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C <br />r �,����,���Gn ;^ CONSTRUCTIO�' <br />e�erett �ERMlT PERMIT NO. 1�k�L �7 <br />CITY HALL 259�87d5 <br />EVERETT,WA98201 � COMBINATION Ix�cBUILDING ❑ MECHANICRL ❑ PLUMBING <br />OWNER MnIL ADDRESS CItY ZIP PMONE <br />Larry D. Peterson 4718 Harbor Lane Everett 98203 353-2234 <br />APCNIiECi OR DESIGNER MAIL AODPE55 GTY 21P PMONE <br />GENERAL GONTqApiOR MAIL ADDFlESS CITY ZIP F4pNE LILENSE / <br />Darrell Anderson Mukilteo <br />MECMANIGAL CONTNAGTOR MAIL A��PE55 CITY ZIP PHONE �ICENSE � <br />VLUMBING CONTRRGTOR MAIL AppRESS CIiY IIP PNONE LICENSE � <br />s <br />❑ NEW �3P�DDITION O ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD SiOVFIFIREPLqCE INSERT <br />� OF WORN <br />6�000.00 <br />Replace deck with roof and addition <br />Single Family Residence <br />12 Darlington Replat Lot "X" <br />L0T_6lUCN_OF _ <br />4718 Harbor Lane <br />PLUMBING <br />NO. TYPE <br />6ATHTUO <br />LAVATORY(WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISMWASHER <br />LAUNDRYTRAY <br />CLOTMES WASNER <br />WATER HEATER <br />URINAL <br />DRINKING FOUMTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR, ETQI <br />ITEM I FEE <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />IEET SCT�ACK REAR <br />7� Ft. 25 <br />E LOT AREA <br />R-S <br />V-N <br />� <br />R-3 <br />Ft. I 1 <br />1. ENVIRONMENTAL CHECK LIST <br />2. �UILDING PLANS <br />3. FIRE MYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. Df'AINAGE <br />7. ENVIRONMENTAL IMPACT STATEN <br />D. HEALTH DISTRICT <br />APPLICATION ACQ BY PI.ANS <br />STG <br />FiI'7M <br />�..YES �-NO <br />NO. OF DINELLING <br />1 <br />MAX.00C.LOAD <br />N/A <br />FIR[ SPRINKLERS <br />REOUIRED <br />YES NO <br />BY DATE <br />APPR. <br />I�C <br />I HEREBY CERTIFY TNAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND OFIDINANCES <br />GOVERNING THIS TYPE OF WORK WILL 8E COMP�IED WITH <br />WHETHC-R 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 />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFqqMANCE OF CONS7iiUCTION. <br />SIGNeTyf)L�OF CONTqACT��R qyfiHqAiHpgGsar onTe <br />X � � � � %. � �.[ 1�.-,. <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT <br />AIR COND. UNITS - H.P. EA. <br />REFRIGEHATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.G UNITS - TONNAGE EA. <br />FORCED AIR SVStEMS - e�.U. M EA. <br />WALL HE4TFR5 - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORA7IVE COOlERS <br />CLOTHES DRVERS <br />VENTILAiION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />MEiAL FIREPLACE 8 CHIMNEV <br />PIREPLACEINSER7 <br />HEAT PUMP <br />PLAN CHECK NUMB <br />85/14427 <br />FEES <br />SUB TOTAL S <br />PERMIi S <br />TOTAL FEE S <br />rEE <br />FEE36. 73 I �J�Y�J NO. <br />VALUA710N FEE <br />BUILDING SG,000. S6 SO <br />PLUMBING <br />MECMANICAL <br />OTMER <br />PENALTY U.B.C. <br />SEC. 303 (a) <br />iora� 5G 50 <br />PERMIT VALIOATION <br />WHEN PROPERLY VALIDATED pN TMIS SPACEI THIS IS YOUR� PERMIT j�-.� <br />� . ��. �i <br />t`. <br />�: <br />0Y i � � � <br />;\UJP.ESS PILf <br />� <br />�� <br />z <br />0 <br />--1 <br />.. <br />� <br />m <br />-i T <br />.. -� <br />N 2 <br />m <br />cp <br />m o <br />c'� <br />--1 C <br />O 3 <br />m <br />-� z <br />2 --/ <br />m <br />r. <br />.O Z <br />C <br />a -+ <br />r x <br />.-. .. <br />--1 cn <br />K <br />C.J � <br />T T <br />-i m <br />S <br />m� <br />O <br />o r <br />n m <br />C (n <br />� � <br />m <br />2 c"� <br />-i r <br />• m <br />n <br />� <br />-i <br />x <br />n <br />z <br />�--I <br />2 <br />N <br />2 <br />0 <br />� <br />('i <br />m <br />