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MeEvmvvm <br />CITY OF '�, CINSTRUCTION <br />ev PERMIT PERMIT NO: 20203 <br />259-8745 8T45 <br />❑ DEMOLITION ❑ COMBINATION IR BUILDING, ❑ MECHANICAL '❑ PLUMBING ❑ SIGN <br />OMEA MAILADDRESS CITY ZIP PHONE <br />James P. Cain 7029 Lower Ridge Road Everett, WA 98203 348-4630 <br />ARCM ITECTORDESIGNER MAI.ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR Same MAIL ADDRESS CITY ZIP PHONE LICENS[d <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE ,ICENSE+ <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE IICENSE♦ <br />❑ NEW y ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />$ 3,000 <br />Construct 121 x 181 addition and remodel garage area to family room and bath <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Single family residence <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 HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGN RE OF CONTRACTOR" IZED AGENT, OR OWNER DATE - <br />J( 5/26j88 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT — BLOCK — OF <br />0 ADU Lower <br />729 Lower Ridge Rd. <br />PLUMBING <br />HANICAL <br />NO, <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />1 <br />WATER CLOSET (TOILET) <br />A/C - A/HNDLG UNITS - H.P. <br />_ <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />1 <br />LAVATORY (WASH BASIN) <br />BOILERS-B.T.U./H.P. <br />11 <br />SHOWER <br />GAS FIRED A.C. UNITS-B.T.U. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS-B.T.U. M <br />LAUNDRYTP.AY <br />UNIT HEATERS-E.T.U. M <br />1 <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />- <br />URINAL <br />], <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGEHOOD <br />BACKIFLOW PREVENTERS <br />1 <br />WATER HEATER <br />ROOF GRAINS - RAINLF_ADERS <br />1 <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC.) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />S <br />SUBTOTAL <br />PERMIT <br />S <br />PERMIT <br />TOTAL FEE <br />S <br />TOTAL FEE <br />FRONT SETBACK <br />51 <br />REAR SETBACK <br />201 <br />SIDS SETBACK <br />201 <br />PLAN CHECK NUMBER <br />85/15876 <br />FEE <br />8$ 25.03 <br />RECEIPT NO <br />81602 <br />USE ZONE <br />R-2 <br />LOT AgEA <br />8250 sf <br />❑�res XI NO <br />OYESI XIN <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />$ 3, 000 <br />19.25 22 <br />X <br />PLUMBING <br />5 <br />00 <br />SIZE OF BLDG. <br />12' X 18' Addn <br />NO. OF STORIES <br />1 <br />MAIL OCC, LOAD <br />MECHANICAL <br />b <br />6 <br />00 .k <br />FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />kl'fj5 <br />_ <br />STATE BUILDING SURCHAP.GE <br />PI <br />112 <br />3 <br />50 <br />STATEENERGYSURCHARGE <br />MECH $ <br />.00 <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />EF <br />APPR. FOR ISSUANCE <br />BY <br />DRIVEWAY PERMIT <br />TOTAL <br />ELEC <br />� <br />THIS REPLACES EXPIRED PERMIT 15876, ISSUED WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT <br />1-15-86, AT ONE-HALF OP ORIGINAL FEES. <br />0-3 <br />O <br />iV <br />O <br />CV <br />ADDhESS FILE <br />