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fhCfrCrtin•eq - �OIVSTRUCTION, <br />U7vOF � <br />everett PERMIT PERMIT N0. 1�4�`� <br />Y a <br />CIT HALL259875 <br />EVERETT,lNA98201 ❑ COMBINATION C BUILDING � MECHANICAL � PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PMONE <br />Neomi Cooper 1627 Puget Drive Everett 98203 343-2373 <br />ARCMITECT OR pESIGNEP MAIL AD�RE55 pTY ZIP PHONE <br />GENERALWNTRACTOfl MAILAODPE55 CITY IIP P4HQN�373 LICENSE� <br />Same d 3 <br />MECHnNIGAL CONiRACTOR MAIL AOORE55 CITY ZIP PMONE LICENSE Y <br />PLUMBING GONTflACTOR MAIL AOOfiE55 CITY ZIP PHONE IICENSE Y <br />f <br />❑ NEW ❑ ADDITION %C%� ALTERATION ❑ REPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD S70VEIFIREPLACE INSER7 <br />Finish basement nrea <br />Single Family Residence <br />.EGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR AITAGM <br />11-12 15 South Park <br />t�fd �—ot-`$°Yhso'—o°t` -r.a���-- <br />109 ADDRESS <br />YHBR 1627 Puget Drive <br />PLUMBING <br />N0. TYPE OF FU(TURE OR ITEM <br />BATHTUB <br />1 LAVATORY�WASH BASIN) <br />1 SHOWER <br />KITCFIEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLO7MES WASHER <br />WATEF HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKEFS <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR, ETG.) <br />iQ/A <br />SE ZONE <br />R-1 <br />YPE OF CONS <br />V-N <br />IZE OF BLDG. <br />Existing <br />SUB TOTAL <br />pERMiT <br />TOTAL FEE <br />EET SETBACK <br />N/A <br />AflEA <br />N/A <br />:UPANCY GROI <br />R-3 <br />OF S70RIES <br />1 <br />APPNOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2.9UILDING PLANS <br />3. FIRE HYDRANT <br />4. PIPE PROTEC710N SYS7EM' <br />5. GRADING <br />6. ORAINAGE <br />7.ENVIRONMEN7ALIMPACiSTATEMENT <br />' 8. HEALTIi DISTRICT � " <br />APPLICATION ACC. BV PLANS CMECK <br />�- EB JEF <br />�S <br />s� 8 <br />REAR YARD SETE <br />N/A <br />VACANT SITE <br />YES . X30 <br />NO. OF DWELLIN <br />1 <br />MA%.00C.LOAD <br />N/A <br />FIRE SPRINKLERI <br />REQUIRED <br />VES " NO <br />APPR. FOR ISSUANCE BY <br />LC <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNPTIlp /O�F CONTRACTOR OR AUtNORIZED AGENT DATE <br />X � Vl :`.7LLl ��(�2�Jll <br />NO. TYPE OF EQUIPMENT FEE <br />AIR COND. UNITS - H.P. EA. <br />flEFRIGEHATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIFED A.C. UNIiS - TONNAGE EA. <br />FORC[D AIR SVSTEMS - B.T.U. M EA. <br />WALL HEATEFS - B.T.U. M <br />UNIT HE'� ERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />�. VENTILATION FAN 3 <br />RANGEHOOD <br />AIR HANDLING UNIT - C.F.M, <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />PIREPLACEINSERT <br />HEAT PUMP <br />SUe TOTAL 5 <br />PERMIT S <br />iOTAL FEE S <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />85�14429 FEE � RECEIPT NO. <br />FEES I VALUATION I FEE <br />BUILDING I $ I 56 <br />PLUMBING I 8 00 <br />MECHANICAL 3 OO <br />OTHER <br />U.B.C. <br />PENALTV SEC. 307 W� 67 <br />TOTAL I I haa�a� <br />PERMIT VALIDATION . <br />WHEN PROPEfiLY VALIDATED �W THIS SPACE) THIS IS YOU(i P�RMI7— ("G � <br />a �1 <br />V <br />. i <br />♦ e <br />;�!JDRcL° "ILE <br />� <br />z <br />0 <br />� <br />� <br />m <br />� T <br />.. .-� <br />�n x <br />m <br />co <br />mo <br />-� c <br />O =' <br />m <br />-�i 2 <br />S -�-1 <br />m <br />.. <br />D Z <br />C <br />a -� <br />rx <br />--1 (n <br />< <br />�'1 <br />O .� <br />T � <br />-i m <br />2 <br />m� <br />N <br />� <br />or <br />c-� m <br />C N <br />� N <br />m <br />z c� <br />-i r <br />• m <br />a <br />z <br />� <br />x <br />n <br />z <br />� <br />� <br />N <br />2 <br />O <br />-i <br />� <br />m <br />