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�,icei���YOF � � CO�'�STRUCTION - <br />everett PERMIT PERMIT NO.OS�OB <br />GTY HALL 259�0745 <br />EVERETf, WA 98201 C7� C(?MBINATION �[ BUILDING ❑ MECHANICAL PLUMBING <br />01YNER MAILADORE55 CITY ZIP PI�ONE <br />James Snow 921 Grand Everett 98201 252-7396 <br />FRCNRELT OR OESIGN[R MAIi ADDRESS CITY 21P PMONE <br />GENERALCONTRaCTOR MAILAOORE55 QTY 21P PHONE UCENSEI <br />Jake Kellam 5005 Seaview Way Everett 98203 355-9833 <br />MECMAPICAL fANTRACiOR MAIL AOORE55 CITY ZIP PHONE LICENSE � <br />KE LL AJ 372P4 <br />PLUMUI J CONTRACTCR M41L ADDRESS CIiY ZIP PMONE LICENSE I <br />❑NEW C�ADDIiION GIAL7EHATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALU/•T�ON OF WORK <br />s 35,000.00 <br />DESCPIBE WORN <br />Addition to existing residence <br />PR01'OSED USE OF BUILDING <br />single family residence <br />IEGAL OESCRIPiION OF PROPEATY ISNOW DEIOW OR ATTACH iOUR COPIES� <br />SlOtntl-l2-e�oc�_3oF Bailevs <br />N15'13 <br />921 Grand <br />PLUMBING <br />CLOSET <br />DRAIN <br />: �.� <br />SIDE VARD SETE <br />5' <br />USE ZONE <br />R- 2 <br />TYPE OF CONST <br />V-N <br />FIRE <br />0 <br />� <br />OF FIXTUHE OR ITEM <br />STREET SETOACK � F7EAR <br />20' 20' <br />iT AREA VACANT SITE <br />6500 SQ• Ft uYES j{xo <br />;CUPANCY GROUP NO.OF DWELLING <br />R-3 1 <br />NO. <br />2 <br />BASEME�IT <br />3 yes <br />1. ENVIRONMENTALCMECKLIST <br />2. BUILDING PLl�NS �� <br />3. FIRE HVDRANT — <br />t. FIRE PRGTECTION SYSTEM <br />rv5. GRADING <br />rofi DRAItlAGE _,�� ,_�� <br />�7. ENVIRONMEi'L7ALIMPACPSTATEMENT <br />ION AC�. 0� r���NS CHECKED BY <br />� V,C. <br />LOAD <br />nrrri FOR ISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LP'NS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SP[CIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCA� LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNqiyfiEOFRONTfiAGTORORAUTNORI2EDAGENT DAiE <br />NO. TYPE OF EOUI <br />AIR COND. UNITF - H.P. EA. <br />o[C[11l:FI]ATlfltl I INITS — H <br />EPS - H.P. '4 <br />FIRLD A.C. UNITS - TO� <br />:ED AIfl SYSTEA'b -� 81 <br />LHEA7EHS- OT.U. <br />� HcnTFRS - R T ll. <br />VENTILATION fAN <br />RANGEHOOD <br />AIR HANDI.ING UNIT - <br />STOVE <br />MFTAL FIREPLACE 8 CF <br />80/8108 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />61__ <br />M EA. <br />M <br />TOTALFEE <br />PLAN C <br />FEE 71�00 <br />�5,000. <br />U.U.C. <br />SEC. 303 <br />rcc <br />RECEIPT NO. <br />142 00 <br />6 00 <br />�� <br />VALIDATED (IN THIS SPACE� THIS IS YOUR PERMIT <br />�� � . n•'����i I� <br />C <br />. I � U �� <br />�J <br />� <br />