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en <br />f/IrEL'CITrYOF �i CONSTRUCTIQN <br />everett PERMIT PERMIT NO. 15683 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 N COMBINATION ® BUILDING ❑ MECHANICAL ® PLUMBING <br />OWNER MAIL ADDRESS <br />R. F. Waggoner 1701 Puget Drive Everett 98203 353-4772 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR mAu nuuncao - <br />ROV FORE 5421 1604 S.W. Edmonds 98020 745-1405 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY FORERS211 ML PHONE LICENSE 0 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />❑ NEW X3 ADDITION El ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑ W000 STOVEIFIREPLACE INSERT <br />$ 3130.00 <br />A CRIBE WORK <br />7'xl4'9" to existing residence <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Single Family Residence <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />S4 12 5 Beverly Park <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT _BLOCK _OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF C0141P TOR OR AUTHORIZED AGENT DATE <br />JOB ADDRESS <br />1701 Puget Drive <br />X G� - "8 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />1 <br />WATER CLOSET(TOILF.7) <br />2 <br />00 <br />AIR COND. UNITS - H.P. EA., <br />BATHTUB <br />REFRIGERATION UNITS - H.-. EA. <br />1 <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />1 <br />SHOWER <br />_ <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - P.T.U. M <br />CLOTHES L/ASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM 811EAKERS <br />STOVE -WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />1 <br />Jacuzzi <br />2 <br />00 <br />HEAT PUMP <br />SUB TOTAL <br />S <br />8 <br />00 <br />SUB TOTAL S <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />S <br />8 <br />00 <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />6' <br />20' <br />20' <br />85/15683 <br />FEE 28.93 <br />yp <br />RECE 2T6/. <br />tlFEE <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />R-1 <br />YES XX NO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DVJELLING UNITS <br />BUILDING <br />$3130.00 <br />44 <br />50 <br />V-N <br />R-3 <br />1 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />idd' n 7' xl4' 9" <br />1 <br />PLUMBING <br />8 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />IRED <br />REQYES <br />OTHER <br />NO <br />APPROVALS <br />BY <br />DATE <br />U.B.C. <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC. 303 (a) <br />2. BUILDING PLANS r <br />TOTAL <br />52f5O <br />3. FIRE HYDRANT '-- <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS THI$ ISO YOUR <br />T— <br />RMI11 <br />,S,GRADING <br />(SPACE) <br />� <br />l 0 C1 <br />Ln <br />; U R RECEIPT n <br />- <br />�Bl DRAINAGE ;- <br />- 7. ENVIRONMENTAL IMPACT TATEMENT <br />-a HEALTH DISTRICT co <br />APPLICATION ACC. BY <br />..FLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />STG <br />STG <br />LC <br />I i.!;A.N11% YO U <br />-J <br />ADDRESS FILE <br />2 5 ►@V 8 5 <br />