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d�cE��crgreen ` C�NSTRUCTION � <br /> CITV OF <br /> everett PFRMIT pERMIT NO. 08977 <br /> CITV HALL 259-8745 <br /> eveaen.wn 9ezoi ❑ COMBINATION �tBUILDING ❑ MECHANICAL PLUMBING <br /> - OYlNER MAILADDIiF55 GITY ZIP PMONE <br /> Mike C. Medler 5217 College Avenue Everett 98203 353-6397 <br /> AflCMITECT OR�ESIGNER MAllA0DRE55 CITY ZIP PMONE <br /> GEryEaR�e NTFACTOR <br /> MAILADORESS GiY 21P PHONE UCENSEr <br /> J <br /> MECHANIGALCONTeAf.10R MAILADDPE55 GTY 21P PHONE IICENSEI <br /> PIUMBING CONTpALTOF MAIL AODRE55 CITY ZIP PHONE LIGENSE 1 <br /> ClA:S OF WORK <br /> ❑NEW C}a$DDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VALUATION OF WORK <br /> 5 9 �5��. <br /> oEscaiee woaK <br /> Addition to existing single family residence <br /> PROGOSED VSE OF BUILDING <br /> Single family residence pLICATION ANDF NOW THE SAME TO BE RUE AND�CORRECT. <br /> �ecn�oescqialioNOF Paoaeen�ar�ow oei ,:voanrrneN voua�eooiesi ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> 4 Fairview Hei hts Div. 2 TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> LOi OLOCic_OF <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTFUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNni � i'CANiRACi R AUIMOPI$EO hGENi �AiE <br /> JOU ADDRE55 �l� / <br /> 5217 Coll�ege Avenue a� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> ]. WATER CLOSET(TOIIET) 2 OO AIR COND UNITS—N.R EA. <br /> BATHTUB REFfiIGGRATION UNITS—HP.EA <br /> 2 LAVAIORY(WASH BASIN) 4 00 eoi�Er�e—�ir.En. <br /> SHOWEP GAS FIPED A C.UNITS—TONNAG[EA <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—B T.U. M EA. <br /> DISHWASHER WALL HEATERS—B T.U. M <br /> IAUNDRY TRAY UWT H[A1E(i5—BT.LL M <br /> CLOTHES WASHER Z OO EVAPOFATIVE COOLERS <br /> WATER HEATER CLOTHES UflYERS �I S O <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAIN AIF HANDLING UNIT— GF M. <br /> VACUUM�REAKERS STOVL <br /> ROOF DRAINS—AAINLEADERS METAi FIREPLFCE 8 CHIMNEV <br /> SINK�SERVICE—BAR.ETCJ <br /> SUB TOTAL SUB TOTAL S 4 $0 <br /> PERMIT S PERMIT s <br /> TOTALFEE S TOTALFEE S <br /> SIDE VARD SETBACK STREET SET�ACK REAR YARD SETOACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 6 � 20' 20 ' 81/8977 FEE 52 . 33 52600 <br /> USE ZONE LOT FREA VACANT SIT[ FEES VALUATION FEE <br /> R_I 17YE5 ��O <br /> TYPE OF CONSi. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V—N R'3 I BUILDING $ 9500. 60 50 <br /> SIZE OF BLDG. NO.OF STORIES NA%.OCC.�OAD <br /> 20' X2S ' Add 2 PLUMBING 8 00 <br /> FlRE ZONE BASEMENT RCOUIPRE�INKLERS MECHANICAL �I S O <br /> ClYES .'CS(O <br /> APPHOVALS BY DATE OTHER <br /> L ENVIRONMENTAL CHECK LIST PENALTV U.B.C. <br /> SEC.303(e) _ <br /> 2. OWLDINGPLANS `^ 93 UQ <br /> TOTAL <br /> 3. FIRE HYDRANT <br /> 4 RRE PRO7ECTION SVS7Ell. PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GFADING � , , � — I <br /> _ � �. _ � � � ra �� �,� �' r. � ^ � � <br /> � G. DRAINAGE ' � <br /> � <br /> . 7. ENVIfiONMENTAL IMPACT STA7EMENT � <br /> ='8. HEAUH DlSifilCT � . . . . � . ' I�•�p <br /> '_ �''� � il 1 � � <br /> �ApPUCATION ACC:BY P1.4N5 CHECKED BY APPR.FOR ISSUANCE BY . . - . � , <br /> . . I K.C. K.C. <br /> � <br /> !� � � . .�i L � � _ , .. ., � <br /> ADDRE55 FILE <br /> � � <br /> I <br />