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Me EvY CITY <br />OF <br />Y OF �.. ^I O N ST R U CT I O N <br />CIT <br />everett PERMIT PERMIT NO. 12538 <br />CITY HALL 259.8745 <br />EVERETT, WA 98201 KI COMBINATION ® BUILDING 91 MECHANICAL ® PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Randy Weatbrook 3419 Lombard Everett 98201 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />4647 190th S.E. <br />CITY <br />Issaquah <br />ZIP PHONE LICENSE N <br />98027 337-3357 <br />Castle Construction Co. Inc. <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE <br />CASTLC174JD <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE M <br />CLASS OF WORK <br />❑ NEW ❑ADDITION KCALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑ WOOD STOVEIFIREPLACEZNSERT <br />$ 6,000.00 <br />Remodel existing resicence <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Single Family Residence <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY 1SHOW BELOW OR ATTACH FOUR COPIES) <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />(� yy 11 818 Everett Div. E <br />'1.0Y_BLOCK_OF <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 />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />JOB ADDRESS <br />X f cP 10 11 83 <br />3419 Lombard <br />MECHANICAL <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />2 <br />WATER CLOSET (TOILET) <br />4 <br />AIR COND. UNITS — H.P. EA. <br />4 <br />00 <br />REFRIGERATION UNITS — H.P. EA. <br />2 <br />BATHTUB <br />2 <br />LAVATORY (WASH BASIN) <br />4 <br />00 <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE I�A. <br />SHOWER <br />FORCED AIR SYSTEMS — B.T.U. 1A EA. <br />1 <br />KITCHEN SINK 8 DISP. <br />M <br />1 <br />DISHWASHER <br />2 <br />00 <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. M <br />LAUNDRYTRAY <br />1 <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />1 <br />WATER HEATER <br />CLOTHES DRYERS <br />VENTILATION FAN <br />URINAL <br />DRINKING FOUNTAIN <br />1 <br />RANGE HOOD <br />AIR HANDLING UNIT — C.F.M. <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />1 <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />22 <br />00 <br />SUB TOTAL S <br />9 <br />00 <br />PERMIT <br />$ <br />PERMIT S <br />9 0 <br />TOTAL FEE <br />$ 22 0 <br />TOTAL FEE S <br />SIDE YARD SETBACK STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBEp PLAN CHECK FEEIPT NO. <br />FEE <br />83/12538 36.73 647 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />_YES LJNO <br />TYPE OF COYST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ 6,000. <br />56 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />22 <br />00 <br />FIRE ZONE BASEMENT <br />P I KLERS <br />FIRE SPRINKLERS <br />MECHANICAL <br />9 <br />00 <br />DYES GNO <br />APPROVALS <br />BY DATE <br />OTHER <br />U.B.C. <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC. 3031a) <br />2. BUILDING PLANS <br />TOTAL 87 50 <br />3. FIRE HYDRANT N <br />4. FIRE PROTECTIQN SYSTEM <br />1•J <br />pM �'�A,;L/I, �j ��QQ <br />PEJE#py (=HL'�IV LIDATOIN THIS fffl THISC %f5JI1 P"IL — <br />0 J U <br />cl <br />5.GRADING.. I T <br />1 97 <br />L i5 L �1 V J <br />f p Lf <br />OUR RECEIPT <br />` O YOUR RECEIPT. <br />�U: DRAINAGE- ,,:_ fA <br />7.ENVIRONMENTAIMPACTC§TATEMENT <br />EALTH DISTR r <br />_ ,, I �ANK Y C U THANK Y O U <br />APPLICATION A00. BY <br />• PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />w n <br />o dab <br />dab <br />C� Ill <br />1 1 U%'1 V j I I UGI 0.) <br />.(, ADDRESS FILE <br />