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� Ihr !-'rrrA'rren <br />e�veret� �%O��STF�U�TI��� <br />PEF�M�T PERMIT N0. -� G�.1� <br />CITY H4LL 2`�B 87d5 . <br />y EVERExt.y'"c`"v°' >Ix COMBINPTION ❑ BUILDING ❑ MECHANICAL !� PLUMBING <br />OYlHER !dAIL FDDRE55 CIiY ZiP PMONE <br />Steven Buff 2814 Larlin Dr Everett 98203 <br />ARCNRECi OR OESIGNEN MAIL ADDHE55 ❑TT ZIP PHONE <br />GENERPL GONiqpCTOF MAII ADORLSS CITY ZIP PMONE LiGENSE M <br />Everett Builders, Inc. 5606 Evergreen Way Everett, WA 98203 353-7161 s EVEREB*311L3 <br />MECMLNICAL CONTRFGTOR MAIL ApORE55 CITY 21, PHOIIE LICENSE � <br />PLUMflING CONTRACTON MAIL ApDRE55 LIiY ZIP PHONE LICENSE � <br />� NEW p P7DITION ❑ ALTERATION ❑ FEPAIR ❑ OEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE IiISEaT <br />a p S�7 Sfl <br />. ..r..._..._ <br />pESCRIPF WORK <br />20 x 22 bedroom addition <br />USE OF DUILDMQ <br />�_or �.� e�ocn �__oF _�I31 <br />J2814�Larlin Dr <br />PLlId81NG <br />NO. TYPE OF FI%TURE OR ITEM <br />1 WATERCLOSET�TOILEn <br />S ?ATHTUB <br />2 LAVATORV�WASH BASIN) <br />SHOWLP. <br />KITCHEN SINK 8 DISP. <br />DISIIWASHER <br />LALNDRYTqAY <br />CLOTHES WPSMFR <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />flOOF :1RAINS - RniNLEADEflS <br />SIIJK (SEF`/ICE - BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />SIDE YAFD SETBACK STHEET SETBAGK <br />6' 20' <br />USE ZGNE LOT wREA <br />R-1 <br />TYPEOFCCNST. OCCUPANCYGROt <br />V-N R-3 <br />SIZE OF BLDG. NO UF SiORIES <br />FIqE ZONE BASLMf_NT <br />--- RPPROVALS <br />1. ENVIfANMENTAL CHECK LIET <br />2 BUILDING PLANS <br />3 FIRF HYDRANT � �- <br />4. F!FE PROTECTION6YSTEN <br />9.GRADMG '-' <br />fl GRAINAGE <br />7. EN�/IRONMENTAL IMI?A�.:T STATEMEN i <br />d. MEA .TN DISTRICT - -' <br />O.P�LIf'�TION ACC. BY' PLALa CHECKE[ <br />— F1.M. �- — SG <br />ATTACM FGUR <br />i <br />E <br />S <br />20' <br />4CANT SITE <br />YES XNO <br />I HcREBY CERTIFY THNT I HAVE READ AND EXAIviINEU THIS <br />APPLICATION A��D fCNOW THE SAME TO B[ ?RUE AND <br />CORREC?. ALL PROVISIONS OF LAWS AND OHDINAPlC.ES <br />GOVERNRJG THIS TYPE OF WORI( WIIL BE COMPLIED V�'ITH <br />lh'HETHER SPEGFIED HEREW OR NOT. THE GHANTING 0� A <br />PERMIT DGES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCE�_ THE f'RUVISIONS OF ANY OTHER STP�f[ OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOR ANCE OF CONSTRUCTION. <br />SIGK iUR JF COryiR C R OR Al1iHORl' D AGENT . j �ATE <br />x--�. �s;. ; �� �/�'� `i�sr�— <br />MECHANICAL , <br />N0. TYt�E OF EOUIPMENi FEF <br />OO AIR COND. UMITS — H.P. EA. <br />UO R�FriIGERAT'ON UNITS — M.P. EA. <br />OO BOILEHS — H.P. EA. <br />GAS FIRED A.C. UtlITS �- TONNAGE EA. <br />PORCED AIR SYSTEMS -�.T.U. M EA. <br />INALL HEATEFiS — B.T.U. M <br />UNIi HEt,TERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTH68 OFYERS <br />1 VFNTILATION FAN <br />RANGEHOOD <br />AIF, HqNDLING UNII — QF.M. <br />S70VE — WODD <br />ME�AL FIREPLACE 8 CHIMNEV <br />PIREPLACEINSERT <br />TEAT PUMP <br />SUB TOTAL 5 __� <br />PEflM1T 5 <br />TOTAL FEE S '2 <br />4N CNECY. N7MBER '� �•�AN �ntcn rtt <br />8�i/16412 FEE 48.43 I RECEIPT N0. <br />79666 <br />FEES VALUATION I FEE <br />NO. OF DWELLING UNITS <br />9UILDIN:i 58�542.$0 %4.5� � �� <br />WA%.00G LOAD - <br />PLUMBING H eL <br />FIRE SPRINKLERS MECHANICAL 3 UO <br />PEOJIRED <br />YES NO <br />BY OATE �THEF <br />PENALTY U.B.C. <br />SFC. 303 (a� <br />TOTAL 85 5� <br />PERMIT VALIOATION <br />WHEN PROPERLY VALI�ATED (IN THIS$P,A�E�,THIS I�S yOl( !PFpM,IT __C�i1 <br />�I <br />v <br />L: � <br />,� : <br />APPR.FGRISSUANCE BY <br />L.C. <br />,'"�I_inC:;.'�.� i I'. �. <br />