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P <br /> oNSTRUCTION <br /> CITY OF <br /> PERMIT N0. �7 <br /> TheEvPERMIT 7.72 <br /> CITY <br /> everett I I PLUMBING <br /> CITY HALL 25987451 COMBINATION <br /> [_� BUILDING L ] MECHANICAL <br /> EVERETT.WA 98201 '•^` _ _ <br /> 11411 PE...... YA RVflY eL zip <br /> PHDNE <br /> OWNER r'I'}1 Ste..-y <br /> HT l 7 CITY <br /> C _ n..e.4 11Ct10T1- MAIL HIONE <br /> ARCHITECT OR DESIGNS zip 2060M <br /> CRY CA-RT-EI <br /> MAIL ADDRESS PHONE LICENSE P <br /> zlr _ <br /> GENERAL CONTRACTOR CITY <br /> MAIL ADDRESS T >1� PHONE LICENSE F <br /> MECHANK'AL CONTRACTOR QA� ZIP <br /> % CITY -- <br /> MAR'OGRESS <br /> PLUMBING DpN1RACTCi1 ❑FENCE :]SIGN CIGARAGE <br /> _ <br /> CUSS OF WORK LEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOUTWN <br /> VALUAT— I—ONOF WCPK —,— <br /> s 4'7,85000 _ <br /> D FEREIF W� residence <br /> Single family <br /> CORRECT. <br /> PRD�ED USE DIUSE o, nuaDl��u I HEREBY CERTIFY THAT I HAVE READ AND E�'I"IINED THIS AP. <br /> ERN NG THIS <br /> THF SAME TO BE TRUE A DCO <br /> ReaideriCe PLICATION AND KNOW ER SPECIFIED <br /> RTY 1„IKl'M BEV, OOT ATTACH FOUR COPIESI ALL PROVISIONS CF LAWS AND ORDINANCES . MIT DOES NOT <br /> LEGAL oEscRIPTwN oc PROPS ��_ TYPE OF WORK T.ILL BE CJ TING L AW NCELTHE PRO• <br /> OT �yS;�eE?S�i HEREIN OR NOT. TH TO LAT R TING <br /> LOTS--B`oC'L-� PRESUMETOGIVEACpL W REGULATING <br /> NST <br /> STA F RUCTION. <br /> 4CE O <br /> VISIONS OF ANY GATE <br /> CONSTRUC E NT <br /> SIGNATU <br /> 'Toe ADDRESS F, HAN A FEE <br /> m1 T M FEE NO P 'OUIPMENT <br /> PLUMBING 1 _H.F.EA. <br /> TYPE OF FIXTURE OR ITEM AIR COND, <br /> NO. REFRIGERATION UNITS —H.P.EA <br /> WATER CLOSET(TOILET BOILERS—H .EA. 4 <br /> BATHTUB GAS FIRED A.C.UNITE-TONNAGE EAM EA <br /> LAVATORY ASH BASIN FORCED AIR SYSTEMS E.T.U. M <br /> SHOWER WALL HEATERS-BT.U. M <br /> KITCHEN SINK 6 DISP. UNIT HEATERS-BT <br /> .U. <br /> DISHWASHER ------- � EVAPORATIVE COOLERS <br /> LAUNDRY TRAY CLOTHES DRYERS <br /> CLOTHES WASHER 2 VENTILATION FAN <br /> WATER HEATER RANGE HOOD C F M <br /> _ URINE_ AIR HANDLING UNIT_ <br /> DRINKING FOUNTAIN STOVE <br /> FLOOR DRAIN LIETAL FIREPLACE 6 CHIMNEY <br /> VACUUM BREAKERS <br /> ROOF DRAINS-RAINLEADERS <br /> SINK SERVICE-BAR•ETC <br /> t <br /> SUBTOTAL f <br /> 2 PERMIT 6 is <br /> SUBTOTAL 6 TOTALFEE <br /> PERMIT 6 PLAN K FEE <br /> N CHEC <br /> HECK NUMBER R <br /> OTAL FEE REAR YARD SETBACK PIAN C4G�IQT9 4 <br /> STREET SETBACK .7772 FEE O'S0 FEE <br /> SIDE YARD SETBACK 1 yALUATION <br /> T F v SITE FEES <br /> ONE LOT AREA ITYES ❑NO <br /> USEG OF DWELLING UNITS %7850.00 lel 0 <br /> TYPE OF CONST. OCGU'ANCY GROU BUILDING 20 0 <br /> M .00C.LOAD <br /> SIZE OF BLDG. <br /> NO.OF STORIES PLUMBING <br /> BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REQUIRED <br /> FIRE ZONE T7YES NO OTHER <br /> 41 BY DATE UBC. <br /> APPROVALS PENALTY SEC.303191 <br /> _ <br /> 219 0 <br /> NVIRONMENTAL CHECK LIST TOTAL <br /> 2, BUILDING PUNS <br /> 3. FIRE HYDRANT o W14EN VALIDATION 6025 $ 181.0 0 <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 4. FIRE PROTECTION SYST ,1 - <br /> 5. GRADING, - O q a.L11 TIS <br /> 16. DRMNAOTTE L UU YOUR RECEIPT <br /> o <br /> 09 ENVIRON!AEHDLIMPAOMATEMENT .1 MANK YOU <br /> HEALTH STT NS CHECKED BY APPS'FOR ISSUAF'Bu R E�.E I P'I <br /> CPLICATIOttA BY C&AO <br /> o ITT V.C -i N K YOU ' <br /> O <br /> c ~ <br /> ADDRKSS FILE._-__ <br />