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;rhCLivrrY�eei� � <br />� � ������� r�' �'ONSTRUCTIOI�l-- <br />everett PERMIT PERMIT N0. 1�i233 <br />CITV HAL�?5 �elo>, <br />v Eveae�lf.}u a�oii S[� `�'NATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MPILADCPCS CITV 21P PNONE <br />Rod KepPlen/Roy Heisel 3719 -1O8t1. �outh SE Eve•��,tt WA 9ti204 337-0395 <br />AR MITECT OR OESIGNER MPIL ADDRESS :ITY 21P PHONE <br />GENERALCONTHACTOR MAILAD09f.S5 CITY ZIP PNONE LICENSEI <br />O' Oonnor & Oehler Construction 9210 E�e�q,reen t•lay Everett wa 98204 a5'�-77on omrnaori aaMr <br />MECHANICAL GONTRACTOR MAIL ADDRE55 CITY ZIP PHONE UCENSE I <br />PLUMBING CONTRACTOR MnIL A�ORESS CITY ZIP PMONE LICENSE � <br />RObinson Plumbinq 607 SE Everett hiall Wav F.��ra*r wn 8 04 aSs_617� <br />GLASS OF WORN <br />}Q NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSEPT <br />f <br />LOT �S� BLOCK �{k?F <br />PLUMBING <br />TVPE OF FIKTUNE <br />WATER CLOSET �TOILEn <br />LAVATORY(WASM BASIN) <br />SMOWER <br />KITCHEN S�NK 8 DISP. <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER MEATER <br />URINAL <br />DHINkING FOUNTAIN <br />FLOOR DPAIN <br />VACUUAIBPEAKERS <br />pOOF DRAINS - RAINLEAOERS <br />SINK ISERVICE - BAR, ETC.1 <br />20' <br />USE 20NE <br />R-3 <br />TYPE OF CONST. <br />V-1Hr <br />SIZE OF BLDG. <br />3300 sf <br />FIRE 20NE <br />1. ENVIRONMENTAL <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />. STREE7 SETBAi <br />20' <br />LOT AREA <br />6000 sf <br />OCCUPANCY G <br />R-1 <br />N0. OF STORIE <br />2 <br />BASEMENT <br />APPROVALS <br />CHECK UST <br />2. BUILDING PLANS - <br />S.FIREHYDRANT � <br />-� <br />4. FIRE PROTECTION SVS71 <br />, � S.GRADING <br />__ 6.DPAINAGE <br />-- 7. ENVIHONMEI <br />:,-� <br />_� 8. HEA4TH 7157 <br />c�: APPLICATION.� <br />p� <br />STG . ' <br />BY <br />JEF <br />FEE <br />� <br />t <br />S <br />REAR YAFi� SET9 <br />5' <br />VA�ANT SITE <br />;j�YES I:NO <br />NO. OF DWELLINi <br />4 <br />MAX. OCQ LOAD <br />16 <br />LC <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAM�NED T41S <br />APPLICATION AND KNOW THc SAME TO BE TRUE Ah0 <br />CORRECT. ALL PROVISIONS 01= LAWS AND ORDIN�'.NCES <br />GOVERNING THIS TYPE OF WOFiK WILL BE COMPLIEO WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LO�jAt W REGULATfNG CONSTRUCTION OR THE <br />PEqFORM CE OF ¢Q)NSTF;NGTIOyf. ;/ a�_� <br />SIGNA[4REOF NTRP(170�(�/+ny�nS(aiz�o'A�nr DATE / <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />AIR �OND. UNITS - H.P. EA. <br />REFFlIGERATION UNITS - M.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />F09CE0 AIR SYSTEMS - B.T.U. M EA. <br />WALL H.':ATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT - QF.M. <br />STOVE - WOOD <br />METAL FIREPLACE 6 CNIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUBTOTAI S <br />PERMIT S <br />TOTALFEE S <br />FEt <br />86/16233 I FEE 433.00 I $ECEIPT NO. <br />OSCC <br />VALUATION � FEE <br />eui�oiNc f100,000 933 00 <br />PLUMBING 52 OU <br />MECHANICAL 37 SO <br />OTHER <br />PENALTY U.B.C. <br />SEC.303 WI <br />TOTAL 522 SO <br />PERMIT VAI.IOATION <br />WHEN PROPERLV VALIDATED (IN THI �SP�CE� THIS �,S �/Oy�FF�i1�t�T__ __� <br />II�. ; i) �IU <br />��: <br />�� <br />�SSUANCE BV ' � � �� � � <br />�i <br />� � , <br />i � J <br />ADDRESS FlLE <br />• <br />