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`,'�`��T�`oF - CONSTRUCTIO'� <br />�- <br />everett � PERM�T PERM�T No. 11as2 <br />CITV HALL 259�8745 <br />EVERETr,WA9B207 �] COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />UWNER MAILADORESS CITY ZIP P E!r' <br />Fotis Koutlas 3826 Rucker Ave. Everett 96201 �62�d'l <br />ARLMITEGT OP OESIGNER MRII ADDRESS CITY ZIP PMONE <br />252-6273 <br />GENERl+L CONTflACTOF MAIL AO�RE55 LITY ZIP PMONE LICENSE � <br />Same <br />MECHANICR� CONiflFGTOR MAIL ADDRESS dTY ZIP PHONE LIGENSE N <br />PLUMBING CONTRALiOF MAIL AD�RESS GITY ZIP PMONE LICENSE � <br />❑ NEW O ADDITION O ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUAiION OF WORK <br />S 3����0.�� <br />New Foundation-Relocation of buildin <br />Sinqle Family Residence <br />EGAL OESGRIPiION OF PqOPERiV �SHOW dELOW OR AT7ACM FOUR COf <br />�or � e�ocK 23 oF Victory Heights <br />JOB ADDF�au <br />4520 Grand <br />PLUMBIN6 <br />TYPE OF FIXTU <br />WATER CLOSET (TOI LEn <br />DATHTUB <br />LAVATORY �WASH BASIN) <br />SHOWER <br />DISHWASHER <br />LAUN�flVTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR �RAIN <br />VACUUM BREAKERS <br />ROOF ORAINS — RAINLEADERS <br />SINK 1SEHVICE — BAR, ETC.) <br />� <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />2�� <br />R-1 _ 7648 Sq. <br />TVPE OF CONST. OCCUPANCV GRO <br />V-N R-3 <br />SIZE OF BLUG. NO. OF STORIES <br />24'x36' S . t. 1 <br />FIRE ZONE BASEMENT <br />APPpOVALS <br />1.ENVIRONMENTALCHEC�.'14T <br />.a — <br />2. BUILDING PLANS <br />$.FIREHYDRANT �� <br />d. FIRE P90TEGi1pN SYST2YT— <br />K 31 29 5 <br />FEE <br />> 12 �0 <br />S <br />f ii o0 <br />REAR VARD SETBACK <br />2�� <br />VACANT SITE <br />�. kY�wS . � NO <br />NO. OF OWELLING UNITS <br />1 <br />MAX.00C.LOAD <br />FIRE SPRINKLeRS <br />REOUIRED <br />YES i <br />BY DATE <br />AOE L.. i.�a <br />ONI/E LIMPA TATEMENT <br />N- � �ST}ijCT <br />�TIO[J A1EC. BV PLANS CHECKED BY APPR. FOR I', <br />-< n <br />DA� �T� � DAB LC <br />�� <br />A <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME 10 BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMA,NCE OF CONST�1Gii9ti.� <br />NO. I TYPE OF E�UIPMENT � FEE <br />AIR C( ND. UNITS — H.P. EA. <br />REFRiGERATION UNITS — H.P. EA. <br />601LEF5 — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGe EA. <br />FOFCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE fl CHIMNEY <br />FIREPLACEINSER7 <br />HEA7 PUMP <br />�TAL f Q 5 � <br />S <br />FEE S 4 50 <br />H3�ZLBHZ IFEElzS.4S I RECEIPTNO. <br />FEES VALUATION FEE <br />oUILDING E 30,000. 193 00 <br />PLUMBING 12 00 <br />MECHANICAL 4 SO <br />O7HER <br />PENALTV U 9 C. <br />SEC. J03 �a� <br />ioia� 209 50 <br />PERMI7 VALIDATION <br />WMEN PROPEFLV VALIDATE� IW TIyS,$Gl�j;E) THI$ I� Y�7� P��A11T � <br />$012.00— 3� 7Yf7 a 7 u � <br />3 � <br />�UR RECElPT�' YOU�i R[CEIPt '� <br />' Tf-f,�NK 1'OU <br />'i� � r��!: ��ou <br />AGDRE�� �LC"" �j <br />2 2 aP� 8 3 <br />