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n <br />'1 <br />,ONSTRUCTION <br />everett <br />PERMIT <br />PERMIT NO. <br />12378 <br />CITY HALL 2594745 <br />1 <br />EVERETT. WA 98201 ❑ <br />COMBINATION IX�BUILDING MECHANICAL <br />PLUMBING <br />OWNER <br />MAIL ADDRESS <br />ZIP <br />PHONE <br />Steven Drake <br />524 86th Street S.E. <br />98204 353-3772 <br />ARCHITECT OR pFSIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />-HONE <br />GENERAL CON-7—R-ACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE F <br />Same <br />r MECHANICAL CONTRACTOR <br />MAIL ADORESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE F <br />PLUMBING CONTRACTOR <br />LICENSE F <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Pq <br />L <br />V VDi V. AVnn Fi <br />❑ NEW W7BODITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑ SIGN ❑ WOOD STOVEJFIREPLACE INSERT <br />E 5.000.00 <br />PROPOSED USE OF BUILDING <br />Single Family Residence <br />- <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />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 <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGN AEU E F CONTRACTOR OR AUTHORIZED AGENT DATE <br />X ..✓-H 8J <br />LEGAL DESCRIPTION OF PRO -ERIY(SNOW BELOW OR ATTACH FOUR COPIES1 <br />8 Wellington Manor <br />LOT _ BLOCK —OF <br />JOB ADDRESS <br />524 86th Street S.E. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — M.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — N.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA <br />_ <br />DISHWASHER <br />WALL HEATERS — B.T.U. IA <br />LAUNDRYTRAY <br />ATER <br />UNIT HE PIS — SITU. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUBTOTAL <br />f <br />SUB TOTAL f <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />4 <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PUN CHECK NUMBER <br />83/12378 <br />PI J•.N <br />FEE 32.83 <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE CVE8 NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONSf_ <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$5,000.00 <br />50 <br />50 <br />SIZE OF BLDG, <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REGUIRED <br />YES NO <br />MECHANICAL <br />OTHER <br />-go.0 <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC. 30.7 UI <br />2. BUILDING PLANS <br />TOTAL <br />50 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />&GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT OD <br />1553 $050.50 <br />(�I <br />o -I <br />YOUR RECEIPT <br />THANK YOU <br />A. DRAINAGE <br />'. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />DAB <br />APPR. FOR ISSUANCE BY <br />DAB <br />.J <br />L. <br />ADDRESS FILE 17 so 83 <br />J <br />