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"'�`'erx�e�� — ;ONSTRUCTIOK <br />C��Y�F � <br />everett pER��� PERMIT NO. �2036 <br />CITV MALL 255�B7d5 <br />EVEPETf, VJA 9B201 [� COMBlNATION C� BUILDING Ca� MECHANlCAL � PLUMBING <br />OWNER M��LMDORE55 �-1TY ZIP PH011E <br />Rod Fankhauser 13:8 Madrona Everett 98203 259-E726 <br />ARGMITECiORDEStGNER MAILADONESS CITY ZIP PHONE <br />GENERRL CONTRPGTOR MaIL ADORESS CITY 21P PHONE LICENSE'� <br />Same <br />MEGHANiGAL CONiRNCTOR MAIL DDDPESS CITY TIP PHONE LICENSE ♦ <br />PLUMBING CONTflAGTOR MPIL AD�RE55 GITY ZIP PNONE LICENSE � <br />O NEW C� j(IDDITION O ALTERATION ❑ REPA;R ❑ DEMOLITION ❑ FENCE ❑ SIGN O W000 STOVFJFIREPLP.CE INSERT <br />VALUATION OF WOFK � <br />S 20�000.00 <br />Addition to existing Sing.le Family Residence <br />Single Family Residence <br />�or21BLOGK_OF Maple He <br />1338 Madrona <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />W ATER CLOSET (TOILEn <br />BATHTUB <br />LAVATORV (WASN BASIN) <br />SHOWEP <br />1 KITCHENSINKB�ISP. <br />LAUNDRYTRAY <br />WATER MEATEfl <br />URINAL <br />DRINKING FOUNTA�N <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAI <br />SINK �SERVICE - BA <br />SUBiDTAL <br />PEPM�T <br />TOTAL FEE <br />ID SETBACN STREET SETBACK <br />6' 20' <br />E L0T AREA <br />R-1 <br />CONST. OCCUPANCY GFOUP <br />V-N Add'n R-3 <br />'n 702 Sa_IF <br />1. ENVIRONMENiAL CHECK IIST <br />2.9UILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECiION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. MEALTH DISTRICT <br />EB � HNiM <br />I HERF.BY CERTIFY THAT 1 HAVE REHD AND EXAMIN[D THIS <br />APPLICATION ANO KNOW THE SAME TO BF TRUE AND <br />CURRECT. ALL PROVISIONS Or LAWS AND ORDINANCES <br />30VERNING TH1S TYPE OF WORK VJILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PFESUME TO GIVE AUT�HOFlITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFO NCE OF CONSTRUCTION. <br />SIGN RE COXilIAGidiSOR Al1THpy12ED AGENT �qTE i <br />Mc.:HANICAL <br />N0. TYPE OF EO:IIPMENT <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - N.P. EA. <br />BOILERS - H.P. EA. <br />GNS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLERS ___ <br />CLOTMES DRYERS <br />j VENTILATION FAN <br />], RANGE HOOD <br />AIR HAN�LING UNIT - C.F.M. <br />STOtlE - WOOD <br />1 METAL FIREPLACE & CHIMNEY <br />FIREP'_ACE INSERT <br />�MEHi PUMP <br />5 Q OO SUBTOTAL 5 SS <br />f PERMIT 5 <br />S ¢ OO TOTALFEE = SS <br />REAR �ARD SETBACK PLAN CHECK NUMBER PIAN CHECK FEE <br />2 � � FEE RECEIPT N0. <br />VACANTSITE 83/12036_�33 62P41 _ <br />::YES X7N� FEES VALUATION FEE <br />1 BUILDING <br />MAX.00C.LOAD �— <br />Add' n PWIdBING <br />fIRE SPRINXLERS MECHANICA� <br />REOUIRED <br />YES O <br />BY OATE aTHER <br />PENALTY <br />BY I APPR. <br />520,000 <br />SEC. 303 (a) <br />140 I50 <br />4 00 <br />�.S 00 <br />TOTAL I I 159 I50 <br />PERMIT VALIOATION <br />WHEN PROPERLY VALIDATED (IN THIS SBPA�Ca THIS ���F�P��IT_� (�] <br />% / 7 U �7 <br />Addition not tu be utilized ns an p <br />apartment or separate living unit. N <br />Y:�UR RECEIPT� <br />�rr�.�r�K ,�ou <br />- g �;�� 8 3 <br />ne�a�ss =i�e <br />� <br />� <br />H H <br />H '*1 <br />�� <br />� <br />�� <br />� <br />H <br />�z <br />�y � <br />K � <br />� � <br />� M <br />N <br />N <br />N <br />. � <br />� <br />5 <br />H <br />N <br />� <br />r('7� <br />Ctl <br />