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�hc C•irrgreen <br /> ��TYOF �- vONSTRUCTl01�' <br /> everett PERIVIIT PERMIT NO. �37�i� <br /> CIl Y HALL 259�87a5 <br /> EVF.RETT,WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUh161NG <br /> OWNEN MA4ADCRESS GITY ZIP PMONE <br /> Patrick Garritv 3d�5 Bell Avenue Everett 98201 252-4861 <br /> ARCMITEGT OR OESIGNER MPIL ADCRESS CITY ZIP PMONE <br /> GENERALCONTRAG�OR MAILADDRESS CITY ZIP PMONE LIC[85E� <br /> Same <br /> MECHpNICAL GONiRACTOR MRII AODRESS CITV 21P PHONE LICENSE� <br /> PLUMBING GONiPACTOR MAIL AO�RESS CITV 21P PHONE LICENSE+ <br /> CLASS OF WORK <br /> ❑NEW �ADDITION ❑ ALTERATION ❑REPAIR ❑ C�MOLITION ❑ FENCE O SIGN O WOOD STOVFJFIREPLACE INSEFT <br /> VALUATION OF WORI( <br /> 3 g�00�.00 <br /> OCSCRIBE WORK Z <br /> O <br /> Addition to existing residence .�. <br /> PROPOSED I1SE OF Bl11LDING n � <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ;',' <br /> single family residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCPIPTION OF PROGEPTY�SHOW BELO\Y OR ATTACH FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES �+ �-+ <br /> PtRo�'-�e�ocK 8 oF Friday's 2nd GOVERNING THIS TYPE OF WORK WILL BE COMPL�ED WITH "i '� <br /> WHETHER SPEC�FIED HEREIN OR NOT.THE GRAt�TING OF A N = <br /> PERMITDOESNOTPRESUMETOGIVEAUTHORITYTOVIOLATE m <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR � � <br /> LOCAL LAW fiEGULATING CONSTRUCTION OR THE m o <br /> PERFO ANCE OF CONSTRUCTION. 0 3 <br /> JOB ADDRE55 SIGNAT WNTRAC 0 R AUTM IZEO AGENT �ATE <br /> ! 2 7 b� m <br /> 1019 Edwards X ..I6jr LL ' i-=i <br /> m <br /> PLUMBINO MECHANICAL Q = <br /> NO. TYPE OF FIXTURE OR ITEM FE'e NO. TYPE OF E�UIPMENT FEE y ,� <br /> WATEHCLOSET�701LEn AIR COND. UNITS - H.P. EA. M .._. <br /> BATH7U8 REFRIGERATION UNITS - H.P.EA. � N <br /> < <br /> LAVATORY�WASH BASIN) BOILERS- H.P. EA. p p <br /> SHOWEH GAS FIRED A.C.UNITS- 70NNAGE EA. T� <br /> KITCHEN SINK 8 DISP. FORCED AIP SYSTEMS- B.T.U. M EA. �� m <br /> S <br /> DISHWASHER WALL HEATERS- B.T.U. M m `� � <br /> � <br /> LAUNDRY TRqV UNIT HEA7ERS- B.T.U. M p r <br /> CLOTHES WASMER EVAPORA7IVE COOLERS n m <br /> C N <br /> WATER HEATER CLOTHES DRYERS 3 N <br /> m <br /> URINAL �ENTILATION FAN 2 n <br /> .� m <br /> ORINKING FOUNTAIN RANGE HOOD a <br /> FLOOR DRAIN AIR HAN�LING UNIT- C.F.M. p <br /> VACUUM BREAKERS STOVE-WOOD = <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 8.CHIMNEY 9 <br /> 2 <br /> SINK(StRVICE - eAR,ETC.) FIREPLACE INSER7 � <br /> S <br /> HEAT PUMP r+ <br /> N <br /> Z <br /> O <br /> _ � <br /> � <br /> SUB TOTAL S SUB TOTAL 5 r�rt <br /> PENMIT S PERMIT S <br /> TOTAL FEE S TOTAL FEE S <br /> SI�E YARD SETBACK STREET SETBACK REAR VAFD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 6' 20' 9' (NOn-Confo 'ng 84/13781 FEE Zg,93 RECEIPTNO. <br /> USE ZONE LOT AREA VACANT$JF(p 8.10.8 71525 <br /> R-1 ..YES xhNO FEES VqLUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> V-N Add'n. R-3 1 <br /> BUILDING S 8,000. 68 50 <br /> S12E OF BLDG. N0.OF STORIES MAX. OCC. LOAD — <br /> QOO SQ. Ft. 1 N A PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKlERS h1ECHANICAL <br /> REOUIRED <br /> :_YES . �.NO <br /> APPROVALS BV DpTE OTFIEF <br /> t.ENVIHONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.307(a) <br /> 2.BUILDING PL4NS <br /> 3.FIREHVDRANT TOTAL 68 SO <br /> 4.FIRE PROTECTIc;N SYSTEM PERMIT VALIDATIJN <br /> 5.GRA�ING WMEN PROPERLY VALIOATED pN THIS SPAC�)THIS�S'YdU�P�91T_ � <br /> 6.DRAINAGE <br /> � <br /> 7.ENVIROVMENTALIMPACTSTATEMENT M <br />, 8.HEALTH DISTRICT ;� • �. j I'T�-� <br />� APPUCATION ACC. BY PLANS CHECY.EO BY APPR.FOR ISSUANCE BV ,\ , ,J <br /> STG HNiM LC <br />� ; . � <br /> ADDRE55 FILE � <br />