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thr 1:�•cr�rre�t <br />c��� or <br />everett <br />CITY HALL 259�8745 <br />' - CONSTRUCTIG.� <br />PERMIT PERMIT N0. �56�� <br />EVERE7T, WA 98201 � COMBlNATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MqILA�DRESS CITY 2iP PHONE <br />Dorathy Irland 4953 Dogwood Drive Everett 98203 252-Sg00 <br />ARGMITECi OR DESIGNER MAIL ADDRE55 CITY ZIP PMONE <br />GENERA� CONTqACTOR MAIL ADORESS CITY 21P PHONE LIGENSE / <br />Edeen Construction 15829 112th Street N.E. Granite Falls 691-6014 <br />MEGHANICRL GONTRnGTOR MFI� ADORESS CITY ZIP PMONE UGENSE � <br />PLUMBING CONTRACTOR MAIL ADDRE55 CITY ZIP PMONE LICENSE � <br />L� NEV! X`a ADDI710N ❑ A�7ERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE � SIGN ❑ Wp00 STOVE/FIREPLACE INSEFiT <br />s 38,000.00 <br />{GPIOE WORK Addition <br />12'x12' 7[8�Y8�11i to exisl•ing residence <br />Single Family Residence <br />LOT 12 BLOCh_OF <br />4953 Dogwood Drive <br />PLUMBING <br />TYPE OF <br />WATERCLOSET�T <br />BATHTUB <br />LAVATORV�WASM <br />SHOWER <br />KITCHEN SINK 8 C <br />LAUNDRYTRAY <br />CLOTMES WASMER <br />WA7ER HEATER <br />URINA� <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEADE <br />SINK (SEqVICE - BAR, ETC.) <br />OR ITEM <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />ATTACM FOUR WPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />ge _ 3 GOVERNiNG THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFO�R A�NCrnE OF CO�STRUCTION. <br />SIG AGTOqQ�AGTyQRIZE[ PGENT OATF <br />SUB TOTAL S <br />PERMIi s <br />TOTAL FEE S <br />7SETBACK STFEE75ETBACK FEAR YARD; <br />6� Z�' 20' <br />R-1 <br />V-N <br />SIZE OF DLDG. <br />12'x12' Add'n <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIFE HYDRANT <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SVS7EM5 - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATEPS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLO7HE5 DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />VE5 B}p0 <br />CY GROUP NO. OF DWELLIN <br />R-3 1 <br />ORIES MA%. OCC. LOAD <br />1 N/A <br />f FIRE SPRINKLER: <br />REOUIRED <br />VES Ytl0 <br />d. FIRE PROTECTION SYSTEM <br />5. GRADING <br />G. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMFNT <br />B. HEALTH DISTRICT <br />FOF ISSUANGE BV <br />L.C. <br />SUB TOTAL <br />PEqMIT <br />TOTAL FEE <br />GHECK NUMBER � <br />85/15667 FE[29,93 <br />FEES VALUATION <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />S 3800. <br />lal <br />S <br />S <br />S <br />RECEIPT NO. <br />50 <br />TOTAL <br />PEHMIT VALIDATION r 7�� `��' "'! I�� �- 50 " <br />WHEN PROPERLY VALIDATED (IN THIS SPACEI iHIS IS YOUR PERMIT .. <br />1DDRESS PILE <br />�......- - ..���. ISJ <br />ll ) <br />z <br />0 <br />-� <br />n <br />m <br />�T <br />... -i <br />Hm <br />mo <br />� <br />-r c <br />03 <br />-� z <br />m� <br />O 2 <br />a --i <br />rx <br />.. «� <br />--� N <br />< <br />� <br />O 70 <br />T 3 <br />-� m <br />2 <br />m N <br />or <br />c� m <br />C N <br />3 N <br />m <br />Z l"� <br />�r <br />. m <br />> <br />A <br />1 <br />2 <br />n <br />Z <br />� <br />S <br />�--� <br />N <br />z <br />O <br />--I <br />n <br />m <br />� <br />