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!Be £rer,�reen <br />�,Y�F <br />everett <br />CITY HALL 259�87d5 <br />EVERETT, WA g0201 <br />� �ONSTRUCTIC.J <br />PERMIT <br />❑ COMBINA710N � BUILDING ❑ MECHANICAL <br />PERMIT NO. � `� <br />❑ PLUMBING <br />OYlNER MAIL A�DRESS CITY ZIP PMONE <br />Willaim Tackitt 9504 19th Avenue Everett 98204 337-1234 <br />ARCHITCCT OR OESIGNER MAIL AOpRESS CITY 21P PHONE <br />GENERAL CONiRACTOR MAIL ApDRESS CITY ZIP PMONE LICENSC M <br />Same <br />MECHANICFL CONTRACTOR MAIL FODRES$ CITY 21P PHONE LICENSE N <br />PLUMBING GONIRACTOR MAIL AODRESS GITY 21P PMONE LICENSE N <br />O NEW � ADDI710N ❑ ALTERATION O REPAIF O DEMOLI710N ❑ FENCE ❑ SIGN O WOOD STOVEIFIREPLACE INSER7 <br />f 1,000.00 <br />�ESCRIeE WORK <br />Deck & Fence <br />LOT _ BIOGN <br />9910 Evergreen Way <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WA1�ER CLOSET (TOILEn <br />BA7HTU8 <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />AUNDRYTRAY <br />CLOTHESWASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUN7AIN <br />FLOOR �RAIN <br />I HEREBY CERTIFY THAT I HAVF READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />ATfACHFOURGOPIES� CORRECT. ALL PF�VISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS "fYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTIO� OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATUREOFF�RACTO�OTf'ORIZfDA(�NT DAIE <br />ROOF DRAINS — h�INLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL f <br />PERMIT 5 <br />TOTAL FEE 5 <br />SIDE VARD SE70ACK STREE7SE7BACK REAR <br />N/A N/H <br />USE ZONE LOT AREA VACAI <br />C-1 N/A �� �res <br />TYPE OF GONST. GCCUPANCY GROUP NO. O <br />V-N B-2 <br />SIZE OF BLDCa. NO. OF STORIES MAX. � <br />N/A N/A <br />FIREZONE BASLMEN7 FIRE; <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST _ <br />2. BUIL�ING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPt,G7STATEMEN7 <br />B. HEALTH DISTRICT <br />APPLICATION FCG. BY i PLANS CHE <br />BY <br />MECHANICAL <br />FEE N0. TYPE OF E�UIPMENT � FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILER$ — H.P. EA. <br />GAS FIRED A.C. UNITS — 70NNAGE EA. <br />FORCED AIR SYSTEMS — �.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD _ <br />AIR HANDLIhv UNIT — C.F.M. <br />S70VE — WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSER7 <br />HEAT PUMP <br />0 <br />LOAD <br />N/A <br />[:YES :-:NO <br />APPR.FORISSUANCEBY <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />'�HECK NUMBER PIAN entun re� <br />85�14901 FEE 11. 36 I RECEIPT NO. <br />FEES � VALUA710N <br />OUILDING S <br />PLUMBING <br />IdECHANICAL <br />OTHER <br />U.B.C. <br />PENALTY SEC. 303 (a) <br />TOTAL 17 50 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED QN THIS SPAGE) THIS IS YOtl PERMIT _ �-i-1 <br />Area between Sidewalk and fence� area to � <br />landscaped. <br />� <br />Subject to not eliminating any off-stre�t`� <br />parking spaces. <br />ADDRESS RLE <br />z <br />0 <br />�-i <br />c� <br />m <br />�� <br />..� <br />�� x <br />v <br />m <br />co <br />mo <br />n <br />O 3 <br />--i z <br />2 -� <br />m <br />A Z <br />C <br />D —I <br />T S <br />� � <br />—I N <br />-� <br />� <br />O A <br />�n <br />3 <br />= m <br />m.. <br />N <br />O <br />Of <br />c� m <br />C tn <br />fTl N <br />Z (7 <br />—I r <br />• m <br />D <br />A <br />S <br />D <br />2 <br />1 <br />2 <br />r-i <br />N <br />Z <br />O <br />--I <br />.-� <br />n <br />m <br />