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� <br /> lllp L�PCrJ;rPCl7 ~ <br /> everett � �ONSTRUCTIO � � <br /> PERMIT PERMIT NO. 13211 <br /> GTV HALL 259�8745 <br /> EVERETT,WA9B201 ❑ COMBINATION � BU�LDING ❑ MECHANICAL ❑ PLUMBING <br /> ♦ <br /> OWNER MAILAO�RE55 GTV 2iP PMONE <br /> Larry A. Hansen 1405 Madrona Avenue Everett 98203 339-2586 <br /> . ARCMITECT OR OESIGNER MAIL APORE55 GI•V ZiP PHONE <br /> 4ENERAL GON�RACTOR MAIL ADORE55 GTY ZIP PHpNE LILENSE• <br /> Oly Construction 2216 Mukilteo Blvd. Everett 98203 355-8465 <br /> MECNANICA�CONTRACTOR MFIL ADDRESS GTV 21P PMONE LICENSE x <br /> OLYCO240BW <br /> PLUMBING GONTRAGTOR MAIL ApORE55 pTY ZIP PMONE LICENSE x <br /> CLA55 OF WORK <br /> ❑ NEW ❑ ADDI710N �XALTEFATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSER7 <br /> VALUATION OF WOaK <br /> S l.S��00.a� <br /> DESCNIBE WORN <br /> Remodel single family into duplex <br /> PROPOSEO USE OF pUILDING <br /> Du lex I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> P APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGPLO[SCRIPTIONOFPROPEFiY�SHOWBELOWORATTACHFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES z <br /> 25,���i,27,���K SlOoF Union Trust Co's lst GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH � <br /> — WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A � <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE m <br /> OR CANCEL THE PROVIS�ONS OF ANY OTHER STATE OR " <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORM !C CONSTRUCTION. �-+ .. <br /> JOO ADDRESS SIGNATI�R F A IOR OR iHOF12 DAiE '""� T <br /> 2316 East Grand Avenue X -�„ � o. " 'i <br /> �n s <br /> m <br /> PLUMBING MECHANICAL c o <br /> NO. TYPE OF FIICTURE OR ITEM FEE NO. 7YPE OF EOUIPMENT F1'.E m o <br /> 1 WA7ERCLOSET�TOILEn 2 00 AIR COND. UMTS- H.P. EA. p� <br /> 1 BATHTUB 2 00 REFRIGERA710N UNITS- H.P.EA. �Z <br /> 1 LAVATORV(WASH BASIN) Z OO BOILERS - H.P. EA. m � <br /> SHOWER GAS FIRED A.C.UNITS -TONNAGE EA. ,p Z <br /> 1 KITCHEN SINY,8 DISP. FORCE�AIR SVSTEMS- B.T.U. M EA. <br /> DISHWASHER WALL HEATERS- B.T.U. M �.r. .=.� <br /> LAUNDRV TRAV UNIT HEATERS- B T.U. M � N <br /> < <br /> 1 CLOTMES WASNER EVAPORATIVE COOLERS p p <br /> 1 WATEti HEATE(i ], :.L07'NES DRVERS T T <br /> URINAL VENTILATION FAN =m <br /> - m .. <br /> DRINKING FOUNTAIN RANGE HOOD (/1 <br /> FLOOR DRAIN AIR MFNDLING UNIT- C.F.M. O r <br /> VACUUM BREAKERS STOVE -WOOD C lmii <br /> ROOF DRAINS- RAINLEADEAS METAL FIREPLACE 8 CHIMNEY T N <br /> m' <br /> SINK(SERVIC[ — BAR,ETC.) FIREPLACE INSERT � r <br /> • m <br /> HEAT PUMP =+ <br /> A <br /> -i <br /> 2 <br /> _ q <br /> Z <br /> SUB TOTAL s lz p sue rorn� s 4 50 � <br /> PERMIT S PEPMIT f ,._. <br /> TOTAL FEE S 1Z O TOTALFEE S N <br /> SIDE VARD SETBACK STREETSET�ACK REAR YARD SETBACK PLAN CMECK NUMBER PLAN CHECK FEE � <br /> O <br /> 5� 2Q� 2�� 84�].3211 FEE�1.83 RECEIPTNO. � <br /> USE ZONE LOT AREA VACANT SITE 6 m <br /> R-2 . �ES }�O PEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N Alter R-3 z eui�oiNc a15,000. 110 50 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> 3196 $Q. L'�t. 2 10 PLUM�ING lZ �� <br /> FIRE ZONE BASEM NOne RIEOUS�gINKLERS MECHANICAL Q SO <br /> YES .^NO <br /> APPROVALS BY DATE OTHER - <br /> 1.ENVIRONMENTAL CHECK LIST pENA�T� U.B.C. <br /> SEC.303�a) <br /> 2.�UILDING PLANS - TOTAL 127 00 <br /> J.FIRE HYDRANT '�' <br /> 5.GRADINGTECTION SYSTEty1� W HEPP PROPI�flLYoy�IDA�TED(IN THI���PAC�)THISyS IY�F�,PEPMIT_rj <br /> � U �� r7 <br /> 6.DH�INAGE <br /> N <br /> ' 7.[NVIRONMENTALIMPACTSTATEMENT . <br /> --r- ' � �. � ��i � M <br /> tl.MEALTHD15TRICT . ' � � � -) '1' -,� <br /> APpLICATION ACC.BV PCANS CHECKED 8Y APPR. FOR ISSUANCE BY � ' '� 1 .� �.�_C��� I F I <br /> '_ ' . '. I:' � �� � l� <br /> � GB , n HWM LC ., ,. . . � � <br /> -� . - � -' ' ' - � . �.1 a , <br /> .... i�DI�RrSi, PILE <br /> ! <br />