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dtcE�•cr�;reen _ �O�A�����'O�F <br /> Ci,r ov � V <br /> everett PERMIT PERMIT NO. 1229� <br /> CITY HALL 259�P7a5 <br /> EVERETT,WA9B201 ❑ COMBINATION � BUILDING ❑ MECHANICAL � PLUMBING <br /> OWNER MAIL ADDRE55 CITY ZIP PMONE <br /> Michell Simmons 4605 College Everett 982U3 259-6591 _ <br /> pRGHITECT OR OESIGNER MAIL A��RE55 CITY ZIP PMONE <br /> GENERAL GONTPACTOF MAIL AD�RESS GTY ZIP PMONE LICENSIi/ <br /> Same <br /> MECNANICAL GOHTRACTOR MAIL AD;IRESS CI7Y ZIP PMONE �ICENSE I <br /> PLUMBING CONTRACTOR MAIL AOOFESS GTV ZIP PHONE LICENSE/ <br /> CLA55 OF WORK <br /> ❑ NEW ❑ ADDITION �IxALTERATION O REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN (] WOOD STOVE/FIPEPLACE INSERT <br /> VAUTATION OF WORK <br /> S �. i���. �J - <br /> OESCRIBE WORK <br /> Bathroom and Dormer Addition <br /> PROPoSED USE OF BUILDING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAi,�iNED THIS <br /> Single Famil Re ' APPLICATION AND KNOW THE SAME TO 8E '�RUE AND � <br /> IEGAL DESCiIPTION OF PPOPERTY�SHOW BELOW OR ATTACH FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND OR�INANCES <br /> 1-4 1 Plat of College Hill GOVERNING THIS TYPE OF WORK'NILL BE COMPLIED WITH �' <br /> LOT_BLOCK__OF 'T <br /> WHETHER SPECIF�ED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE � M <br /> OR CANCEL THE PROVISIONS OF ANY OTHEti STPTE OR � n <br /> LOCAL LAW REGULATIN(; CONSTRUCTION OR THE � � <br /> PERFORMANCE OF CONSTRUCTION. y m <br /> JOB ADDRESS SI NATURE OF CONTRACTOR OH AU F12ED AGENT J OATE <br /> 4605 College Avenue X .tnc.c��c-c� '�"`�-�/ •�� �.3 mo <br /> PLUMBING MECHAN AL p m <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE _ � <br /> WATERCLOSETITOILETI AIR COND. UNITS — H.P. EA. fn <br /> �--� <br /> BATHTUB REFRIGERATION UNITS — H.P. EA. Q Z <br /> LAVATORY(WASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. .r+ �-_. <br /> FORCED AIR SVSTEMS— B.T.U. M EA. � N <br /> KI7CHEN SINK 8 DISP. � <br /> �'I <br /> DISMWASHER WALL HEAiERS— B.T.U. M <br /> on <br /> LAUNDRY 7RAY UNIT HEATERS— B.T.U. M <br /> -i m <br /> CLOTHES WASHER EVAPORAlIVE COOLERS m M <br /> WATEfi HEATER CLOTHES DRYERS _ � N <br /> UHINAL VEN711.A710N FAN � m <br /> DRINKING FOUNTAIN RANGE HJOD C N <br /> FLOOF ORAIN AIR HANDLING UNIT— C.F.M. f3*1 N <br /> 2 Cl <br /> VACUUM BREAKERS STOVE —WOO� � m <br /> ROOF DRAINS— RAINLEADEt75 ME7AL FIREPLACE 8 CHIMNEY p <br /> A <br /> SINK(SERVICE— BAF,ETC.) FIREPLACE INSERT _ _ <br /> — HEAT PUMP _ <br /> Y <br /> 2 <br /> — � <br /> 2 <br /> N <br /> SUB TOTAL � 6 O SUB TOTAL 5 <br /> Z <br /> PENMIT S PERM�T S � <br /> TOTAL FEE 1 6 O TOTAL FEE S � <br /> SIDE YARD SETBACK STREETSETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE m <br /> 83/12292 FEE 11. 38 ���ijNO. <br /> USE ZONE LOT AREA VACANT SI7E FEES VALUATION FEE <br /> YES .NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 BUILDING $ 1, 000. 17 50 <br /> SIZE�F BLDG. NO.OF STORIES MA%.OCG. LOAD <br /> PLUA101NG 6 00 <br /> 2 <br /> FIREZONE BASEMENi FIRE SPRINKLERS MECHANICAL <br /> REQUIRED <br /> i.VES .X�IO <br /> BY DATE OTHER <br /> APPROVALS U.B.C. <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY SEC.309(a) <br /> 2.eUILDINGPLANS 70TAL 23 SO <br /> 3.FIRE HYDRAN7 <br /> 4.FIRE PROTECTION SYSTEM PERMI7 VALIDA710N <br /> WHEN PROPERLV VALIDATED pN THIS�S 4('cE�TH15 I�Y/�1U�1 ijEF�MK �1 , <br /> S.GRADING U 7 U L J 7 � � <br /> 6.ORAINAGE N <br /> 7.ENVIHONMENTALIMPACTSTATEMENT 1' N <br /> B.HEALTH DISTRICT 1�� �J i� R Ec:E I PT.--+ <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY ��';L�j'•�K YO U <br /> STG HWM <br /> I 7 �1�a OJ <br /> ADDRESS FILE <br />