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r � <br /> `''e`'��TY`oF ;ONSI'RUCTION <br /> everett PE�MIT pERMIT NO. 10995 <br /> CITY HALL 259�8745 <br /> EVERETf.VlA 98201 ❑ COMBINATION �CBUILDING XI�tMECHANICAL ❑ PLUMBING <br /> OWNEfl MAILADDN[55 CITY ZiP PMONE <br /> Margaret Shroyer 4826 Delaware Everett <br /> qRGH1iEC'OR JESIGNER MqIL ADORE55 CITY ZIP PMONE <br /> GENE(iALCONIRFGTOR MAILADDRESS QiV 21P PMONE LICENSE♦ <br /> Carl Larsen Construction Inc. 9801 76th S .W. Mukilteo 98275 355-4745 �1 <br /> � MEGHANICALCOMRACTOR MAILADORE55 pTY ZIP PNONE UCENSEI <br /> LA RS EC M337NG <br /> PWMBINGCANiRACTOR MAILADDPE55 CITY ZIP PHONE LIC[NSE� <br /> C1A550F WOPN <br /> ❑NEW XK�ADDITION ❑ALTERATION ❑RF.FAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORN <br /> S 71�00.�� <br /> DESCRIBE WORK <br /> Addition to existin kitchen area <br /> PPOPoSED USE OF BUiL01NG <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> iecn�oeseaianorvoFPaoPearv�sNowse�owonartneHFouaeoa�esi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 106 Claremont Hei hts ALL PROVISIONS OF LAWS AP�D ORDINANCES GOVERNING THIS <br /> �or BLOC�OF TYPE OF WORK WILL BE COM� LIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRU TION OR THE PERF RM CE OF CONSTRUCTION. <br /> JOBAOORE55 Sh FtUR ONiRAGtOR R U P. i DATE <br /> 4826 Delaware X - � ��� a. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FU(TURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) AIR CONU.UNITS—H.P.EA. <br /> OATHTUB REFRIGERATION UNITS—H.P. EA <br /> LAVATORY�Y✓ASH BASIN) OOI�ERS—HP.EA. <br /> SHOWER GAS FIR[D A C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALL HEATERS—8 T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLEFS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> URINKING FOUNTAIN ��NGE HOOD <br /> PLOOF7 DRAW �IR HANDLING UNIT— C Fld. <br /> VACUUM BREAKERS 1 STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK ISERVICE—BAR.ETC 1 <br /> '' SUB TOTAL SUB TOTAL S 7 S O <br /> PERMIT f PERMIT f <br /> TOTAL FEE f TOTAL FEE f 7 S O <br /> SIDE YARD SETBACK STREET S[TBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CMECK FEE <br /> 6 ' 20' 20' 82/10995 FEE 40 .63 R[CEIPTNO <br /> USE ZONE LOT AREA VACANT SITE 5 9 2 3 4 <br /> R—], , ❑YES f.]NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N Add'n R-3 1 <br /> BUILDING 5 62 50 <br /> SIZE OF BLDG. NO.OF SiOFiIES MA%.OCC.LOAD <br /> 233 Sq. Ft. Add� ll 1 PLUMBING � <br /> ! FIRE ZONE BASEMENT FIRE SPRIf�KlERS <br /> REOUIRED MLCHANICAL � S O <br /> ❑YES JZ]p0 <br /> APPROVALS BY OATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST PENALTY UBC <br /> i . 2. BUILDING PIANS � SEC.303(a) <br /> � 3. FIREHVDMNT u TOTAL �0 OQ <br /> L I 4. rIREP ECTION TEM PEflMITVALIDATION <br /> WHEN PROPERLY VAIiDATED(IN TNIS SPACE)TIiIS IS YOUR PERMIT <br /> � 5.'GRDt � BAJ � ;3062. 5�0 �'� � , <br /> � 6. D�IN <br /> � 7. E R ENTAL IOACT STATEMENT � � � <br /> �1�p B. fIE LT{1�ISTFICP � �/011i� AC�L �p� O <br /> `- � qpp� ACC. Y� PLANS CHECKE�BV APPR.FOH ISSUANCE BY v r�c c r <br /> � ._ ; TF-t:�t.;� Y,OU <br /> , - � � � HWDf Lc � <br /> . — � . � � 7 � 82 <br /> • AUDRE55 FILE _ __. ____ _ � <br />