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ca <br />CITY OF <br />everett <br />259-8745 <br />s'^ ^&%NSTRUCTION <br />PERMIT <br />�'1 <br />PERMIT NO. <br />21252 <br />❑ DEMOLITION <br />O COMBINATION U BUILDING <br />® MECHANICAL <br />IN PLUMBING <br />E3 SIGN <br />� <br />La Donna Gomez <br />MAIL ADDRESS <br />3424 Federal Everett, WA <br />CITY ZIP <br />98201 252-6584 <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />Omer <br />ZIP <br />PHONE <br />LICENSE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />Owner <br />MECHANICAL CONTRACTORMAIL <br />PDDRE <br />ZIP <br />PHONE <br />LICENSE <br />PLUMBING CONTRACTOR <br />AUIL ADDRESS <br />CITY ZIP <br />PHONE <br />LICENSE F <br />CLASS OF WORK <br />❑ NEW m ADDITION ❑ ALTERATION ❑ REPAIR El DEMOLITION <br />❑BUILDING RELOCATION <br />VALUATION OF WORN <br />f 14,905 <br />Addition kitchen and bathroom <br />n .. n W,nnnaTOVE fl OTHER <br />PROPOSED USEOFBUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Single family residence <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LED DE pIPTIONOFppOPERTY(SHOWBELOWORATTACHFOURCOPIES) <br />2�•2� 829 Everett, Div H <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT _ BLOCK _ OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES RESUME TO GIVE AUTHORITY TO <br />VIOLATE O EL THE PROVISIONS OF ANY OTHER <br />STATE O A A REGULATI CONSTRUCTION OR <br />THE PER A O CONSTR N. <br />"CHAT CON AC R. AUTHORIZED .OR OWNER DATE <br />X 12 7 88 <br />JOB ADDfLE53 <br />3424 Federal <br />PLUMBING <br />ICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPME <br />FEE <br />WATER CLOSET (TOILET( <br />5 <br />0a <br />A/C - AfHNDLG UNITS - H P. <br />REFRIGERATION UNITS - H.P. EA. <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />O <br />BOILER$ -B.T.U./H.P. <br />SHOWER <br />5 <br />00 <br />GAS FIRED A C. UNITS - B.T.U. <br />AIR SYSTEMS - B T.U. M EA. <br />KITCHEN SINK & DISP <br />5 <br />00FORCED <br />DISHWASHER <br />5 <br />OO <br />WALL HEATERS-B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS-B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />4 <br />50 <br />FLOOR DRAIN <br />RANGE HOOD <br />6 <br />50 <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC.) <br />METAL FIREPLACE d CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUST FAN( <br />1 <br />Uctwork <br />6 <br />50 <br />SUB TOTAL <br />f 25 <br />OO <br />SUB TOTAL <br />17 <br />50 <br />f - <br />- <br />PERMIT <br />15 <br />00 <br />PERMIT <br />TOTAL FEE <br />1-1 <br />SO <br />TOTALFEE <br />f <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />39 <br />RECEIPT NO. <br />20' <br />20' <br />61 <br />FS8 ZiZ52 <br />7& <br />1Lf38-Y <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />O <br />R-1 <br />6000 Bf <br />❑YES glNo <br />BUILDING <br />a 1411905 <br />162 <br />OO <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />PLUMBING <br />252 <br />25 <br />00 <br />V-N <br />R-3 <br />1 <br />SIZE OF BLDG <br />335 Sf <br />NO OF STORIES <br />1 <br />MAX UCC LOAD <br />_� <br />MECHANICAL <br />PIM $ <br />.00 32 <br />50 <br />ELT <br />eOtmmotBmmeEFmPlan C <br />e .3DaleX $ <br />•50 29 <br />25 <br />FIRE SPRINKLERS REQUIRED OYES CNC, <br />STATE BUILDING SURCHARGE <br />e &RC1{ <br />•50 3 <br />50 <br />• 11 <br />.25 <br />STATE ENERGY SURCHARGE <br />APPLICATIONACC BY <br />PLANS CHECKED DY <br />APPR FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />252 <br />25 <br />M. M. <br />J.W. <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED Un <br />L17 <br />N <br />it <br />AULRESS FILE <br />s <br />