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d�r E�rr�Yeen ; C A N ST � U CT I O" <br />ever�tt r�ERM'T PERMIT N0. 13H26 <br />CITV MALL 259�BId5 <br />EVERETT,WA98207 ❑ COMBINATION �x BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILFDJRE55 LITY ZIP PNONE <br />Mitch Cogdill 5910 Beverly Lane Everett 98203 <br />RRCHIiELi OR OESIGNER MALL RDURE55 CITY ZiP PMONE <br />GENERFL CONiPRC70R MRIL AOC�PESS GI1Y ZIP PH�NE IILENSE � <br />Kirtley-Cole Assoc. Inc. P.O. Box 605 Snohomish 568-3175 <br />MELHANICAL CONTRAGTOF MAIL AOOHESS LITY 21P PHONE LIGENSE � <br />PLUMBING CONTPACiOR MAIL AODiE55 CIiY ZIP PMONE UCENSE / <br />❑ NEW ❑ ADDITION j{�(j ALTERATION ❑ REPAIR � DEMOLITION ❑ FENCE ❑ SIGIJ ❑ WOOD STOVEIFIREPLACE INSERT <br />s i��00.�� <br />�ESGRIBE WORK <br />Sky Light Addition <br />PROPOSEO USE OF OUILDING <br />Single Family Aesidence <br />LECRL �ESCNIPTION UF PROPEHTY ISNOW BELOrY i <br />LOT_BLOCN_OF __ <br />JOB FD�RE55 <br />5910 Heve_ly Lane <br />PIUMBIN6 <br />NO. TYPE OF FIX <br />WATER CLOSET ITOILF <br />BATM7UB <br />LAVATORV(WASH BA: <br />SMOWER <br />KITCHEN SINK d DISP. <br />DISHWASHER <br />LAUNDRVTPAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />GRINKING FOUNTAIN <br />FLOOR DRAIN <br />OR ITEM <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAP, ETC.1 <br />V-N <br />N/A <br />FIRE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />coaiesi COfiRECT. 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 />SIGNRiURE OF CONTRACiOR OR RUTMORIZEO NGENT ORTE <br />X /.�e�/�/% l�No/f4/_/ <br />PEE N0. TYPE OF EOUIPMENT <br />AIR COND. UNITS — N.P. EA. <br />REFRIGEPATION UNITS — M.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIFED A.C. UNITS — i0`1NAGE EA. <br />FORCED AIR SVS7EMS — B.T.U. td EA. <br />WALL HEATEPS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOlERS <br />CLOTHES ORYEflS <br />VENTiLATION FAN <br />RANGEH000 <br />AIR HANOLING UNIT — ���.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSEflT <br />HEAT PUMP <br />SUB TOiAL f <br />PERM�T S <br />TOTALFEE S <br />IACK STREET SETBACK REAR YAIiD : <br />6' 20' 20' <br />LOT AFEA VACANT ;ilTl <br />_ VES ...N< <br />APPROVALS <br />1. ENVIRONMENTAL CMECK LIST <br />2. BUILDING FLANS <br />3. FIRE HYDflANT <br />1. FIRE PROTECTION SVSTEM <br />5. GFADING <br />R-3 1 <br />'ORIES MA%. OCC. LOAO <br />1 N,/A <br />T FIRE SPRINI(LER <br />FEOUIRED <br />VES v�N� <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B.HEALTH DISTRICT <br />ACC. <br />INED BY APPfi. FOR ISSUANCE BY <br />1iWM <br />FEE <br />SUB TOTAL S <br />PERMIT f <br />TOTAL FEE f <br />�K NUMBER PLAN CMECK FEE <br />85/13826 FEE z1.13 ����$pNo. <br />FEES VALUATION FEE <br />eui�nu+c <br />PLl1MBING <br />MECHANICAL <br />OTMEP <br />PENALTY <br />TOTAL <br />f 2,000. <br />U.B.C. <br />SEC. J091a1 <br />32 I 50 <br />32 I 50 <br />PERMI7 VALIUATION <br />WMEN PROPERLY VALI�ATED (IN TMIS SPACE� THIS IS YOUR PEFMIT <br />ADDRE55 FIL[ <br />z <br />0 <br />� <br />n <br />m <br />.. ... <br />-� �t <br />�. -a <br />in x <br />m <br />C O <br />m� <br />-� c <br />O 3 <br />m <br />s -�i <br />m <br />�--� <br />C Z <br />a -i <br />rx <br />—1 N <br />< <br />T <br />O A <br />� <br />-� m <br />2 <br />m� <br />N <br />O <br />�m <br />3 N <br />2 (") <br />-� r <br />• m <br />a <br />A <br />--1 <br />2 <br />a <br />z <br />� <br />x <br />.. <br />N <br />z <br />O <br />--1 <br />f"� <br />m <br />