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n��€��'�°k,� '� �ONSTRUCTIO� � <br /> e��� PERMIT PERMIT N0. 16Z13 <br /> CITV HALL 25&87�5 <br /> V ��PS��'� L�; �ID�I�INATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> °Y�'�Gard Pawlak 1010 ParkMDriveEss Everett WA 98203 355-6156 PHONE <br /> ARCHITECT OR DESIGNER MqIL ADDRE55 CITY ZIP PHONE <br /> CENERAL GONTFACTOR MAIL ADDRESS CITY 21P PHONE UCENSE� <br /> Michael Trapp PO Box 466 Snohomish 98290 568-6751 <br /> MECHANIC�L CONTRACTOR MAIL A��RESS CITY ZiP PI:ONE UCENSE 11 <br /> PLUMBING CONTHACTOR MRIL A�DRE55 CITY Z�p PMONE �ICENSE I <br /> CIASS OF WORN <br /> ❑ NEW � ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VAIUATION OF WORK <br /> f �2��00.0� <br /> DESGRIBE WORN <br /> Enlarge bedroom, add sewing room, bath and family room <br /> PflOPOSED USE OF BUILDING <br /> Singl e family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGRLDESCRIPTIONOFPROPERTY�SHOWBELOWORATTACHFOIIRWPIES) APPUCATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �ot 14&1�ocK 2 oF Beverl Home Tracts Div 1 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER 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 REGUI.ATING CONSTRUCTION OR THE <br /> PERFORMANC OF C TRUCTION. <br /> JOB AOURESS SIGNATU OF CO A T pR q HOPIZ RCENT DATE <br /> 1010 Park Drive X —�.5 S� <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OP E�UIPMENT FEE <br /> WATERCLOSET�TOILEn Z QQ AIP COND. UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.i'.EA. <br /> � LAVATOFV�WASH BASIN) z QQ BOILEPS— H.P.EA. <br /> � SHOWER Z QQ GGS PIRED A.C.UNITS— 70NNAGE EA. <br /> KITCHEN SINK 8 DISP. FOFCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER V�'ALL HEATERS— B.T.U. M <br /> LAUN�RY TRAV UNIT MEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLIYG UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOO� <br /> ROOF DRAINS— RAINLEADERS ME7AL FIREPLACE d CHIMNEY <br /> SINK(SERVICE— BAR, ETC.) FIFEPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL S SUB TOTAL S <br /> PERMIT S PERMIT S <br /> 70TAL FEE = TOTAL FEE S <br /> SIDE YARD SETBACK STREE7 SETBACK REAR YARDSE7BACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 6ft 20 ft 20ft 86/16213 FEe 60.13 FiECEIPT NO. <br /> IISE 20NE LOT AREA VACANT SITE <br /> R-� : YES �.�JO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V=N R-3 � BUIIDING %12,000. 92 0 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD <br /> � PLUMBING 6 O <br /> FIREZONE BASEMENT REOUSRED KLERS MECHANICAL �O O <br /> �.'.YES ..NO <br /> APPHOVALS 9Y DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2.BUILDING PLANS SEC.303(a) <br /> 3.FIREHYDRAN7 � TOTAL <br /> 4.FIHE PROTECTION SYST PERMIT YAI.IDATION <br /> .�5.GRADING WHEN PROPERLY VALIDATED pN THIS SPACEI�7HI5 IS YQI�A FE�M� � —�) 1 <br /> �..r'b.DRAINAGE ':.•� I , � <br /> -:-7.ENVIRONMENTALIMPACYSTATENENT N <br /> %�B.HEALTHDISTNICT p� � � �' �� ' �, "�4 <br /> c.-APPLICATION ACC.BY ,_� PLANS CHECKED BY APPR.FOR ISSUANCE BY � ) <br /> ` � sg : Jef lc ". �� <br /> � , � u <br /> ADL'P.ESS FILE <br />