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(ItP !:�'Cr�rCCq <br />`�i��� ' -� ;ONSTRUCTIO�' <br />everett PERMIT PERMIT NO. 1255H <br />CITY HALL 259-8745 <br />E':cRETT, WA 98201 � COMBINATION � BUILDING � MECHANICAL Q PLUMBING <br />OWNEP MAILADDRESS CITY ZIP PHONE <br />J.C. Sells P.O. Box 1051 Everett 98206 337-0660 <br />ARGNREGT OR OESIGNER MAIL AO�RE55 CITY ZIP PMOYE <br />GENERALCONTRACTOR MAILADORE55 dTY ZIP PMONE LICENSEY <br />Jav's Builders P.O. Box 1051 Everett 98206 259-7070 <br />MECNANICFI WNTHACTOR MAIL ADORESS CITY ZIP PHONE UGENSE I <br />JAYSBR183RA <br />PLUMBING CONTRFGTON MAIL ADDRE55 CITY ZIP PHONE LICENSE � <br />GLA55 OF WOflK <br />�NENJ O ADDITION O ALTERATION ❑ REPAIfi ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSER7 <br />silggxXY 52,000.00 <br />DESCRIBE WORN <br />LOT_9LOLK <br />U8285 <br />8014 Hamlet Lane <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />CLOSET (TOI LEn <br />], BATMTUB <br />2 LAVATO(iV!WqSHBA: <br />1 SHOWER <br />1 KITCHEN SINK 8 DI;SP. <br />1 DISHWASHER <br />I.AUNDRY TRAY <br />]. CLOTMESWASHER <br />URINAL <br />DRINKING FO'JNTFIN <br />FLOOR DFAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAIN <br />SINK�SERVICE — BAR <br />SUB TOTAL 'a <br />PERMIT S <br />TOTAL FEE S <br />SIDE YARD SETBACK STRLET SETBACK RE <br />6' 20' <br />USE ZONE LOT AflEA VP <br />R-1 X: <br />TVPE OF CONST. OCCUPANCYfiROUP N( <br />V—N R-3 <br />HOUS�EE Q41U Scj. Ft, NO. OF STORIES MI <br />_ ... .._ ..._ 1 <br />1. ENVIRONMENTAL CHECK LI57 <br />2. AUILOING PLANS w <br />_�_ <br />J. FIRE HVDRANT <br />4. FIRE PROTECTIQN SYSTENP <br />IMP4CTS7ATEMENT <br />APPLICATION'AC�� BY � PLANS ( <br />; � o <br />� EB �-� o HWM <br />C n� I <br />BY IAPPR. <br />NO <br />1 <br />LOAD <br />5 <br />LC <br />DATE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNO1N 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 />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PGENT ORTE <br />F� <br />NO. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — M.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />j FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATEHS — B.T.U. M <br />EVAPORATIVE COOLERS <br />1 CLOTHES DRYERS <br />3 VENTILA710N FAN � <br />j RANGE HOOD <br />AIR HANDIING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL S 24 <br />PEHMIT S <br />TOTALFEE f 24 <br />63/12558 I FEE 154.70 I R��459No. <br />FEES VALUATION FEE <br />BUILDING s52,000. 289 00 <br />PIUMBING 20 00 <br />MECHANICAL 24 00 <br />OTHEF <br />PENALTY U.B.C. <br />SEC. �0� lal <br />TOTAL --- -- <br />W�E�TF'�i�P�I�OVALiBAT� �1N T�S�qAGEI THI� IS� YRI�i P�f�.11T _(p <br />IU Lb7 U l�J <br />� <br />N <br />,�' ";R RECFIP� �" ;J2 P,EC6IPT r+ <br />eY �;,>,.,.lK 1'OUt <br />'� i.�'-\I�V� ���i� <br />� 31�i35 31o�t83 <br />ADDRESS FILE <br />