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� <br /> El•c�Creen <br /> ��T�°� �� �` �^ONSTRUCTIOt�'-� � � . <br /> .,�rett PERMIT PERMIT N0. 13662 <br /> �� CITY HALL 259�8745 <br /> EVERETT,WA90201 � COMBINATION Q BUIIDING X❑ MECHANICAL X❑ PLUMBING <br /> OWNER MAIL ADDRESS f.ITY 21P PMONE <br /> Raymond R. Fletcher 221 ;;.E. Everett Mall Way Everett 98204 353-5080 <br /> , ARCHRECT OR DESIGNER MAIL F�OflE55 CITY ZIP PMONE <br /> GENERALCONTRACTOR MAILAOOHESS CITY 21P PHONE LICENSE� <br /> Same <br /> MECHANICAL CONTRACTOfl MAIL ADORE55 QTY ZIP PNONE LICENSE� <br /> PLUMBING GONTRFCTOR MFIL AODRESS CITY 21P PMONE LICENSE M <br /> ' CUSS OF WORK � <br /> �CNEW � ADDITION O ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VAlWT10N OF WORK <br /> f 50�000.00 <br /> DESCRIBE WORI( <br /> i7ew Single Family REsidence <br /> PROPOSED USE OF BUILDING <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 /> LEGALOESCRIPTIONOFPqOPERTV�SHOWBELOWCRATTACHF0URC071E5� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES --1 <br /> inr?BLOCK_OF Short Plat GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH � <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A ^� <br /> PERMIT DnES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE �� <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE �� <br /> PER AN F CONST UCTION. � � <br /> JOB AODRESS 51 RTUR F C TRA iH IiEO RGEkT DRTE <br /> 5909 Glenwood Avenue �7 o m <br /> PLUMBING MECNANICAL m g <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE p � <br /> 1 WATERCLOSET�TOILEn AIR COND.UNITS— H.P.EA. ...� _ <br /> 1 BATHTUB 2 REFRIGERATION UNITS — H.P. EA. �=e7 � <br /> 1 LAVATORV(WASM BASIN) 2 BOILERS— H.P. EA. p Z <br /> SHOWER GAS FIRED A.C.UNITS — 70NNAGE EA. y —� <br /> 1 KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. rrr ._.� <br /> 1 DISMWASHER Z Qp WAIL HEATERS— B.T.U. M � N <br /> LAUNORYTRAY UNIT HEAT�RS— B.T.U. M p p <br /> 1 CLOTHES WASHER 2 pp EVAPORATIVE COOLlPS � � <br /> 1 WATER HEATER Z 0p CLOTHES DRVERS = <br /> UFINAL VENTILATION FAN m 1�i� <br /> DRINKING FOUNTAIN RANGe HOOD O r <br /> FLOOR DRAIN AIF HANDLING UNIT— C.F.M. C lmn <br /> VACUUM BREAKEFiS STOVE—WOOD m y <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY � r <br /> SINK(SERVICE— BAR,ETC.) FIREPLACE INSEHT � > <br /> A <br /> HEAT PUMP <br /> --1 <br /> 2 <br /> a <br /> z <br /> --1 <br /> SUB TOTAL S SUB TOTAL S 19 50 <br /> 14 00 � <br /> PEHMIT S PERMIi f N <br /> TOTAL FEE f 14 00 TOTAL FEE S 19 50 p <br /> SIDE YARD SETBACK STREET SETBACK REAR VARD SETBACK PLAN CMECK NUMBER PLAN CHECK FEE r�i <br /> 5� 20� ZQ� 84/13662 FEE 183.95 RECEIPiNO. m <br /> USE ZONE LOT AREA VACANT SITE <br /> R-2 :7S'XS ��.;NO FEES VALUATION FEE <br /> TYPE Of CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3--M 1 auaoiNc a 50,000. 283 00 <br /> R3 SIZE O��BG'SQ. Ft NO.OF STORIES MA%.OCC. LOAD <br /> 1 4 PLUMBING 19 00 <br /> FIREZONE BASEMENT REOUSR�RqIN,KLERS MECHANICAL 19 SO <br /> None : �,ves ^'No <br /> APPROVALS BY DATE �7HER � <br /> 1.ENVIRONMENTAL CHECK LIST pENALTY U.B.C. <br /> 2.BUILDING PLANS ��' SEC.303(el <br /> 9.FIREHYORANT TOTAL 316 50 <br /> 4.FIRE PROTECTION SYSTEAI PERMIT VALIDATION <br /> 5.GRADING �, . WIHEN PF}OPEFjL�'VA1.II�ATED QN Fh{,h{I$�pA¢E)THI�I9Y�U�i f�f�Al� � <br /> �-BiDRAINAGE - -> <br /> � �� � <br /> ' =7'ENVIRONMENTALIMPAGT�9TATEMENT � <br /> �8,HEALTH DISiRICT . _ � ' � � . . ��� � <br /> APPLICATION ACG.BY • �PLANS CHECKED BY APPR. FOR ISSl1ANCE BY - � �� I'�� <br /> �.., � � ' U <br /> r.- .STG ' .-� HW�f LC . , ; � 1 • � �• <br /> � - <br /> -. � � � , <br /> � , _ �� �i <br /> � � � ;i .. .. ,. <br /> AUDRESS Fll[ <br /> L J <br /> , ,. .:.,�,:. , , : <br /> _ .,._ r..,.°�,�`,, . .,..�,.�„_...., <br />