br /> SHOWER -" <br /> KITCHEN SINK a DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> WALL HEATERS— B.T.U. M <br /> DISHWASHER <br /> UNIT HEATERS— B.T.U. M <br /> LAUNDRY TRAY <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> CLOTHES DRYERS <br /> WATER HEATER - — <br /> • /ENTILATION FAN <br /> URINAL <br /> RANGE HOOD <br /> DRINKING FOUNTAIN C.F.M. <br /> FLOOR DRAIN STOVE—WOOD <br /> AIR HANDLING UNIT — <br /> VACUUM BREAKERS <br /> ROOF DRAINS— RAINLEAOER9 <br /> METAL FIREPLACE&CHIMNEY <br /> SINK(SERVICE— BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUS TOTAL t SUB TOTAL S r-3 <br /> PERMIT S rn "- <br /> PERMIT S <br /> TOTAL FEE f <br /> TOTAL FEE S <br /> PLAN CHECK FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER FEE RECEIPT NO, <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> YES . .NO Sa 1'L3 <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS L*J <br /> BUILDING :1050.00 19 00 <br /> NO.OF STORIES MAX.OCC.LOAD <br /> SIZE OF BLDG. PLUMBING V <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REQUIRED O � <br /> YES NO �7 <br /> BY DATE OTHER �) <br /> APPROVALS U.B.C. <br /> I.ENVIRONMENTAL CHECK LIST PENALTY SEC.903(a) P+ <br /> U1 <br /> 2.BUILDING PLANS TOTAL 19 OO <br /> 9.FIRE HYDRANT L <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION I fJ � �� —_ <br /> WHEN PROPERLY VALIDATED TIN TH S18P E)THI I Y IT ) L <br /> 5.GRADING L <br /> 6.DRAINAGE _I L <br /> 7.ENVIRONMENTAL IMPACT STATEMENT <br /> :! IPT 1 <br /> B.HEALTH DISTRICT ' <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BYU F <br /> ,I ♦ r <br /> f <br /> ADDRESS FILE <br /> L <br />