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� Ihrlivvr�recn <br /> everett ' � � NSTRUCTIaN <br /> PERlVIIT PERMIT Np. 1r� � � 1 <br /> CI�Y MALL '259-87a5 <br /> EVEREL7,WA 98201 [� COMBINATlON Cxl 13UILDING � MECHANICAL � PLUMBIYG <br /> OYMER MAIL<pDRIi55 C.TV ZIP PHONE <br /> C'arroll E. Tollefson 1119 Lombard Everett 98201 252-1898 <br /> ARCHITECT OR DESIGNEF MAIL AO�RFSS CITV ZIP P'IONE <br /> GENERAL CONTRACiOR MAIL�O�R@SS CITV 21P PHONE LIGENSE X <br /> Same <br /> MECHANICRL CONTRACTOR MAIL AUUR[SS GIiY �IP PHONE LICEM1LE M <br /> PLUMBING CONTRAGTOR MAIL AOORESS LITY ZIP PMONE LICCNSE N <br /> LLASS OF\YORK <br /> ❑ NEN! 3'� ADDITION � ALTERATION O REPAIR ❑ O[MOLITION O FENCE ❑ SIGN J WOOD S70VEIFIFEPLACE INSEfiT <br /> VALUATION OF WOflN <br /> S Z�r��n.0� <br /> DESC�dOG WORK <br /> Add bedroom and half bath <br /> PROPOSEJ USE OF pUILDING <br /> Single Family Residence I HEREBY CERTIFY 7HAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> / LEGAL OESCRIPTION OF PROPERiY�SHOY!9FLOW OP ATTACH FOUR GGPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> L0T_BLOGK___OF GOVERNING THIS TYP[ OF WORK WILL BE COMPLIED WITH ' <br /> WHETHER SPECIFIED NEREIN OR �'OT.THE GRANTING OF A <br /> 172905 2 060 0006 PERMITCOESNOTPRESUMETO�IVEAUTHORITYTOVIOLATE <br /> OR CANCEL THE PP,OVISIONS OF ANY OTHEFi STATE OR <br /> LOCAL LAW REGULATING CON�TRUCTION OR THE <br /> PERF RMANCE OF CONSTRUCTION. <br /> JOB AO�RE55 SIG TORj OF CONTRA �ZG OATE� <br /> 1119 Lombard � X � . �� - � -$: <br /> PWMBING MECHANICAL <br /> �C. TYPE OF FIXTURE OR ITEM FEE N0, TYPE OF EOUIPMENT PEE � <br /> 2 ':vA7ERCLOSE7�701LET) 9 00 •�IR COND. UNITS — H.F. EA. � <br /> 1 �ATHTUB 2 �p REFF,IGERATION UNIfS — H.P. EA. � <br /> z Ll.VATORY(WASH BASIN) t] �Q BOILEFlS— H.P. EA. <br /> SHOWER GAS FIFED A.C. UNI7S— TONNAGE EA. <br /> —' __— <br /> KITCHEN SINK 8 DISP. FORCED AIF SYSTEMS— B.T.V. M EA. <br /> DISITYJASHER WALL HEAT=RS— C M <br /> LAUNDRYTRAY UNIT HEATER:;— B.T.U. M <br /> CLOTHES6VASHER EVAPORATIVE COOLERS <br /> WA7ER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKIN(i FOUNTAIN RANGE HOOD <br /> FLOOR JRAIN AIR HANDLING UNIT — C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> FOOF DFAINS— RAINLEADERS METAL PIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— B4'i. =TC.) FIREPLACE INSERT <br /> HEAT PIiMP <br /> 5110 TOTAL S 10 00 SUB TOTAL S 6 00 <br /> PERMI7 S PERMI7 5 <br /> TOTAL FEE S 10 00 TOTAL FEE 5 6 00 <br /> SIDE YARD SETBACK STREE7SETBACK REAR YAR�SE7BACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> g� $� 20� ZQ' 85/14531 FEE 52.33 RECEIPT ti0. <br /> USE ZONE LOT AREA VACANT SITE g <br /> R—Z �.:YES }C}(NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELIING UNITS <br /> V-N Addn R-3 1 Bui�oiw� 510,000. 80 50 <br /> SIZE OF BLGG. NO. OF STORIES MAX. OCC. LOAD — — <br /> 440 Sq. Ft. 1 N/A PLUMBING 10 00 <br /> FIRE ZONE BASEM1IENT FIRE SPRINKLERS MECHANICAL 6 00 <br /> REDUIRED <br /> �. �,YES XNO — <br /> APPpOVALS BY DATE OTHER <br /> i. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.3G3(a) <br /> 2.BUILOING PLANS 96 $0 <br /> 3.FIRE HYDRANT TO7AL <br /> a.FIRE PROTECTION SYSTEM PERMI7 VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDATED(M THIS SPACE�'i HIS IS YOUR 'ERMIT �--� <br /> 6.DRAINAGE � '� - � � m <br /> — � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT ,�. <br /> 8.HEALTH DISTRICT r..a <br /> APPLICATION ACC. BY PLANS CHECKED BV APPR. FORISSUANCE 6Y ' <br /> EB HWM LC <br /> AUDREiS FiLE <br />