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_ _1 <br /> '"eE"C�YOF CONSTRUCTION <br /> ev�rett PERMIT pERMIT NO. 10061 <br /> CITY HALI 259�8745 <br /> EVERETf.WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> . OYlNER h1AILADDRES$ CI1Y ZIF PMONE � <br /> Thomas G. Matza 7902 Forest Glade Everett 98201 353-2505 � <br /> ARCHITECtOROf:51GNER MAILADOPE55 piV IIP PHON[ <br /> GENERFL CGNiRFCiO�i MAIL ADORESS CRV ZIP PHONE �ICENSE I' <br /> Everett Builders Inc. 5606 Evergreen Way Everett 98203 353-7161 <br /> MECHANiCALWNiRAC10R MAILADDRESS piY liP PMONE3O]. LICENSE� <br /> EV ER EB R$SPH _ <br /> �� <br /> _ PLUMDINGGONWACTOR MAILAODRE55 CIIY ZiP PMONE LIC[NSEY �� <br /> CLASS OF WORK <br /> ❑NEW }�j'{ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITIOIJ ❑FENCE ❑SIGN ❑GARAGE <br /> VAWATION OF WpNK <br /> 5 14 � 722 , �0 <br /> DESWIpE P/ORK <br /> Addition and interior remodel <br /> PROPOSED USE OF BUII�ING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �ecn�oesc�ianorvoFaaoaEarv�sHoweeiowoan.rncNFour+coai=s PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 159 Val ley View ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> io. o�ocK_oF TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOFS NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS F ANY OTFiER STATE OR LOCAL LAW REGULATING <br /> CONSTR TION 0 E PERFORMANCE OF CONSTRUCTION. <br /> JOBADDRESS 9GNnT qF CONiR�GT R AUTHOBIl.EDA �T DATE <br /> 7902 Forest Glade X <br /> PLUMBING MECFiANiCAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT F'cE <br /> WATER CLOSET ITOILET� AIR COND. UNITS—H.P.EA. <br /> �ATHTUB REFRIGERATION UNITS—HP. EA <br /> j LAVATORY IWASH BASIN) BOILERS— N.R 61. <br /> SHOWER GAS RRED�.C.UNITS—TONNA6E EA. <br /> 1 KITCHEN SINK 8 DISP. FOPCED AIR SYSTEh15—8 T.U. �d EF. <br /> _a, DISHN'ASHER WALLHEATERS— BT.U. h1 _ <br /> LAU4DRY TRAY UNIT H[qTEfiS—3 T.U. h1 <br /> CLOTHES WASHER GVAPORATNE CWLERS , <br /> WATER HEATER CLOTHES URY[RS <br /> URINAL 1 VENTILAiION FAN <br /> DRINKI4G FOUNTAIN RANGF HOOD n <br /> FLOOR DRAIN AIR HANDLMG UNIT-- C.6tA. <br /> VACUUM BREAKERS STOVE <br /> flOOF DRFINS—flAWLEADERS MGTAL F!REFLFCE 8 CHIIMFY <br /> SINK(SERVICE—BAR,ETC.) <br /> SU6 TOTAL 6 SUBTOTAL 5 <br /> PERMIT S PERMIT S <br /> TOTAL FEE S 6 O O TOTAL FEE S 7 S O <br /> SIDE Yl�RC SETB4GK STRE[T SETBACK REAR';ARD SETBACK PI AN CHGCK NUMBER PLA!J CH'cCK FEE <br /> 6 � Z0 � 2� ' 81/10061 FEE ]�'j '73 RECE�PiNO. <br /> use zoNE �or naen vncnNt siTe 5 5 9 9 8 <br /> R-1 �JYES X� FEES VALUATION FEE <br /> TYPE OF CONSL OCCUPANCY GROUF 1J0.OF DWELLING UNITS <br /> V-N Add' n R-3 1 eui�owc <br /> size oF e�oc. No.oF sroaies Max.occ.iono �14 , 72:? . 00 110 50 <br /> Add' n 196 Sq. Ft. 1 PLUM�IIJG 6 00 <br /> FIP[ZONE BASEMENi PIRESPRWKI.EriS — — <br /> PEOUIRED MECHANICAL � SO <br /> none i,vEs Xblo <br /> APPf10VAL5 BY DATE OTHER ` <br /> ' 1. ENVIRONMENTAL CHECK IISi PEN��TY U.9.C. <br /> 2. BUILDING PLANS � SEC.303(a) <br /> 3. FIREHI'ORANT TOTAL 1Z4 OO <br /> n. fIRE PROTECTION S15TEM PERMI7 VALI�ATION <br /> WHEN PROPERLY VALIDA1tD QN THIS SPACE)iH1S IS YOUR PF.f1MJT .� <br /> 5. GRAOING . , � I �'. � � `-- 1 . <br /> / -- `t"� <br /> 6. DRAINAGE ' ' -' � � �D .� <br /> 7. ENVIF�NMENTAL IMPACT S7ATEMENT O <br /> B. IiEAITH DISTRICT � � . . I � <br /> APPLIpATION ACC.BY PIANS CHECKED BY APPR.FOR ISSUANGE BY � � <br /> HWM L.C. <br /> ��•. <br /> ADDRESS FILE <br /> . <br />