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!hr Ecer�;rcen � �O N ST R U CT I 01. <br /> ciTv cr r <br /> everett PERMIT PERMIT NO. 11971 <br /> CITY MALL 253�87d5 <br /> EVEREiT.WA 98201 [] COMBINATION �I BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER <br /> MAiL RD�RE55 CiTY ZIP PMONE <br /> Matt J. Porter 7p7 ec s Drive Everett 98203 353-3970 1 <br /> ARCMITEGT ON OESIGNER <br /> MPIL AODRES$ GITY ZiP PHONE <br /> GENERPL CONTRACTOR MAIL ADDRE55 GITY 21P PHONE UCENSE� <br /> Same <br /> MEGNANiLALCONTPAGTOii MRILAO�RE55 CITY ZIP PHONE I�CEHSE� <br /> PLUMBINGCONTRFCTON MARqODRE55 CIiY ZIP PMONE LIGENSE� <br /> CU55 OF WORK <br /> ❑NEW ❑ ADDITION O ALTERATION ❑REPAIR ❑ �EMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSER <br /> VRLURTION OF WORB <br /> S 7, 000.00 <br /> oEscaiee wonrc <br /> Construct Garage, Carport, and Shop <br /> PROPOSEO USEOF OUiL�iNG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Single Family Residence APPLiCATION AND KNOW THE SAME TO BE 7RUE AND <br /> IEGAL0E5CRIPTIONOFPROPENiY�SMOWBEIOWOPRTTAGHFOURCOPICS� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> • GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_OLOCK__OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> 6 28 5 PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> �OCAL LAW H EGU�AITINGSCONSTRU�CTIONSOR THE <br /> PERFOflMANCE OF CONSTRUCTIO,N. <br /> JOBRODFE55 SIG 1 EDiCOt�TNqG10P0 UTMORI2" 9'GE�L1Y- =��E <br /> 'I07 Pecks Drive X���"LV�� � C�� 3 � <br /> PLUMBIN6 MECMANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. <br /> TYPE OF EOUIPMENT FEE <br /> WAiERCLOSETQ01LEn AIF CONO.UNITS-M.P.EA. <br /> REFRIGERATION UNITS- M.P.EA. <br /> BATHTUB <br /> LAVATORYQNASH BPSIN� BOILERS- HP.EA. <br /> GAS FIREO A.C.UNITS-TONNAGE EA. <br /> SHOWER <br /> NITCMEN SINK 8 OISP. FORCEO AIR SYSTEMS- B.T.U. M EA. <br /> WALL HEATERS- B.T.U. �� <br /> DISMWASHER <br /> UNIT HEATERS- B.T.U. M <br /> LAUNORVTRAV <br /> CLOTMES WASMER EVAPORATIVE COOLERS <br /> CLOTMES DRVERS <br /> WATER IIEATER <br /> VENTILATION FAN <br /> URINAL <br /> ORINKING FOUNTAIN RANGE MOOD <br /> AIR HAN�LIN�UNIT- C.F.M. <br /> FLOOR DRAIN <br /> VACUUM BREAKERS STOVE -1NOOD <br /> ROOF ORAINS- RAINLEADERS METAL FIREPLACE 6 CHIMNEY <br /> SINK�SERVICE- BAR.ETCJ FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOT�L S SUBTOTAL 5 <br /> PEPMIT S PERMIT 5 <br /> TOTALFEE S TOTALFEE S <br /> PLAN CMECK FEE <br /> SIOE YARD SETBACK STREET SETDACK FEAR YARD SETBACK PLAN CHECK Nl1M�ER RECEIPT NO. <br /> 5� 20' 83/11971 FEE q0.63 276 __ <br /> USE ZONE L0T AREA VACANT SITE FEES VALUATION FEE <br /> R-Z . .vES �.� <br /> TYPE OF CONST. OCLUPANCY GROUP NO.OF OWELLING UNITS <br /> V-N M BUILDING S7 ,OOO. 62 SO <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCQ LOAD pLUMBIN� <br /> 720 Sq. F . 1 - <br /> FIHE ZONE OASEMENT FIRE SPRINKLERS MECMANICAL <br /> - REOUIPED <br /> vE5 X7E10 <br /> BY DATE �TMER <br /> APPROVALS U.B.C. <br /> 1.ENVIRONMENTAL CNECK LIST PENALTV SEC.30718� <br /> 2.BUILOINGPLANS TOTA� 62 SO <br /> �.FIRE HYORAN� <br /> C.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN TMIGSPACi)TMIS�o'��P�e�T'-�� <br /> S.GRADING r i � u <br /> � 6.DRAINAGE /�C oT� <br /> 7.ENVIRONMENTPLIMPACTSTATEMENT 1/u�� R RE�+`�r 1r� <br /> 8.HEALTH DISTRICT <br /> APPLICATION ACC. BY PLANS LHECNED BY APPR.FOR ISSUANCE BY ;�.���K Y O U <br /> EB HWM LC <br /> I 9 ►aY x� <br /> P.DDR[55 PIL[ � <br />