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�1 <br /> !Lc Ll'crCreCn , �� N ST R U CT I O N <br /> everett pERMIT PERMlT NO. 1� -� �� � <br /> CITY HALL 259�8745 <br /> - EVERETT, WA 98201 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OLYNFR MAILF�DRE55 CITY ZIP PHONE <br /> Aaron S9iley 2105 Lombard Everett 98201 259-5457 <br /> AriCMITECT OR DEEIGNER ldAIL ADDRE55 GITY ZIP PHONE � <br /> GENERAL CONTRACTOR IdFIL ADDRESS CITV ZIP PHONE LICENSE a <br />� Prvde Home Builders P.O. Box 530 Lake Stevens 98258 334-9047 <br /> MECHANICAL CONTRACTOR IdAIL ADDRE55 CIiY ZIP PHONE LICENSE M <br /> PLUMBING�ONTRAGTOR MAiL A��RESS CITY ZIP PMONE UCENSE M <br /> CLASS OF WORK <br /> � ❑ NEW ❑ ADDI710N � ALTERA710N ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN [] WOOD STOVE/FIPEPLACE INSER7 <br /> VALUATION OF WORK <br /> 5 14,500. <br /> DESCRIBE WORK <br /> Remodel of existing residence <br /> PROPOSED USE OF BUILDING <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AIJD <br /> LEGPLDESCRIPTIONOFPROPERTY�SHOVJBELOVJOflATiACHFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES Z <br /> S�o�f32 PLOCN 439oF Everett Div. A GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH � <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A � <br /> PERMIT DOES f:OT PRESUME TO GIVE AUTHORITY TO VIOLATE m <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR " <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFOfi 1(v7�NCE OF CONS RUCTION. .� <br /> JOB ADDRE55 SIGNAT {OF CONTR C�l OR U ORRER,A�ieNT/ onre —� '•� <br /> 2105 Lombard X ,�.� ; -���� .?�/19/SS N = <br /> m <br /> PLUMBING MECHANICAL c o <br /> NO. 7YPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE m o <br /> WATER CLOSET(TOILE'i) AIR COND. UNITS- H.P. EA. p � <br /> ], BATHTUB 2 �� REFRIGERATION UNITS- H.P. EA. ._.{ Z <br /> 1 LAVATORY(WASH BASIN) Z �� 201LERS - H.P. E�. m � <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. ,., Z <br /> 1 KITCHEN SINK&DISP. FORCF.D AIR SYSTEMS - B.T.U. M EA. C <br /> DISHWASHER WALL HEATERS- B.T.U. N� n = <br /> r-� <br /> LAUNDRVTRAY UNIT F�.EATERS- B.T.U. M � N <br /> K <br /> 1 CLOTHES WASHER QQ EVAPOP.ATIVE COOLERS p � <br /> WA7ER HEATER Z 0 CLO7HE5 DRYERS T n <br /> URINAI_ VENTILATION FAN � m <br /> 2 <br /> DRINKING FOUNTAIN RANGE HO00 m tn <br /> FLOOR �RAIN AIR HANDLING UNIT- C.F.M. O r <br /> VACUUM BREAKERS S70VE - WOOD c vmi <br /> ROOF DRAINS- FAINLEADERS METAL FIREPLACE 8 CHIMNEY � N <br /> 'm <br /> SINK�SERVICE- BAR, ETC.) FIREPLACE INSER� -zj � <br /> Pl lll Z OO HEAT PUMP � <br /> '_- -- v <br /> — , � <br /> x <br /> - - n <br /> z <br /> SUB TO7AL 3 14 VO SUB 70TAL 5 _{ <br /> PEFMIT S PERMIT 5 �, <br /> TOTAL FEE 5 14 00 70TAL FEE S N <br /> SIOE YAIiD SET3ACN STFEET SLTBFCK REAP YARD SETBACK FLAN CHECK NUMBEF PLAN CHECK FEE Z <br /> O <br /> FEE RECEIPT NO. '� <br /> USE ZONE L(1T P iEA VA;,ANT SITE n <br /> FEES VALUA710N FEE m <br /> � .VES ��,:NO _ <br /> TYPE OF CONST. OCCUPANCY GFOUP �>�-0.OF DWELLING UNITS <br /> BUILDING 514,500 110 SO <br /> SIZE OP BLDG. NO.OF STORIES � r..AX.OCG LOAD - <br /> ' PLUMBING 1Q OO <br /> PIRE ZONC BASEM[N'i FIRE SPRINKLERS MECHANICAL <br /> IqEQUIRED <br /> VES .NO <br /> APPROVAIS BY DATE �THER � <br /> 1. ENVIflONMENTAL CHECK LIST PENALTY U.B.C. <br /> ------ SEC.303(a) <br /> 2.ew�o". �c a�nNs ' 12.4 50 <br /> 3.FIqE HYDRANT TOTAL <br /> a.FIRF PROTECTION SYSTEM PERMIT VALIDATION <br /> � ��� 5.G7ADING WHEN PROPEPLY VALIDA7ED QN 7HIS SPAOE)THIS ISi YQUfi PERMI7 __ ���f <br /> � � 6.DRAINAGE <br /> ' � 7.ENVIRONMENTALIMFACTSTATEMENT <br /> c.i — - <br /> 8.HEALTH DiSTRICT � ' � <br /> � . . � . I .. .. <br /> APPUCATION ACC. BY-- PLANS CHECKED BY APPR. FOR ISSUANCE BV <br /> ' i <br /> - I . <br /> i� <br /> . .... .�.. : 1-L C <br /> 1 <br />