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�he L•'rerAreen + (�O N ST R U CT I O Ni • <br /> everett PERMIT PERMIT N0. 15575 <br /> CITY HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILAOORE55 LITY ZIP PMONE <br /> Paul F. Werner 541 Pilchuck Path Everett 98201 259-3815 <br /> ARGNITEGT OR pESIGNER MAIL AOORESS CITY 21P PHONE <br /> GENERAI CONTRACTOR MAIL ADDRESS CITY 21P PHONE ULENSE� <br /> Same <br /> MECHANICAL CONiRACTOR MAIL AO�RESS CITY 21P PHONE LICENSE I <br /> PlUM81NG CONTFACTOR MAIL AODflESS CITY ZIP PHONE LICENSE 1 <br /> CLA55 Of WOFK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> f 1200.�0 <br /> DESCRIBE WORK <br /> Add caYport and deck to existing resid^_nce <br /> PROPOSED USE OF 9UILDING <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 OESCRIPTION OF PROPERTY�SH01Y BELOW OR ATfACM FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 51 BLOCK_OF Bridgeway 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 C EL THE PROVISIONS OF ANY OTHER STATE OR <br /> L AL L W RE ULATING CONSTRUCTION OR THE <br /> P RFORM NCE OF NSTRUCTION. <br /> JOB ADORE55 5 TURE C TR C OR O T R ZE ENT ,1 DATE <br /> 541 Pilchuck Path X ��/ z <br /> PLUMBING MEC ANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATERGLOSET(TOILEn AIR COND.UNITS- H.P. EA. <br /> BA7HTUB REFRIGERATION 11NI7S- H.P.EA. <br /> LAVA70RY�WASH BASIN) BOILERS - H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS- B.T.U. M EA. <br /> DISHWASHER WALL HEATERS- B.T.U. M <br /> LAUNDRYTRAY UNIT HEATERS- B.7.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 HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE-WOOD <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE- BAR,ETG.) FIREPLACE INSENT <br /> HEAT PUMP <br /> SUB TOTAL f SUB TOTAL S <br /> PERMIT 5 PERMIT S <br /> TOTAL FEE 5 TOTA:FEE S <br /> SIDE YARD SE7BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 5� 20� 20� $S�j5575 FEE13.33 RECEIPTNO. <br /> USE ZONE LOT AREA VACANT SITE <br /> R-2 ::YES XEiOIR}4BX FEES VAWATION <br /> TYPE OF CONST. OGCUPANCY GROUP N0.OF DWELLING UNI7S <br /> V-N R-3 1 <br /> BUILDING S 1200. 20 SO <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD <br /> 750 Sq. Ft. Dec 1 PLUMBING <br /> FIRE ZONE eASEMENT FIfiE SPRINKLERS MECHANICAL <br /> REOUIRk <br /> YES _ 0 <br /> APPHOVALS BY DATE OTHER <br /> t.ENVIRONMENTAL CHECK UST PENALTY U.B.C. <br /> SEC.903(a) <br /> 2.9UILDING PLANS 20 SO <br /> 3.FIREHYORANT TOTAL <br /> 4.FIRE PflOTECTION SYSTEM PENMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDATED pN TF�IS�SPACE)THI�If YQ�{R�EBMIT (_�j <br /> � � eb ULII <br /> 6.DRAINAGE <br /> , r <br /> 7.ENVIRONMENTALIMPACTSTATEMENT <br /> B.HEALTHDISTRICT � 'l nr- - r. • <br /> APPLICATION ACC.BY PLANS CHECKEO BY APPR. FOR ISSUANCE BY ,� ' ' - �` '�•�� �-� �-I I� I � � <br /> � � ��. � <br /> JEF � � .. .. . 1 i.J (� <br /> `l. � L'Ci u) <br /> ADDRESS FILE <br />