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_ � <br /> �n� e��•.�;���» <br /> everett � ^� C O N ST R�J CT I O � � <br /> PERMIT PERMIT N0. �3120 <br /> CITY HALL 259�8745 <br /> EVERETT,WA 98201 � COMBINATION �c BUILDING C� MECHANICAL � PLUMBING <br /> OWNER MAIL A��RE55 CITY 21P PMONE <br /> John R. Fletcher 221 South Broadway M-2 Everett 98204 355-4817 <br /> ARGHITEGT OR pE51GNER MpIL AOORE55 pTY 21P PMONE <br /> GENERAL CONTFACTOR MFI�A�ORE55 CITV 21P PMONE �ICENSE M <br /> Same <br /> . MECMANICAL CONTPACTOR MAIL A��PE55 LITY ZIP PHONE LICENSE� <br /> PLU!ABING CONTRACTOR MAIL AODRESS CITY ZIP PMONE UCENSE� <br /> LlAS50F WORK � <br />� �JEW ❑hC01TI0N ❑ ALTERATION O REPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ W00�STOVE/FIFiEPLACE INSERT <br /> VALUATION OF\YORN <br /> f 60�000.00 <br /> DESCRI6E WORN <br /> Construct Single F'amily Residence <br /> PROPoSED USF OF BUILOING <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�ESCRIPTIONOFPROPERTY�SMOWBELOWORATfAGHFOUHCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES 0 <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH � <br /> LOT 3 BLOCK_OF n <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A m <br /> Short Plat #17-83 on Lot 6 of Everett Dells PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE •• <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> L 1 28 4 LOCAL LAW REGULATING CONSTRUCTION OR THE ,.., ,.., <br /> PERFORMANCE OF CONSTRUCTION. � '� <br /> JOB ADDRE55 SIGNAiURE OF CONTRACTOR OR AUTHORI2ED ENT OATE ny �{ <br /> 5911 Glenwood Avenue X ,� � .1-�-����w ,'j-:L/-�' Nm <br /> v <br /> PLUMBINfi MECHANICAL m o <br /> n <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE O 3 <br /> 2 WATERCLOSET�TOILEn Q QQ AIR COND.UNITS- H.P. EA. � _ <br /> 1 BATHTUB 2 00 REFRIGERA710N UNITS - H.P. EA. m � <br /> 2 LAVATORY�WASH BASIN� 4 00 BOILERS- H.P. EA. Q = <br /> 1 SHOWER Z OO GAS FIRED A.C. UNITS- iONNAGE EA, D � <br /> 1 KITCHEN SINK 6 OISP. 2 00 FORCED AIR SYSiEMS- B.T.U. M EA. M � <br /> 1 DISMWASHER 2 00 WALL HEATERS- B.7,U. M K N <br /> LAUNDRY TRAV UNIT HEATERc- B.T.U. M 0 � <br /> 1 CLOTHES WASHER EVAPORATIVE COOLERS "�1 � <br /> 1 WATER HEATER Z 1 CLOTHES DRYERS 4 SO = m <br /> URINAL 2 VENTILATION FAN 6 m "' <br /> N <br /> DRINKING FOUNTAIN RANGE HOOD O r <br /> FLOOR ORAIN AIR h1ANDLING UNIT- C.F.M. n m <br /> C N <br /> VACUUM BREAKERS STOVE-WOOD m N <br /> ROOF DRAINS- RAINLEADERS ], METAL FIREPLACE d CHIMNEY �� <br /> SINK(SE'�VICE- BAR,ETGI FIREPLACE INSER7 • r''� <br /> . — a <br /> HEAT PUMP p <br /> _ � <br /> 2 <br /> a <br /> z <br /> � <br /> SUB TOTAL Z SUB TOTAL S 22 50 M <br /> PEHMIT f PERMIT S � <br /> TO7AL FEE S 20 00 TOTAL FEE f 22 SO = <br /> O <br /> SIDE VARD SETBACK STRFET SETBACK RE.�R YARD SETBACK PLAN CHECK NUM9ER PLAN CHECK FEE -1 <br /> � <br /> 84/13120 FEE 203.45 RECEIPT N0. m <br /> USE ZONE LOT AREA VACANT SITE �-.� <br /> R-2 gjd'ES ! �.NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD BUILDING $ 60,000. 313 00 <br /> 1 PLUMBING 20 00 <br /> FIREZONE BASEMENT FIRESPRINKLERS MECHANICAI <br /> None R[OUIREQ___ Z <br /> .�,YES 14�6 <br /> APPpOVALS BY DATE OTHER _i <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.J03 la) <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRANT �.i TOTAL <br /> 4.FIRE PROTECTION SYST PERMIT VAIIDAT{0►� (� (� �� I (� <br /> 5.GRADING � ;lqHjN PRQ�i?�iALX VALIOATED(IN 71M�SPlL�Cfj THIS�3 yR�,E�MfT--� <br /> 6.DRAINAGE �ro N <br /> � <br /> 7.ENVIRONMENTAL IMPACf S7ATEMENT ^ ' ..�.I I'�I '' ��-�' '. i PTM <br /> �B:HEALTHDISTRICT � ' � �` .. ' ` . �`. 1� . : � <br /> APPLICATION ACC. BY ' PLANS CHECKED BY APPR.FOR ISSUANCE BV � i;� `�'� V . �,�V ��` U <br /> C:� Vl . \ 1 � (\ <br /> ,F,- STG �� :�) ,� JEF I,C ' ' <br /> ':: �ri <br /> --� � � ti;;Y S�� � � ':���y 0'� <br /> t� <br /> ADDRESS FILE � " � <br /> 1_ -J <br />