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llrr E�rr,:Ceq <br /> e`�e��t1t ;ONSTRU �YIdr� <br /> PERINIIT' PERMiT N0. J� �� �� � <br /> CI7V HALL 259-P745 <br /> E1�LPE1T,� A 9Q201 <br /> ,; �}"� c � ;� 2�(AM91NATfON ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER ldAILADDRESS CITY ZIP PHONE <br /> Loren Sand 520 Home Place Everett 9E'G03 775-1971 <br /> AFCMrtECT OR DESIGNER MAIL AOOFESS CItY ZIP PHONE <br /> GENERA�CONTNAGTOF MAIL ADORESS CITV ZIP PHONE LICENSE t <br /> MECHANICRL CONTiACT09 MAIL ADORESS CITV ZIP PNONE LICENS_X <br /> PLUMBING CONTNACTJR MAIL AODRESS QTV ZIP PNONE LIf,ENSE M <br /> CLASS OF WORI( <br /> ❑NEVJ ❑ ADDITION �] ALTERATIO�I ❑REPAIR ❑ DEMOUTION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIFEPLACE INSERT <br /> VALUATION OP\'19RK <br /> SS�OOU.00SL <br /> DESGR�BE WJRK <br /> Rewire bath/kitchen, re-plwnb be :h, re-finish kitchen, bath <br /> PROPOSEO USE OF BJILDING <br /> Single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED T41S <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESC9IPTIONCFPNOPER�YISHOWBEIOWORATiACMFOURLOPiES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCEB <br /> �or 40 BLOCK_OF Plat of Vieoi Rid e Add 9 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLi�T� <br /> - OR CA CEL THE P VISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REG LATI CONSTRUCTION OF THE <br /> � PERFO M �E OF O ST CTION. <br /> JOB ADORE55 SIGNATUR OF t ACT iM RED FGENT DFTE <br /> 520 Home Place X � i i <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> � 2 WATER L'_OSET(TOILE'� Q 00 Alfl COND.UNITS— H.P. EA. <br /> 1 BATHTUB z � REFRIGERATION UNITS — H.P. EA. <br /> � LAVATORY�WASH BASIN� Q p BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS— IONNAGE EP. <br /> KITCHEN SINK 8 DISP. FORCE�AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRYTRAY UNIT MEATERS— B.T.U, M <br /> CLOTHES WASHER EVAPORATIVE(.00LERS <br /> WATER MEATER CLOTHES DRVERS <br /> URINAI 1 VENTILATION FAN <br /> DRINKING FOUN7AIN RANGE MOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> P.00F DRAINS— RAINLEADERS METAL FIREPLACE&CHII.INEY <br /> SINK(SERVICE— BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL 5 10 0 SUB 70TAL 5 3 Qp <br /> PEflMIT S PERMIT S <br /> TOTAL FEE f TOTAL FEE E <br /> SIDE VARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHEC6 NUMBER PLAN CHECK FEE <br /> FEE RECEIP�N0. <br /> 115E ZONE LOT AREA VACANT SITE <br /> :-YcS �:;NO PEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING UNITS <br /> BUILDING s 5,000 50 50 <br /> SIZE OF BLDG. NO.OF STORIES �dAX.OCQ LOAD --- — <br /> PLUMBING IO OO <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL 3 OO <br /> REOl11RED <br /> YES i.N0 <br /> APPHOVALS BY DATE �THER <br /> 1. ENVIpONMENTAL CHECK LIST PENALTY U.B.C. <br /> . SEC.3D3(a) <br /> 2.BUILOINC PLANS <br /> 3.FIREHYORANT -- � TOTAL 63 50 <br /> a.FIRE PFOTEC710N SYST PERMI7 VALI OA710N <br /> .GRAOING WHEN PROPE(7LY VALIDATED pN THIS SPACE)THIS IS(�YOU(R� PERMIT _ <br /> 6.ORAI4AGE � '� 5 � �� � �' 11 ) 'J, J O -- ��' <br /> _7.ENVIRONMENTALIMPACTSYATEMENT <br /> ::$HEALTH DISTPICT � <br /> (-APPLICATION ACC. BY rpLANS CHECKED BY APPR.FOR ISSUANCE BY ' , � <br /> G � -� <br /> _ � <br />�� _ _.. _ . - _". rnSe__._.__._—�=_.T--'m.�esr::'�sn��.+ar'.cm+:._�. '�;,,;j.. <br />