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dir firrr�rrrn <br />��,. �,� <br />everett <br />CITV HALL 259�8745 <br />' CON�YRUCTlC y <br />PERMIT PERMIT NO. 15�g5 <br />EVERETT,WA98201 ❑ COMBINATION �� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ^PORES$ Gli'! ZIP VHONE <br />Robert HEreford 5604 Beverly Lan�. Everett 98209 353-7966 <br />ARGMITELi OR DESIGNEP MAIL R�DRE55 LITY 21P PNONE <br />GENERAL CONiPRCTOR MAIL A�O�E55 CITV ZIP PNONE IICENSE / <br />Pac West Construction 10929 Highway 99 S. Suite-C Everett 98204 347-1991 <br />MECMRNICRL CONTRRGTOR MAIL AOUPE55 CITY ]IP FHONE UCENSE • <br />PACWEC*150CN <br />PLUM6ING CONTRAGiOR I:�)4 40DRESS CItY ZIP PNONE LiCENSE • <br />❑ NEW <br />LUATION OF WORK <br />t z5�iao.00 <br />�' (ADDITION ❑ ALTERATION ❑ RCPAIP C� OEMOLITION ❑ FENCE ❑ SIGN ❑ N'OOD S70VEIFIREPLACE IN�EFT <br />Construct 8'x17' Addition and en <br />PPOPOSEU USE OF BUILOING <br />Sinqle Familv Resldence <br />master bedroom and 3/�. bathroom <br />EGR� [lESCRIPT10N OF PROPERTY �SMOW BELOW OR ATTACM FOUR GOPIESI <br />ior 1 BLOLN_OF Highland Farms <br />9718 000 OJ1 004 <br />56f14 Beverly Lane <br />PLUMBINO <br />NO. TYPE OF FIXT.IRE OP <br />WATER CLOSET �7GILEL <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />1 SHOWEf1 <br />KI7CHEN SI�K 6 �ISP. <br />DISMWASHER <br />'_AUNDRVTRAV <br />_ CLOTHES WASHER _ <br />WATER HEATER <br />URINAL <br />DRINKING FOUNT.fIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR, ETC.) <br />FEE <br />1 HEREBY CERTIFY THAT I HAVE READ AND 'cXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO 6E TRUE AND <br />CORRECT. ALL PROVISIONS QF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK 1h'ILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR �VOT. THE GRnNTING OF A <br />PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS O� ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFC�RMANCE OF CONS1FjTJCTION. <br />SIGNAIU OF CO R��OH �UTy �RRE� AGENT �J O��E ", <br />il / <br />l� N it�- .e u � <br />NO. TYPE OF EOUIPMENT <br />plq COND. UNIiS - M.P. EA. <br />REFRIGEHATION UNIiS - H.P. EA. _ <br />BOILERS - M.P. EA. <br />GA$ FIRED A.C. UNIT� - TONNAGE EA. <br />FORGEC AIR SYSTEMS - B.T.U. M EA <br />WALL �1EATERS - B.T.U. M <br />UNIT HEATERS - B.i.U. _ M <br />EVAPORATIVE COOLERS <br />CLOTHFS DRYERS <br />VENIILATION FAN <br />RANGEHOOD <br />AIR MANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />MF.TAL FIREPL.�CE 6 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUBTOTAL f 6 �� <br />PENMIT S <br />TOTAL FEE S 6 OO <br />JSETBACK STflEETSETBACK REAR VARD SEiBACK PLAN <br />6' 20' 20' <br />R-l. <br />SIZE OF BLDIi. NO. OF <br />171 Sq. Ft. Add <br />APPNOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3.FIREMVDRANT r� <br />4. FIRE PHOTECTION SVS�ILM <br />S.GRADING � . <br />6.DRAINAGE' _ Vq <br />7. ENVIRONMENTAL IMPAST STATEM1IENT <br />vi "� � � ' � JEF <br />l) ri <br />�_ _., I <br />r� <br />1 <br />YES X140 <br />FOR ISSUANC': BY <br />SUBTOTAL <br />PERMIT <br />TOTALfEE <br />ECNNUMBER PU <br />85/15595 FEE 113.75 <br />FEES VALUATION <br />6UiLDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />S <br />U B.C. <br />SEQ 90J lal <br />FEE <br />� <br />f <br />f <br />;MECN FEE <br />RECEIPT N0. <br />80951 <br />FEE <br />175 <br />TOTAL I I v I� V <br />VEflM1T VALIDATION <br />WHEN PROPEFLY VALIDATED;IN TMISISPAi �1 TMIS � I01/�PFjj1�IJT_n,� <br />� � � / ��) <br />ADDRESS FILC <br />�. . �. ..:�_. _li:l. . <br />. : � , '1 <br />; � ;;�f �� <br />2 <br />0 <br />1 <br />n <br />m <br />�� <br />�� <br />N m <br />co <br />m� <br />O 3 <br />-r z <br />2 -1 <br />m <br />O Z <br />> -1 <br />rx <br />1--1 M <br />� N <br />O A <br />� 3 <br />=m <br />m N <br />or <br />c� m <br />C N <br />mN <br />zn <br />-� r <br />. m <br />a <br />A <br />-i <br />2 <br />n <br />z <br />� <br />x <br />N <br />2 <br />.�-� <br />n <br />m <br />u <br />