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r <br />dre Ecrre�ern • %� %1 /,�.iT i i i� iJ %� O• 1 <br />c�r�� o° � V V <br />everett PERMIT PERMIT N0. 1314� <br />CITY HALL 259�8745 <br />EVERE77,VJA90201 � COMBINATION � BUILDING x�J MECHANICAL I� PLUMBING <br />MaIL A�DRE55 GTV 21P PMONE <br />O1vNER <br />Janet :raft 5714 Highland Road Everett 353-4073 <br />ARGNITEGT OR �ESIGNER <br />MAIL ADDRES.'+ CITY 21P PHONE <br />GENERALGONTRACTOR <br />MAIL ADORESS CITY ZIP PMONE LICENSE t <br />Jay's Builders P.O. Box 1051 Everett 98206 259-7070 <br />MAIL ADDRE55 ��TY ZIP PHONE 4CENSE M <br />MECMFNICAL CONTRAGTOF JA YS BR 193RA <br />MAIL AOORE55 CITY ZIP PHONE IICENSE � <br />PLIIMBING GONTRACTOR <br />� <br />❑ NEW � ADDITION O AL7ERATION ❑ AEPAIR ❑ OEMOLiTION ❑ FENCE ❑ SIGN ❑ WOOD STOVfJFIREPLACE INSERT <br />.UATION OF \YORK <br />S 13����.�� <br />Addition of two room to <br />Sinyle Family Residence <br />�or 39 BLOCK_OF Highland Farms <br />IOB AD�RESS <br />571A Highland Road <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />6ATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISMWASNER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />OFINKING FOUNTAIN <br />FLOOR DRAIN <br />VACl1UM BREAKER$ <br />ROOF DRAINS — RAINLEADERS <br />SINKISERVICE — BAR,ETC.) <br />SUB TOTAI <br />PERMIT <br />TOTAI FEE <br />SIDE VARD SETBACK STREETSETBA� <br />6' � <br />USE 20NE LOT AREA <br />R-1 <br />TYPE OF CONST. OGCUPANGY G <br />V-N Addn R-] <br />SI2E OF BLDG. NO. OF STORIE <br />addn 740 Sq. Ft. _ <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS � _ <br />3.FIREHYDHAN7 • <br />4. FIRE PROTECTION SVSTEM' <br />5. GRADING <br />6. DFAINAGE ' -'' <br />7.ENVIflONMENTALIMPACTSIATEMENT <br />�. HEALTH DISTRIGT <br />APPLICATION. ACC. BY •. �LANS CHECKE <br />; _ sTc � " Hwn� <br />�� <br />FEE <br />I� <br />S <br />5 <br />2�� <br />VAGANT SITE <br />YES )(k0 <br />BV I DATE <br />FOR I: <br />LC <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 />WHEiHER SPECIFIED HEREIN OR NO'. THE GRANTING OF A <br />OR CANCELSTHE PROVISIONS OiFEANY OTHIERTS AI�E OR <br />LOCAL LAW GULATING CONSTRUCTION OR THE <br />PER R NC NSTRUCTION. oare <br />X AT R 0(� O� T A TMON12EOAGENT �/�� ,/ <br />O/� <br />NO. <br />AIR COND. UNITS — H.P. EA. <br />REFRIGEPATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNA�F FA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEA7ER5 — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTMES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HAN�LING UNIT — G.F.M. <br />STOVE — �^100� <br />METAL FIREPLACE 8 CHIIANEY <br />FIREPLACEINSEFT <br />HEA7 Pl1MP _ <br />SUB TOTAL S <br />PERMI7 S <br />TOTAL FEE S <br />PEE I RECEIPL NO. <br />VALUATION FEE <br />� <br />+ <br />BUILDING 5 98 SO <br />PLUMBING 12 00 <br />MECMANICAL 3 OO <br />OTHER <br />U.B.C. <br />PENALTY SEC. 903 (a) <br />TOTAL <br />113 50 <br />PERMI7 VALIDATION ^ , <br />WHEN PROPERLY VALIDATED pN THI$ �SP�G{ 1 THISA$�YQU� P�Rj�7�T � <br />l � � � <br />'+ I � 2. l; '., -- 3 � <br />M <br />;�: �::c� irr.--+ <br />; Cf:���l �.i� i`l U <br />\ U �n� <br />.. . �, .. Ii U'i <br />nooPEss n�r:; ':; c l <br />J <br />� <br />0 <br />