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(h¢ EV¢CIRYeuF C�'y ST R U CT I O N �� <br />everett PERMIT PERMIT NO.OH139 <br />GTY NALL 259�8745 <br />EVERETf. WA 98201 ❑ COMBINATION XI�cBUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEIi MAILADORE55 CITY ZIP PNONE <br />Randy Ormiston 1309 Pinkerton Avenue Everett 98203 353-0501 <br />APGHITECi OR DESIGNEF MAIL AD�RESS CITY ZIP PMONE <br />G EflAL WNifiACTOR AIAIL ADDRE55 CITY ZIP PMONE LIGENSL � <br />�'ame <br />MELNANICALC�NTRACTOFl AIPILAODPE55 CITY ZIP PNONE UCENSE� <br />PLVMpINGCANTRACTOR 6�nILPDDRE55 CITV ZIP PHONE UCENSE� <br />f,L4550f WORN <br />❑NE1Y �XDDITION ❑ALiERATIGN ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WOPR <br />S 45��.�� <br />DESCRIBE WORK <br />Construct addition to exi.st-inq residence <br />single family residence <br />LEGAL DESCR'PT101! OF or�NtqiY (SHOW BELOVJ OP AP <br />�or21 eia�oF Beverl <br />J00 AODRE55 <br />1309 Pinkerton Avenue <br />PLUMBING <br />TYPE OF FIXTURE <br />WATER <br />CLOTHES WASHER <br />WATER NEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREANERS <br />ROOF DRAINS — RAINLEADERS <br />SINN �S[RVICE — BAR ETC) <br />SUBTOTAL <br />SIDE Y�RD SETBALK <br />6' <br />R-1 <br />TVPE OF GONSi. <br />V-N <br />SIZF OF BLDG. <br />18'18'6" add <br />FIRE ZONL <br />3 <br />SIREET SETBACK <br />20' <br />LOi AREA <br />OCCUPANCY GROL <br />R-3 <br />NO. Of STORIES <br />1. <br />BASEMENT <br />none <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />i�ouacories� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />. 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 LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGN E O CONTRALiOfi OR A/Ui�HORIZED AGENT OATE <br />Y � ., ..,r. O / IA.._..,� 8/21/8� <br />t. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DflAINAGE <br />7. ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PWNS CHECKED BY <br />v.c <br />FEE <br />REAR VARD SEfBACK <br />20� <br />VACANT SITE <br />L'YES ��O <br />APPR. FOR ISSUANCE BV <br />�NICAL � �/ <br />TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGER4TION UNITS — N.P. EA <br />�OILERS — HP. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B T.U. M <br />1VALL HEATERS — � T.U. M <br />UNIT HEAT[RS — B.TL. �� <br />EVAPCFATIVE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />�IR <br />h1ETAL <br />PL4N CHECK NUAI3ER <br />8139 <br />BUILDING <br />PENALTY <br />C.F.A1. <br />T�TAI <br />FEE <br />TOTALFEE 5 <br />fLAN CHECK FEE <br />FEE 1(.00 RECEIPTNO. <br />50071 <br />VALUATION FEE <br />$4500.00 <br />u.o.c. <br />SEC.303 <br />32 I 00 <br />32 I 00 <br />WHEN PROPERLY VALI�ATED (IN THIS SPACE) TNIS IS YOUR PERMIT <br />7145 $032.00 ---- � <br />c-'1 <br />� <br />��;��JR R�:CEIPT o <br />.,,`'!' YCU <br />,. <br />_i��Pso <br />