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`,'� `,��T'Y�oF � - CONSTRUCTIQ '`I - <br /> everett PERMIT PERMIT N0. 14703 <br /> CITV HALL 259�87a5 <br /> �� EVERETT,WA98201 � COMBINATION � BUILDING C� MECHANICAI � PLUMBING <br /> OWNER MAIL ADDRESS CITV 21P PMONE <br /> Ignatius Marsidi 4701 Gardner Everett 98204 347-1521 <br /> ARCMRECT OF OESIGNEfl MAIL ADDRE55 CITY 21P PNONE <br /> GENERAI CONTRACTOR MAIL ADDRESS CITY 21P PMONE LICENSE M <br /> J.M. Hawkins Company 19902 BBth Avenue West Edmonds 98020 775-5365 <br /> MEGHANICAL CONTRACTOR MAIL AODRE55 CITV 21P PHONE LICENSE� <br /> JM HA WK 167DZ <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY 21P PHONE LICENSE♦ <br /> CLA55 OF WORK <br /> ❑NEW � ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VAIUAT10N OF WORN <br /> S 5���00.�� <br /> �ESCRI9E WOflK <br /> Kitchen, Library, Garage Addition <br /> PROPoSED USE OF 6UILOING <br /> Single Family REsidence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF PROPERTY�SHOW BELOW OR ATTACH FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES � <br /> �or 3 BLOCK_OF David Marine Acres COVEFNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A r' <br /> m <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 �T <br /> PERFORMANCE OF CONST UCTION. <br /> JOB AODRESS SIGNATU E OF GONTRpGTOR OR AU RRED AGENT UATE' � N m <br /> 4701 Gardner X � �**'� o <br /> co <br /> PLUMBING MECHANICAL m� <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE p m <br /> WATERCLOSET�TOILEn A�F7 COND. UNI7S- H.P. EA. �2 <br /> x--1 <br /> BATHTUB REfRIGERA710N UNI7S- H.P.EA. fn <br /> � <br /> LAVATORY�WASHBASINI BOILERS- H.P.EA. .o z <br /> C <br /> SHOWER GAS FIRED A.C.UNITS- TONNAGE EA. � _ <br /> ], KI7CHEN SINK 8 DISP. 2 00 FORCED AIR SVS7EM5 - B.T.U. M EA. .. �-+ <br /> -{ N <br /> 1 DISHWASHER 2 00 �'�'NLL HEATERS- B.T.U. M11 � T <br /> LAl1NDRYTRAY UNIT HEATERS- B.T.U. M O n <br /> CLO7HES WASHER _ EVAPORATIVE COOLERS � 3 <br /> WATER HEAiER CLOTHES DRYERS 2� <br /> UFINAL VENTILATION FAN � N <br /> DRINKING FOUNTAIN RANGE HOOD � m <br /> FLOOR�RAIN AIR HANDLING UNIT- C.F.M. 3 N <br /> VACUUN BFEAKERS S70VE -WOOD Z n <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 8 CHIMNEY --1 m <br /> SINK(SERVICE- BAR, ETC.) FIREPLACE INSERT � <br /> HFAT f'UMP <br /> --1 <br /> 2 <br /> n <br /> z <br /> -i <br /> SUB TOTAL S 4 00 SUB TO7AL f 4 SO ._-. <br /> N <br /> PERMIT S PERMIT S <br /> z <br /> TOTAL FEE S TOTAL FEE S 9 50 � <br /> SIOE VARD SETBACK STREET SE7BACK REAR YARD SETBACK PLAN CMECK NUMBER PLAN CHECK FEE <br /> 7;j' 25� 25� 85�14703 FEElg3,g5 RECEIPT NO. m <br /> USE ZONE LOT AREA VACANT SI7E <br /> R-S :.YES ggNO FEES � VALUATION PEE <br /> iYPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> V-N R-3 1 BUILDING i50,000. 283 00 <br /> SIZE OF BLOG. NO.OF STORIES MA%.OCC. LOAD <br /> 1184 Sg. Ft.+ 2 N/A PLUMBING 4 00 <br /> FIRE 20NE BASEMENT FIRE SPRINKLERS MECHANICAL 4 SO <br /> REOUIRED <br /> YES : <br /> APPHOVALS BY DATE O7MER <br /> 1.ENVIRONMEN7AL CHECK LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILOING PLANS TOTAL 291 SO <br /> 3.FIRE HVDRAN7 <br /> 4.FIRE PROTECTION SYSTEM PEHMIT VALIOATION <br /> 5.GRADING WHEN PROPEPLY VALIDATED�1N THIS SPACEI THIS IS YOUR PERMIT__ (1f,� <br /> ' � <br /> 6.DRAINAGE ' <br /> � <br /> 7.ENVIRONMENTALIMPAC'iSTATEMENT ' � <br /> B.HEALTM DISTRICT .. � - ' y.-� <br /> APPLICATION ACC.BY PLANS CHECKED BY AFPR.FOR ISSUANCE BY � ' � <br /> � EB HWM LC �. I <br /> 2 c� <br /> ADD:ES$ fILF <br /> ty�.r,TC"Fa---�r w _ i r � "r , . , - 2' _ . . ' ' . s . . _ . . ' . . . .. � <br /> f n.i �'-'' .i h .1"-3 <br /> s. . . . . . . . � -. . . .. . . . . . . . . . . . . . . <br /> ' _ . . .. .. . . . � . . . . . '. _ . <br />