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U�e C�����,�mcn <br />�V�I'�tt �� �ONSTRUCTIOIV� � <br />c�T�hA��zssH�<� P'ERMIT PERMIT NO. .�5320 <br />eveaErr wn9ara� �' COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OYlNER 1.141LApOflE55 L�TV ZIP PMONE <br />Donald C. Davis 2202 Hoyt Everett 98201 258-9127 <br />AP�NITECIORD:9GNER MAILADDRES$ CITT ZIV PMONE <br />GENERnL GONTRACTOR MAIL AGDRE55 CITY ZIP PMONE LICENSE � <br />Sar,ie <br />MLCHANIGAL CONiFACiOF MAIL ADDRE55 CITY ZIP PMONE I.ICENSE Y <br />PLUM9ING GONTRACTOR MAI� qpORE55 GTV $IP PHONE LICE`ISE 1 <br />❑ NEW �40DITION ❑ AL7ERATION ❑ REPAIR ❑ DEMOLITICN ❑ FEIJCE ❑ SIGN � WOOD STOVE/FIREPLACE IN5ERT <br />\'ALUATIDN OF �yORK <br />3 25��.00 <br />Extend existing porch and reroof existing <br />Single <br />31-32 481 <br />�or__ o�oGK_aF <br />Residence <br />Everett <br />JOiI A�DRESS � <br />2202 Hoyt <br />PLUMBING <br />N0. TYPE OF FIXTURE OP, ITEM <br />WATER CLOSET�TOILET) <br />BATMTUB <br />LAVATOflY�WASH BASIN� <br />SHOWER <br />KITCHEN SIMK & DISP. <br />DISHWASHER <br />LAUN�RYTFOV <br />_ CLOTHES WASHER <br />WATER MEA'fER <br />URINAL <br />UPINKING fCUNTAIN <br />FLOOR DRP;N <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, E7Q) <br />SUB TOiAL <br />?EHMI7 <br />TOTALFEE <br />SIDE YARD SETBACK STRE[T SETBACK <br />5' 20' <br />USE ZONE LOT ARFq <br />R-3 G750 Sq. Ft <br />TYPE OF CONSf. OCCUPANCY GROUP <br />V-N R-3 <br />SIZ[ OF BLOG. IJO. OF STORIES <br />8'x9' Add'n 1 <br />F�Rf ZONE BASEMENT <br />APPROVALS <br />1. FNVIROIJMENTAL CNECK LIST <br />2. GUILDIN� PLANS <br />� FIRFHVl1PAniT <br /><. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6.DRAINAGE <br />7. ENVIRONMENTAUMPACTSTATEMENT <br />HEALTM �ISTRICT <br />�PLICATION ACC. BV <br />JEF <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAFAINEO THIS <br />APPLICATION AND K�!OW THE SAME TO 8E TRUE ,�ND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCt� <br />GOVERNING THIS TYPE OF WORK WILL BE COMP�IED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTIN3 OF A <br />PERMIT DOES NOT PRESUME TO GIlE AUl'HORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUGTION. <br />SIGNA^T�URE OF CpH'i'RAnGiO/R O�R 1AUTHORIZF9 AGENi C� pATCG <br />%� r7-Yi✓rirlGl/ l " �174� /'�%-C � <br />G � <br />MECHANICAL <br />FEE N0. TYPE OF EQUIPMEt1T FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILEFS — H.P. EA. <br />GAS FIREO A.C. UNITS — TONryqGE EA. <br />FORCED AIR SYSiEMS — B.T.U. M EA. <br />W4LL HEATERS — B.T.U. M <br />UNIT HEPTERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FnN <br />RAN3EHOOD <br />AIR HANGLING UNIT — QF.M. <br />STOVE — WOO� <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />S <br />5 <br />flEAR VARD SETBACK <br />20' <br />VAC>NT SITE <br />� YES .}(¢(J <br />NO. OF DWELLING U� <br />1 <br />MA%.00C LC4D <br />BY I DATE <br />BY �APPR.FOR <br />PLAN <br />85/15320 <br />FEES <br />SUB TOTAL S <br />PEHMIT f <br />TOTALfEE 5 <br />PLAN C <br />FEE Z5.03 <br />VALUA710N <br />RECLIPT NO. <br />/Jj3L` <br />FEE <br />eui�oiNc S Z500.00 38 SO <br />PLUM9ING <br />MECHANICAL <br />OTHER <br />PENALTY U.B.C. <br />SEC. 303 lal <br />roin� 36 SU <br />PEflM1T VALIUATION <br />WHEN PROPERLY VALIDATE� �IN THIS S� 6 5 TMIS I$ yG�l��1l�T _�' <br />� DU5 u <br />� <br />I� <br />,•,,,J P. ( �C�!f'I ` ; <br />..i.i, .,.. -��i <br />. . . . ... �I :.: � <br />I I ��_I� � � <br />