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`" `���r��' ��"'` c"cONSTRUCTIOh� � <br /> n . � f �+p,R,�e� <br /> ���rett PERMIT PERMIT N0. 1646Z <br /> GTV HALL 259�87�5 ,-y, <br /> �7 E�E��T'�vr�g�x� L"JGaOMB�NATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBIN(3 <br /> OWNER MUL�DDRESS GtY I'�P PNONE <br /> KENNETH WESTON 4627 Seahurst Ave Everett WA 58203 259-6577 <br /> �RCMRECT OR OESiGNER MML�DDRE55 GITY 11P PMONE <br /> OENER�L CONiR�GTOR M�4�ODRE55 CITY IIP PNONE LICENSE� <br /> J. Short Construction <br /> MECNANIC�L CONTR�GTOR MAIL�DDRE55 GITY IIP PNONE UCENSE � <br /> PLUMBIN(1 CONTR�CTOR M111L�DDPE55 L'ItY 21P PNONE LICENSE� <br /> CUSS OF WOR1t <br /> I�NEW ❑ ADDITION ❑ ALTERA710N ❑REPAIR O �EMOL!TION � FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLRCE INSER7 <br /> V�LU�TION OF WORI( <br /> s 38,000.00 <br /> DESCRIBE WORN <br /> New single family <br /> PROP09E�USE OF BUILDINO <br /> S1ng1 e famlly - rental I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APFLICATION AND KNOW THE SAME TO BE TRUE AND <br /> lEO�L DESCNIPTION OF PNOPERTY�SHOW BEIOW OR�TT�LN FOUR COFIF.S� CO�RECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 1 e�ocK 452 or St. Nichol as Addn GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WIIETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANC ISIONS OF ANY OTHER STPTE OR <br /> LOC AW REG A NG CONSTRUCTION OR THE <br /> P ORMANCE 0 C NS RU TION. <br /> JOB ADDPESS ON�TUR OFCONTR�C 0 OENT ��TE <br /> X <br /> PLUMBINO AI. <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATERCLOSET�TOILET) Q �Q AIR COND.UNITS- M.P.EA. <br /> BATHTUB REFRIGERATION UNITS- M.P.EA. <br /> � LAVATORY(WASH BASIN) Z BOILERS- H.P.EA. _ <br /> � SHOWER Q Q� OnS FIRED A.C.UNITS-TONNAGE EA. <br /> � KITCHEN SINK 6 DISP. Z FOHCED AIR SYSTEMS- B.T.U. M EA. <br /> DISHWASMER WALL MEATERS- B.T.U. M <br /> LAUHDRY TRAV UNIT MEATERS- B.T.U. M <br /> CLO7MES WRSHER 2 OO EVAPORATIVE COOLERS <br /> WRTER MEATER Z OO � CLOTHES DRYERS <br /> URINAI Z VENTILATION FAN <br /> DRINNINO FOUNTAIN � RANGE MOOD <br /> FLOOR ORAIN AIR HANDLIN6 UNIT- C.F.M. <br /> VACUUM BREANEHS STOVE -WOOD <br /> NOOF DRAtNS- RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SENVICE- BAR,ETC.) FIREPLACE INSERT <br /> HEA7 PUMP <br /> sue ror�� ; 00 sue roT�� t 15 00 <br /> PENMIT f PERMIT f <br /> TOTAL FEE f �0 TOTAL FEE s 15 �0 <br /> SIDE YAND SETPACK STREET SETBACN REAR YARD SETBACK Pl AN CMECK NUMBER PLAN CHECN FEE <br /> 5' 20' 2�� 86/16462 FEE 119,60 79142ECEIPTNO. <br /> USE ZONE LOT AqEA VACANT SITE — — <br /> R-2 6509 Sf �ES NO FEF.6 VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 � BUILDING s38 000. 229 00 <br /> SRE OF BLDG. NO.OF STORIES MA%.OCG LOAD <br /> R=968 M=240 � PLUMBING 12 00 <br /> FIRL ZONE BASEMENT qE0U5RE0 KLERS MECHANICAL ��j OO <br /> VES NO <br /> APPROVALB BY OATE OTHER <br /> 1.ENVIRONMENTAL CMECK LIST P�NALTY U 8 C. <br /> t.OUILDINO PLANS ��+ SEC.3071a� <br /> TOTAL <br /> J.FIREHYDRANT o 2 <br /> �.FIRE PROTEGTION SVSTFdI VERMIT VIILIO�710N <br /> S GRADIN6 WHEN PROPERLY VALIDATED IIN THIS�SPM1ICEI,TMIS I�VQt1Q RERNIT �,{� <br /> �B.�FAINAOE l) 7 � l L 7 U U <br /> v�.ENVIRONMENTALIMPAG7�STATEMENT Addl plan check fee 29.25 �; <br /> ; E.HEALTMDISTRICT — ' � �� �„ i_ I i� �� { �, <br /> PPLICATION ACC. BY ! PLANS CMECKED BY APPR.FOF ISSWNCE BV <br /> L , 59 � sg lc , . I <br /> � <br /> "-� ADDRESS FILE <br />