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�he E�•crKreen CO N ST R U CT I t� <br /> Citv OF <br /> everett � � pERMIT PEsr No. 148?_5 <br /> CITY HALL 259�8745 <br /> EVERE7T,WA 98201 ❑ COMBINATION fl BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNER MAIL ADDRE55 CITY ZIP PNONE <br /> Rene F. LeBourhis 2921 Panaview Blvd. Everett 98203 353-5949 <br /> ARCHITECT OR OESIGNER MAIL ADDRE55 CITY 21P PNONE <br /> GENERALCONTRRCTOR MAILA�OPE55 QTY 21P PHONE LICENSEI <br /> Woody's Construction 1826 156 N.E. Arlingten 98223 652-7203 <br /> MECHANICALCONTRACTOF MAILAODRE55 GITY ZIP PMONE LICENSE� <br /> WO OD YC 273 MA <br /> PLUMBING GONTRACTOR MAIL AODRE55 CITY ZIP PHONE LICENSE� <br /> CUSS OF WORN <br /> ❑NEW �F ADDITION O ALTERATION ❑REPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VALUATION OP WORN <br /> S 10�000.00 <br /> DESCRIBE WORN <br /> 20'x24' Family room added to existing residence <br /> PqOPOSED 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 /> LEGAL DESGflIPTION OF PROPERIV�SMOW BELOW OR ATTACM FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 126 Valley View GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCK_OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PHOVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB R�DRESS SIGNPTURE OF CONTNACTOR OR AUTHOflIZED NT DATE <br /> 2921 Panaview Blvd. X , <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET(TOILEn AIR COND.UNITS- H.P. EA. <br /> BATHTUB REFRIGERATION UNI7S- H.P.EA. <br /> LAvq70RY(WASH BASIN) BOILERS- H.P. EA. <br /> SMOWER GAS FIPED A.C.UNITS-TONNAGE EA. <br /> KITCHEN SINK 8 OISP. FORCED AIR SYSTEMS- B.T.U. M EA. <br /> OISHWASNER WALL HEATERS- B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS- B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOH Dq.11N AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE-WOOD <br /> qOOF DRAINS- RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE- BAR, ETC.) FIFEPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL f SUB TOTAL S <br /> PEflM1T S PERMIT S <br /> TOTAL FEE S TOTAL FEE f 12 <br /> SIDE YARD SETBACK STREETSETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 6� 20� 20� FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE - <br /> R-1 ���iYES -:NO FEES VALUAT�ON FEE <br /> TYPE OF CONST. OGCUPANCY GROUP N0.OF DWELLING UNITS <br /> V-N Addn R-3 1 BUILDING $10 000. <br /> SIZE OF BLDG. NO.OF STORIES AtA%.OCC. IOAD <br /> Add'n 480 Sq. Ft. 1 p�p PLUMBING <br /> FIREZONE BASEMEN7 FIRESPRINKLEFS MECHANICAL 12 OO <br /> REOUIRED <br /> None :_res X7Pao <br /> APPROVALS BY OATE OTH�3R <br /> 1.ENVIRONMENTAL CMECN LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS 92 SO <br /> 3.FIRE HYDRANT TOTAL � <br /> a.FIRE PROTEC710N SYSTEM PERMIT VALIDATION <br /> S.GRADING WHEN PROPERLY VALIDATED pN 7HIS SPAGE)THIS IS,YyOUR PERMIT _ L.rJ <br /> � <br /> 6.ORAINAGE - . � <br /> 7.ENVIqONMENTALIMPACTSTATEMENT I :i ' --_ A � <br /> c� <br /> 8.HEALTH OISTRICT , � j i � r-I <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> � <br /> STG HWM LC � <br /> ADDRESS FILE <br />