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`," �,P.A�PP° -�:O N ST R U CT I O �� <br />; . , �,� � <br />everett PERMIT PERMIT N0. 15649 <br />CITV MALL �59�0745 <br />EVERETT.WA98201 �J COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNiH M�R �ODPE55 Cllv 2iP ?nONE <br />MONTE & SHERI ROE 6217 BEECH STREET EVERETT WA 98203 353-3592 <br />•PCHRECI OR DESIGNER MRIL ADDRES$ CITY ZIP PHONE <br />GENER�L GONTP�CTOR M�IL ADDRE55 GItY 21P PMONE LIGENSE / <br />SAME <br />MEGM�NIC�L LONiRACTOR MR�I AO�PESS CITY ZIV VHONE LICENS' I <br />PLUMBING WMTRACiOR MAIL AODRE55 ��TY LIP PXONE LICENSE • <br />❑ NEW I�(ADDITION ❑ ALTERATION ❑ REPAIF ❑ DEMOLITION O FENGE ❑ SIGN O WOOD STOVFIFIREPLpCE INSERT <br />V�WATION OF WORN <br />S 2��00�. <br />OESCRIBE WORN <br />24'x30' Addn - two bedrooms. familv room. <br />JSE OF BUIL�ING <br />Single family residence <br />�or 73 e�ocK__—or <br />JOB �DORE55 <br />PLUMBINO <br />OF FIXTURE OH ITEM <br />BATHTUB <br />LAVATORYIWAS <br />SHOWER <br />KITCHEN SINK 6 <br />LAUNDRYTRAY <br />CLOTHES WASMER <br />WATER HF.ATER <br />URINAL <br />DPINNING FOUNTAIN <br />FLOOR DfiAIN <br />VACUUM BHEAKERS <br />ROOF ORAINS — Rwl <br />SINK �SERVICE — BA <br />5' <br />USE ZONE <br />R-2 <br />TYPE OF CONST. <br />V-N <br />SIZE OF BLDG <br />30'x24' addn <br />BUB TOTA <br />PERMIT <br />iOTAL FE <br />iEET SETB <br />20' <br />f qREA <br />70x140 <br />CUPANCY <br />R-3 <br />1 <br />1. ENVIRONMENiAL CHECK LIST <br />2. BUILDING PLANS <br />J. FIHE HYDRANT <br />�. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. �RAINRGE <br />LENVIRONMENTALIMPACTSTATEMENT <br />� <br />S <br />f <br />EAR YARD SETBA� <br />20' <br />ACANT SI7E <br />vE5 X NO <br />O OF DWELLING <br />1 <br />IA%.00C LOAD <br />IPE SPF�NNLERS <br />EOUIREC. <br />VES NO <br />er onre <br />B.HEALTH DISTRICT I I — <br />�PPLICATION ACC. BY PLANS CMECNED BV APPR. FOR <br />eb <br />sg 6 jf I lc <br />, utility room <br />I HEREBY CERTIFY THAT I 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 />PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF AWY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGN�T OF CONTR�CLO R qUTHORIZED A6ENT D�TE �y� <br />v L� w_�_ � r.� . L��ii`TSf• <br />MECHANICAL <br />AIR COND. UNITS — M.P. EA. <br />REFRIGERATION 11NITS — H.P. EA. <br />BOILENS — H.P. EA. <br />GAS PIRED A.C. UNITS — TONNAOE EA. <br />FORCE� AIR SYSTEMS — B.T.U. M EA. <br />WALL MEATERS — B.i.U. M <br />UNIT MEAiERS — B.T.U. M <br />EVAPORATIVE COOIERS <br />CLOTHES DRYERS <br />VENTILA710N FAN <br />RANGEHOOD <br />AIN HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 6 CHIMNEV <br />FIREPLACEINSERi <br />MEA7 PUMP <br />SUB �OTAL f <br />PENMIT f <br />TO7AL FEE f <br />86/15649 � FEE41 .33 RECEIPT NO <br />380 <br />FEES —� VALUATIOH FEE <br />BUIIDING s QO O <br />PLUMBING <br />MECMANICAL <br />OTMER State Bldg_Su .harge_ <br />PENALTY UBC <br />SEC.J�71e1 <br />iOTAL <br />PENMIT VALIDATION / <br />WHEN PROPERLV VALIDATED pN � <br />e�.oc <br />�,�7 <br />� <br />B SRCH <br />L1F_CIf <br />ADUR[-SS FII.E <br />THIS IS YOUR PERMIT <br />it�o.so <br />fi2.� <br />f%.� <br />{l.� <br />1161.50 <br />