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� , . <br /> theEve'g oF � �NSTRUCTION � � <br /> everett PERMIT pERMIT NO. 06930 <br /> CITY HALL 259�8745 <br /> EVERETT,WA 9820� ❑ COMBINATION � BUILDING ❑ MECHANICAL � PLUMBING - <br /> OWNER MAILAOD'IE55 CITY ZIP PHONE <br /> Michael E. Goetz 8118 Florida Drive 98203 353—;860 <br /> ARCHITEGTOROESIGNEfl MAILAODflESS CITY 21P PNONE <br /> GENERhLfANTRACTOfl MAILADDRE55 CIiY ZIP PMONE LICENSEI <br /> Same <br /> MECHANICALGONTNFCTOR MFIIA�DRE55 CIIY ZIP PHONE UCENSE� <br /> VLUlABING CANiflACTOR NAIL AODRE55 CITY ZIP PHONE UCENSE• <br /> CLASS OF WORK <br /> ❑NEW �ADDITION ❑ALTERATION ❑REPAIF ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> E 650.00 <br /> CF.£WIBE WONK <br /> addition of bathroom <br /> PROPOSEO USE OF BWLOING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> iFcn�oescaiaiioNOFPnoveaTvisnoweeiowoannnc��Fouacories� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 24 7 Beverl Park ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or iaiocK_oF y TYPE OF WORK WILL 6� COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOBA SIGNAiURGOFCONiRAGTOiiORAUiHOR1ZEpAGENT DFTE <br /> �'�1�� Florida Drive X 11/8/79 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> 1 WATER CLOSET(TpILET) Z OO AIR COND.UNITS—H.P.EA. <br /> BATHTU� REFRIGERATION UNITS—H.P.EA <br /> 1 LAVATORY(WASH BASIN) 2 QQ 901LERS—HP. EA. <br /> ], SHOWER GAS FIRED A C. UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—8 T.U. M EA. <br /> DISHWASHER WALLHEATERS—B.T.U. M <br /> LAUNDRY TFAY UNIT HEATERS—AT.U. M <br /> QCIHES WFSHER EVAPORATIVE COOLERS <br /> WAiER HEFTER CLOTHES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FIOOFi DRA�� AIR HANDIING UNIT— QF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF CRAWS—RAINLEADERS METAL FIREPLACE 3 CHIMNEY <br /> SINK�SLRVICE—DAR.EfC.� � <br /> SUB TOTAL b SUB TOTAL S <br /> PENMIT 5 PERMI7 S <br /> 70TALFEE E 6 00 TOTAL FEE S <br /> SI�E YARD SETBACK STREETSETBACK R[AR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> GYES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> BUILDING s 650,00 7 00 <br /> SIZE OF�LDG. NO.OF STORIES MAX.OCC.L�AD <br /> PLUMBING 6 00 <br /> FIRE ZONE BASEIdENT PIRE SPRINKLERS <br /> FiEOUIRED MECHANICAL <br /> f]YES ❑NO <br /> APPflOVALS BY OATE OTHEfl <br /> t. ENVIRONMENTALCHECKLIST '� PENALTV UB.C. <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIRE HYDRANT a TOTAL 13 00 <br /> 4. FIRE PROTECTION SV1S1�M PERMIT VALIDATION <br /> ` WHEN PROPERLY VALIDATED(IN THIS SPACE)THI515 VOUR PERMIT <br /> 5. GRADIN ' • N <br /> , 6. DRA � _ . � / � L sUY !•OO ^�C� � <br /> p 7. ENV N T/jLIM'1(Rf STATEMCNT - � <br /> � B. HEA�i I$7RICT �f CD <br /> . APPLI O :'C.8Y , � PLANS CHECNED BY APPR.FOR ISSUANCE BV ,• YOi�J g i�C(rf.'�O <br /> � O ,m . � � :5.. <br /> . . ,.STh1R t�p: Y�1 tJ' � <br /> y.. <br /> � " <br /> ADDRESS FILE � � 1: <br />