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� � <br /> �hr L\�rrAreen ;p N ST R U CT I 0 �' <br /> Giv OF � <br /> everett PERMIT PERMIT N0. 1210 � <br /> . CITY HALL 259�87d5 <br /> � EVEtiETT,WA98201 ❑ COMBINATION � BUILDING G MECHANICAL ❑ PLUMBING <br /> OWNER MAILA��flESS QTY 21f PHONE <br /> Stuart M. Turner 1611 Palm Avenue Everett 98203 353-9176 <br /> ' ARCHITEGT OR�ESIGNER MAII A�ORE55 CITY ZIP PMONE <br /> • GENERAL CONTRACTOR MAIL R�DRE55 CITY 21P PMONE LIGENSE� <br /> Ford Construction 15532 Woodinville/Redmond Road Woodinville 832-9141 <br /> MECNRNICAL CONTRnGTOR MdIL AODRESS CITV 21P PMONE LICENSE Y <br /> PLUMBING GONTFACTOR MAIL AODRE55 CITY ZIP PMONE LICENSE� <br /> � <br /> � ClASS OF WORK yy <br /> ❑NEW 1:.i'ADDITION O ALTEFA710N O REPA�R � DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VALURTION OF WORN <br /> S 7i800. �� <br /> ' OESCRIBE WORK <br /> Construct 16 'x20' addition to existinq residence <br /> PROPoSEO USE OF BUILOING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> � LEGALDESCPIP710NOFPROPERTY�SHOWBEWWORAT7ACMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> W��E�r 1�ocK?oF North Beverlv P GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> and 13 WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME T GIVE AUTHORITY TO VIOLATE <br /> — OR CANCEL THE PROVISIO OF ANY OTHER STATE OR <br /> LOCAL LAW REGUI TIN CONSTRUCTION OR THE <br /> PERFORMANCE F C ST CTION. <br /> Jf,d ADORESS SIC.R7F TOR UiMORZED AGENT OATE <br /> 1611 Palm Avenue X o�`tB3 <br /> � PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> . 1 WATERCLOSET�TOILEn AIR CON�.UNITS— H.P.EA <br /> ,1 BFTHTUB REFRIGERATION UNITS — H.P.EA. <br /> 1 LAVATORY�WASHBASIN� BOILERS — N.P. EA. <br /> � SHOWER GAS FIflE�A.C.UNITS--70NNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS — B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> IAUNDRY TRAY UNI7 HEATERS— B.T.U. M <br /> CLOTHES WASHER C\'APOR�.;'VE COOLERS <br /> WATER HEATER CLOTHES DRVEriS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HpOD <br /> FLOOR D'�AIN AIR HANDLING UNIT— C.F.N.. <br /> VACUUM BREAKERS STOVE— NJOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIRENLACE 6 CHIMNEY <br /> SINK�SERVICE — BAR. ETG) fIREPLACEINSERT <br /> HEAT PUMP <br /> SUB TOTAL S 6 00 SUB TOTAL S <br /> PERMIT f PENMIT S <br /> TOTAL FEE S ( TOTAL FEE 5 <br /> SIDE"ARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHEGK FEE <br /> S � � � 83/12109 FEE 44. 53 RECF.IPTuO. <br /> USE ZONE LOT AREA VACANT 51 — <br /> R_Z :�YES x�10 <br /> FEES VALUATION FEE <br /> TYPE OP CONST. OCCUPANCY GROUP NO.OF�N'ELLING UNITS <br /> V-N R-3 1 eui�oiNc =7 ,800. 68 50 <br /> SiZE OF Bg�i. �:0.OF STORIES MAX.OCG LOAD — — <br /> 320 Ft. Add' n j PLUMBING 6 00 <br /> FIREZONE BASEMENT FIRE SPPINKLERS MECHANICAL <br /> , REOUIRED <br /> VES XXO <br /> APPROVpLS BY DATE OTHER <br /> 1.ENVIRONMENTAL CNECK LIST PENALTY U B.Q <br /> SEC..J7 la) <br /> 2.DUILDING PLANS � TOTAL �4 S O <br /> 3.FIREHYDRANT y� <br /> 4.FIRE PROLF„CTION SN7lEM PEHMIT VALIDIITION <br /> 5.GRADIHG/ ) WMEN PROPERLY VALIDATED(IN THIS��PC tE)THISr$,YQU�P�R�11T � <br /> o . � bU6 7U <br /> • N 6.DRAINAG�_ � <br /> � 7.ENVIRONFjENTAIIMPAETSTATEMENT � <br /> N <br /> � B.HEAL D RICT — �j�-� U F', R[CEIPT •--+ <br /> APPLICA 10(tpCC.BW PLANS CHECNED BV APPR.FORISSUANCE BY <br /> °� O mc � tiwr� r.c ;; �,11�K 'i O U <br /> c — <br /> w '/ 9 ,�+ g j <br /> 11DU�CL55 Pllt <br />