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- , <br /> theEvc�veoF CC�`'�ISTRUCTION � <br /> everett PERMIT pERMIT NO. 0�904 <br /> GTY HALL 759�87d5 <br /> EVERETT.WA 98201 ❑ COMBINATION 7� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEN MFILADDRi55 CITY ZIP PMONE <br /> Edgar A. Desye 1412 Park Drive Everett 98203 353-6212 <br /> ARCNRECTORDESIGNER A'nr ADDRESS Q�Y ZIP PNONE <br /> CENERAL CONTPACTOR MAIL AODRESS CITY ZIP FNONE LICENSE� <br /> Same <br /> AIECHANICAL CANTRACTOR MAIL RDDRE55 GITV 21P PNONE LICENSE/ <br /> PIUMBINGCAMRACTOR MnILA�ORE55 Cltt ZIP PMONE UCENSEI <br /> CLASS OF WORN <br /> ❑NEW �IADOITION ❑ALTERATION ❑REPAIR UDEMOLI710N L�FENCE ❑SIGN ❑GARAGE <br /> VAWATION OF WOPK <br /> S 610��.�� <br /> �ESLRIBE WORK <br /> Addition of one room over existing garage <br /> PPOPOSED USE OF BUIIDING <br /> Multi-Use Livinq Room I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> LEGALDESCRIPTIONOFPRCPERTY�SNOW9ELOWOFATTACHFOURCAPIE51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior 1 e�oc�oF Beverl Home Tracts Div. 1 TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> • PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR AL LAW REGULATING <br /> CONSTR CTION QR T PERFORMA� OF CONSTRUCTION. <br /> JOB�DOHE55 SIGNATUP iRRCTORO AUt RIZEDAGEN OATE <br /> 1412 Park Drive X e • 11 80 <br /> �. PLUMlINO MECHANIC <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIP T FEE <br /> WATER CIO,iEf(f01LEt1 AIR COND. UNITS—H.P. EA. <br /> ' BATHTUB REFRIGERFTION UNITS—H.P.EA <br /> L4YATORY(WASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA � <br /> KITCHEN SINK 8 DISP. FORCED AIR SYS7EM5—B 7,U. M EA. <br /> DISHWASMEB WALL HEATERS—O.T.U. M <br /> LAUNDRV TRAY UNIT 11EATERS—B.T.U. M <br /> CLOTHES WASHEF EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTIlAT10N FAN <br /> ORINKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAIN AIR HANOLING UNIT— GF.M. <br /> VACUUM BREAKEFS STOVL _ <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK(SERVICE—BAR.ETC.) <br /> SUB TOTAL SUBTOTAL f <br /> PERMIT S PENMI7 S <br /> TOTALFEE i TOTALFEE S <br /> SIOE VARD S:TBACK STFEE7 SETBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 7905 FEE �.8.�� R�JL7�� <br /> USE ZONE LOT AREA VACANT SITE <br /> � ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CA45T. OCCUPANCY CROUP NO.OF DWELI.ING UNITS <br /> V-N R-3 Additio <br /> BUILDING > 36 00 <br /> SIZE OF BLDG. N0.OF STORIES MA% OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FINE SPRINKLERS <br /> 3 REUUIR�p MECHANICAL <br /> ❑YES i9N0 — <br /> APPflOVALS BY DATE OTHER <br /> t. ENVIRONMENTALCHECKLI57 pENALTV U.BC. <br /> 2. BUILDING PLANS SEC.303(e) <br /> 3. FIRE HVDRANT TOTAL 36 00 <br /> a. FIRE PPO7ECTION SYSTEM PEPMIT VALIDATION <br /> WHEN PROPERLY VALIDATED IIN THIS SPACE)7HI5IS YOUR PERMIT <br /> 5. GRADING 4 6 ` � p � L I. O 0 y.��f . <br /> 6. DRAINAGE � •D J 0 <br /> � <br /> 7. ENVIRONMENTALIMPACTSTATEMEN7 . � Q� <br /> 8. HEALTH DISTRICT ��p U R R�C E 1 P o <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE�Y <br /> 'f"r.hNK YOU <br /> xwM Lc <br />