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� <br /> ,,��. Lle�grcen Jo rv sT R u c�ri o r� <br /> cirv oF � <br /> ,- everett P E R M IT PERMIT N0. .� 51 $ 5 <br /> CITY HALL 259�0745 <br /> EVERETT,WA90201 � COMBINATION S� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OIYNER MAIL ADDRESS CITY ZIP PMONE <br /> STEVE NIELSEN 4858 GLENHAVEN EVERETT WA 98203 259-?SQB <br /> fRCHITEGT Oq DESIGNER MAIL A�ORE55 GITY ZIP PHONE <br /> GENERAL CONTflACTOR MAIL ApORESS CITY 21P PMONE LICENSE• <br /> Same <br /> MECHANICAL CONTRACTOR MAIL AOORESS CITY ZIP PMONE LICENSE� <br /> PLUMBING CONTRACTOR MAIL ADDRE55 CIiY 21P PHONE LILENSE� <br /> CLASS OF WORK <br /> ❑ NEW ❑ ADDITION I� ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> s 1200.G0 <br /> DESCRIOE WORN <br /> Enclose carport and extend one wall = <br /> 0 <br /> PROPoSEUUSECFBUILOING I HEREBY CERTIFY THAT I HAVF. READ AND EXAMINED THIS --� <br /> Garage APPLICATION AND KNOW THt_ SAME TO BE TRUE AND m <br /> LEGALDESGNIPTIONOFPROPER7YISHOWBELOWORAiTAGNFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES .. <br /> 29 Plat of Glenhaven GOVERNING THIS TYPE OF WOFiK WILL BE COMPLIED WITH <br /> l0T__BLOCK_OF WHETHER SPECIFIED HEREIN OR NOT.TIiE GRANTING OF A .. .-� <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE '� � <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR N = <br /> LOCAL LAW REGULATING (:ONSTRUCTION OR THE o m <br /> PER ORM NC F NSTRUC?'ION. c o <br /> JOB ADDRESS SIG 0 0 OP UTHORIZEO AGENT DATE m � <br /> 4858 GLENHAVEN � ��ZZ�85 0 3 <br /> m <br /> PLUMBING MECHANICAI =� <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMEN7 FEE �^ <br /> WATERCLOSE7�701LEn P.IR COND.UNITS- H.P. EA. '� Z <br /> BATHTUB <br /> REFRIGEFATION UNITS- N.P. EA. r = <br /> LAVATORryWASH BASIN) BOILEFS- H.P. EA. .-�-� v� <br /> GAS FIRED A.C.UNITS-TONNAGF. EA. � <br /> SHOWER � <br /> KITCHEN SINK 8 DISP. FOFCED AIR SYSTEMS- B.T.U. M EA. � 3 <br /> DISHWASHER WALL HEATERS- B.T.U. M .--� m <br /> UNIT HEA7ERS- B.T.U. M = <br /> �AUNDRV TRAY — m � <br /> CLOTHES WASHER EVAPORATIVE COOLERS O <br /> WATER HEATER CLOTHES ORYERS � m <br /> URINAL VEN7ILATION FAN 3 VNi <br /> ORINKING FOUNTAIN RANGE HOOD _ Z C') <br /> AIR HANDLING UNIT - C.F.M. , � m <br /> FLOOR DPAIN y <br /> VACUUM BREAKERS STOVE-WOOD v <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 8 CHIMNEY -.� <br /> 2 <br /> SINK(SERVICE- BAR, ETC.) FIREPLACE INSERT Z <br /> HEAT PUMP <br /> �--I <br /> _ <br /> _— N <br /> 2 <br /> SUB 70TAL S � <br /> SUB TOTAL S ""� <br /> PERMIT S PERMIT S n <br /> TOTALFEE 5 <br /> TOTAL FEE f m <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SE7BACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 85�15184 FEE 13.33 AECEIPT NO. <br /> � <br /> USE 20NE LOT AREA VACANT SITE FEES VALUATION FEE <br /> �.:YES : :NO <br /> TYPE OF CON57. OCCUPANCY GROUP NO.OF DWELIING UNITS _ <br /> BUILDING S 1200. <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> PLUMBING <br /> FIRE 20NE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED - <br /> .�YES � �.NO <br /> APPROVALS BY OATE �7HER <br /> U.B.G. <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY SEC.3031a1 <br /> 2.BUILDING PLANS TO7AL <br /> 3.FIRE HYDRANT <br /> 4.FIRE PROTEC710N SYS7EM PEHMIT VALIDATION � <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE�THIS IS YOUR PERMIT <br /> S.GR4DING � ' �' ' � -_.._ � <br /> 6.ORAINAGE � <br /> 7.ENVI RONMENTAL IMPACT STATEM1tENT L,() <br /> B.HEALTHOISTRICT � T� <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � � <br /> eb jef jef <br /> � <br /> � <br /> ACDRESS r�L[ i <br />