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dirLYer,c�ren �oNVTY 1���'O� <br />��1��F f <br />everett PERMIT PERMIT NO. �4g O <br />CITY HALL 259�8745 <br />EVERETi,WA98201 � COMBINATION � BUILDING C� MECHANICAL �� PLUMBING <br />01YNER MFIL AODRESS CITY ZIP PMONE <br />John Martin 11326 27th Drive S.E. Everett 98204 337-9109 <br />AHCMITECT OR OESIGNER MAIL A�DRE55 QTY 21P ❑NONE <br />GENERAL CONTRACTOR MAIL ADDRESS GTV 21P PMONE LIGENSE � <br />Daymar Construction 19555 170th N.E. Woodinville 98072 DAYMAC182K*8 <br />MEGHANICRI CONTPAGTOR MAIL ADDRE55 GTY ZIP PMONE IICENSE 11 <br />PLUMBING CONTRAGTOR MAIL ADDRE55 CIT" 21P PMONE LIGENSE M <br />55OF WOHM1 <br />� NEW O AODITION ❑ ALTLRATION ❑ REPAIH ❑ OEMOlIT10N ❑ FENCF. ❑ SIGN WO00 STOVEIFIREPLACE IN <br />.UATION OF WORK <br />f 9�/���0.�� - <br />ICRIBE WORK <br />Construct Single Family Residence <br />Single Fltnily Residencn_ <br />�or 3181OCN__OF Edgemoore He: <br />Y 35294 <br />JOBAOORE55 <br />5021 Dover Street <br />PLUMBINU <br />N0. TYPE OF FIXTUR <br />3 WATERCLOSET�TOILEn <br />BATHTUB <br />LAVAT�RY IWASH BASIN) <br />SHOWER <br />i KITCHEN SINK 8 DISP. <br />LAUNDRYTRAV _ <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEADE <br />SINK ISE'�VICE - BAR, ETC.) <br />�;. � <br />R-:' <br />V-N <br />SIZE OF BLDG <br />i2oi SQ. �'t. <br />FIRE ZONE <br />ITEM <br />SUB TOTAL 4 <br />PERMIT S <br />TOTAL FEE S <br />25' <br />A <br />NCY GRC <br />R-3 <br />ITORIES <br />1 <br />APPHOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PRO7EC710N SYSTEM � <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPAf.iSTATEMENT <br />B. HEALTH DISTRICT <br />APPI ICATION ACC. BY PLANS CHE <br />EB <br />HWM <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREItJ OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESU�AE TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OF <br />LOCAL LAW R[uULATING CONSTRUCTION OF TN� <br />PERFORMrye�` CE OF CONSTRUCTIQ�. <br />SIGNAi�ME061CONT�i�AALITHOR12E0�ENT DATt <br />� i ii <br />FEE �O. TYPE OF EOUIPMENT <br />OO AIR COND. UNITS - H.P. EA. <br />RFFRIGERATION UNITS - H.r. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. �INIiS - TONNAGE EA. <br />1 FORCED AIR SYSTEMS - B.T.U. M E�. <br />WALL HEA7ER5 - B.T.U. M <br />D UNIT H[A7ERS - B.7.U. M <br />EVAPORATIVE COOLERS <br />II 1 CLOTHES DRYERS <br />2 VENTILATION FAN <br />1 RANGEHOOD <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />], METAL FIREPLACE 8 CHIMNEY <br />FlREPLACE WSER7 <br />HEAT PUMP <br />REAR VARD SE� <br />25' <br />VACANT SI1E <br />x+XES :':NO <br />NO.OF DWELLI <br />1 <br />rnnx.oca �oa <br />8 <br />BY � DATE <br />SUB TOTAL t <br />PERMIT 5 <br />TOTAL FEE 5 <br />FEE 213.2y RE76943� <br />VALUATION FEE <br />BUILDING 590,000. 403 00 <br />PLUMBING ZQ OO <br />MECHANICAL 28 SO <br />OTHER <br />U.B.C. <br />PENALTV SEC.3031a) <br />rOTAL 4SS SO <br />PENMIi VALIDATION � - - � - � <br />WHEN PROPERLY VALIDATED pN THIS SPACEI TMIS IS YOUF PERMI7� "- Q <br />, N <br />- � <br />'�' <br />„ i � <br />BY APPR. FOR ISSUANCE BY <br />LC <br />ADDRL55 19LL <br />z <br />0 <br />-a <br />� <br />m <br />�� <br />�--i �--� <br />Vt S <br />rn <br />� <br />co <br />m o <br />c� <br />O 3 <br />m <br />�z <br />m� <br />...� <br />O 2 <br />a -a <br />rx <br />-1 N <br />< <br />T <br />O A <br />� 3 <br />-� m <br />2 <br />fTl N <br />v <br />or <br />c� m <br />C N <br />3 �n <br />m <br />z c� <br />-� r <br />• m <br />D <br />A <br />� <br />x <br />n <br />z <br />� <br />x <br />� <br />z <br />0 <br />� <br />C'� <br />m <br />