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Ii <br />nd' E I'- r,-QNSTRUCTI01" <br />PERMIT PERMIT NO. 16468 <br />CITY HALL 25"745 <br />—uEQW,r jj1t8" "C095INATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />MAIL ADDRESS CITY ZIP PHONE <br />John Claiborne 3416 Federal Ave Everett, WA 98201 252-9535 <br />MON <br />ITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />L CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE P <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />❑ NEW Q ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />f 10,000 <br />Add 2 bedrooms, bath, laundry room <br />PROPOSED USE OF BUILDING <br />Residence <br />I HEREBY CERTIFY THAT 1 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 />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 />PERFO MANCE OF CONSTRUCTION. <br />SIGNAT OF ONTRACTOR OR THOR ED AGENT DATE <br />X J! _ _ <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />!fL 27,28,29 <br />LOT_SLOCK R2Q OF F.V8=eF+ nju H <br />JOB ADDRESS <br />3416 Federal Ave <br />PLUMBING <br />MEC <br />ANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />10 FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />1 <br />WATER CLOSET (TOILET) <br />2 <br />OO <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB, <br />2 <br />0 <br />REFRIGERATION UNITS - H.P. EA. <br />LAVATORY (WASH BASIN) <br />4 <br />O <br />BOILERS - H.P. EA. <br />SHOWER <br />2 <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK f DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B.T.U. M <br />1 <br />CLOTHES WASHER <br />2 <br />0 <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />1 <br />CLOTHES DRYERS <br />URINAL <br />1 <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />1 <br />ROOF DRAINS - RAINLEADERS <br />2 <br />0 <br />METAL FIREPLACE f CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />OW <br />HEAT PUMP <br />SUB TOTAL <br />6 <br />SUB TOTAL S <br />50- <br />PERMIT <br />f <br />PERMIT <br />TOTAL FEE <br />f <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />N.A. <br />STREET SETBACK <br />N.A. <br />REAR YARD SETBACK <br />N.A. <br />PLAN CHECK NUMBER <br />86/16468 <br />PLAN <br />FEE 52.33 <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />R-1 <br />LOT AREA <br />N.A. <br />VACANT SITE <br />EYES B.. NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />$10,000 <br />80 <br />50 <br />SIZE OF BLDG. <br />N.A. <br />NO. OF STORIES <br />2 <br />MAX. OCC. LOAD <br />__ a <br />PLUMBING <br />14 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS E <br />REQUIRED <br />EYES [-]NO <br />MECHANICAL <br />7 <br />50 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHEPA LIST <br />PENALTY <br />U.B.C. <br />SEC..303 lal <br />2. BUILDING PLANS o <br />TOTAL <br />102100 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />S. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THISS�AS !) THIS LS � TG PE�iL�IT_- CQ <br />i J Y, Ij lj If 7 If <br />g ((] <br />:. E I i T <br />" �) U <br />I . <br />-5. DRAINAGE _ - <br />Mb <br />=_ 7. ENVIRONMENTAL IMP&T STATEMENT <br />S. HEALTHOIBi ICT <br />OAPPLICATK)T -ACC. BY <br />MAC. �i-. <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />L.C. <br />ADDRESS FILE <br />- (, 1111'I o 6 <br />