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lhrlicPr,�rPCn - CONSTRUCTIO � I <br /> C�iv O� i <br /> everett PERMIT PERMIT N0. 13H1H <br /> CITY HALL 259�8745 <br /> EVEFET7,YIA98201 � COMBINATION �] BUILDING 0 MECHANICAL x❑ PLUM9ING <br /> MAIL AODRE55 C:TY 98207JP PMONE <br /> owneR Everett i 258-4876 <br /> M. Catherine Miner 1311 Oakes <br /> pRGHITEGT OR OESIGNEN <br /> MAIL ADORESS CITV ZIP PMONE <br />' MAIL PDOPE55 CITY 21P PMONE IICENSE� <br />' GENERPI CONiRAGTOR <br /> S27IRC ��T� Z�p PNONE L�CENSE• <br /> MECHANICAL CONTRACTOR MPIL AD�RESS <br /> PLUMBMG GONTRACTOR <br /> MPIL AODRE.'s5 CITY 21P PHONE LICENSE/ <br /> CLA55 OF WORK <br /> ❑ NEW ❑ ADDITION }�' A�1ERA710N ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ W�OD S70VFJFIREPLACE INS <br /> VALUAi"JN OF WOFK <br /> 1 $�000.00 <br /> OESGPIBE WORN <br /> Add dormer, skylight, bathroom fixtures <br /> PPUPOSEO USEOF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMIIJED THIS <br /> Single Family Residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IhGRL�ESCPIPTION OF PFOPE9TY ISMOW 9ELO�Y Ofl ATTACM FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> S 11' S, 249 Fourteen Street Addition GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> b��r�._afocrc_oF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB AUDRESS SIGNATUFE OF CON P4CTOR OF AUTMORREO AGENT OFTE <br /> 1311 Oekes X � �� S� <br /> PLUMBING MECHANICAL <br /> FEE NQ. TYPE OF E�UIPMENT FEE <br /> NO. TYPE OF FI%TURE OR ITEM _ _ <br /> WATERCLOSET�TOILEn AIR COND. UNITS— H.P. EA. . <br /> — REFRIGERATION UNITS— H.P.EA. <br /> BATHTUB <br /> ], LAVATORY�WASH BA31N� 2 OO BOILERS— N.P. EA. <br /> 1 SMOWEH Z OO GAS FIRED A.C.UNITS — TONDlAGE EA. _ <br /> FORCED Alti SYSTEMS— O.T.U. M EA. <br /> KITCHEN SINK 8 DISP. M <br /> WALL HEA7ER5— B.T.U. <br /> DISNWASMER <br /> UNIT NEATEF,S— B.T.U. M <br /> LAUNDRYTRAY <br /> EVAPORA7IVE COOLERS <br /> CLOTHES WASHER CIOTHES DRYERS - <br /> WATEFi HEATER <br /> URINAL VENTILATION FAN Z <br /> DRINKING FOUNTAIN RPNGE HOOD — C� <br /> FLOOR DRAIN AIR IIANDLING UNIT— <br /> QF,M. ~' <br /> r. <br /> STOVE—WOOD L�1 <br /> VACUUM BREAKERS ' <br /> ROOF DRAINS— RAINLEADERS MEl'AL FIREPLACE 8 CMIMNEY _ <br /> SINK(SERVIGE— BAR.ETG.1 FIRcPLACE INSERT <br /> HEA7 PUMP <br /> H F- <br /> y •,. <br /> H �- <br /> SUB 70'�AL + 6 00 <br /> SUB TOTAL t 3 00 � �" <br /> PERMIT S PERMIT S . <br /> r TOTAL FEE S 3 00 C` � <br /> TOTAL FEE S � �� pLAN CHECK FEE y <br /> SI�E YARD SETBACK STREET SETBACN REAR YARD SETBACK PLAN CHECK N11A18ER O �'- <br /> 84/13818 FEE 32,83 F7ECEIPTNO. � <br /> EXIST NG 71560 '�y F. <br /> LOT AFEA VAGANT SITE ypLUATION FEE M <br /> USEZONE ;:YES XtYO FEES — <br /> R-2 � � <br /> TYPE OF CONST. OCCUPANGY GROUP NO.OF DWELLING UNITS _ � <br /> V-N R-3 1 BUILDING s5,000. 50 50 � � <br /> SIZ4 OF BLDG. NO.OF'_TORZ S MA%.OCG�LOA� pLUM81NG 6 OO � <br /> O � <br /> � ,:. <br /> FIRE ZONE BASEAIENT FIRE SPRINKLERS µECMANICAL 3 OO y <br /> REOUIRED x �� <br /> �,-YES �. NO ��TMER C7 , <br /> APPROVALS BY CATE C <br /> U.B.C. O f ' <br /> 1.ENVIRONMENTAL CHECK L15T PENALTY SEC.3071a1 (� � <br /> 2.B111L�ING PLANS 59 50 � � <br /> TCTAI z <br /> 3.FIREHYDHANT � r n .? <br /> � PERMI�VALIDATION ^ , <br /> 4.FIRE PROTECTION SYSLEM WMEN I'ROPEFLY VALIDATED(IN TMIS�SpACE)THIS IS YD'�R�E9MPT'--� <br /> S.GRADING. � <br /> 6.DRAINAGE � � . �' " __ � � <br /> 7.ENVIRONMEN7ALIMPACTS7ATEMENT � ' i1 � � �„ . . I�� �� <br /> B.HEALTH.OISTRICT �� �i� IJ <br /> APPLICATION ACC.BV PLANS GHECKED BY APPR. FOR ISSUANCE BY � _,� i '�� <br /> _.EB -JEF D� ..', � I�'I <br /> � : � -. <br /> o l <br /> � ADDRE.S F-,ILE <br />