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�hcErCri�rccn ��-- � ^ONSTRUCTIO �' �� <br /> everett PERMIT PERMIT N0. 14657 <br /> CITV HALL 259�8745 <br /> EVERETT,WA 98201 � COMBINATION �xI BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILADDPESS CIiY ZIP a/a� PMONE <br /> 9 <br /> Paul M. Kukowski 2615 Maple Everett 98201 2633 <br /> PRCMIiECT OR DESIGNER MAR ADORESS CITY ZIP PMONE <br /> GENERAL GONTHACTOR MAIL ApOPE55 CITY ZIP PMONE LICENSE I <br /> Same <br /> MECMANICAL CONTRRCTOR MRIL ApORESS CITY 21P PHONE LIGENSE• <br /> PLUMBING CONiPACTOR MAIL AD�RESS CITY ZIP PMONE UCENSE� <br /> LLASS OF WOflK <br /> ❑ NEW ❑ ADDITION � ALTERATION ❑REPAIR � DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD S70VEIFIREPLACE INSERT <br /> VALIIRTION OF WOflN <br /> S 8270.�0 <br /> DESCRIBE WORK <br /> Addition � <br /> PROPOSED USE OF BUILDING n <br /> Sin le Famil Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS tr� <br /> g APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCRIPTIONOFPROPEfltt�5HOW8ElOWORATfACMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �0�-10 PLOCK 365oF Everett Div. N 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 CANCEL THE PROVISIONS OF ANY OTHER STATE OR y � <br /> LOCAL LAW REGULA'ING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. � � <br /> J08 ADORESS SIGNATURE OF CONTRAG OR OR RUTHO ED AGENT DATE � <br /> 1817 Oakes j( <br /> PLUMBINO MECHANICAL "d' <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE � <br /> WATERCLOSET(TOILEn A�R COND.UNITS– H.P. EA. <br /> M <br /> — BATHTUB REFRIGERATION UNITS – H.P. EA. � Z <br /> 1 IAVATORY(VYASH BASIN� 001LERS– H.P. EA. � <br /> SHOWER GAS FIRED A.C.UNITS–TONNAGE EA. � M <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS– B.T.U. M EA. N <br /> DISHWASHER WALL HEATERS– B.T.U. M � � <br /> LAUNDRY7RAY UNIT HEATERS– B.7.U. M <br /> 1 CIOTHES WASHER 2 �p EVAPORATI'JE COOLERS � <br /> N <br /> WATER HEATER CLOTHES DRVERS N <br /> URINAL VENTILATION FAN '�" <br /> ORINKING FOUNTAIN RANGE HOOD f'; <br /> �17 <br /> FLOOR DRRIN AIR MANDLING UNI7– G.F.M. . � <br /> VACUUM BREAKERS STOVE–WOOD <br /> ROOF DFAINS– RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE– BAR,E7G.) FIREPLACE INSENT � <br /> HEAT PUMP <br /> � <br /> M <br /> N <br /> SUB TOTAL f SUB TO7AL S � 00 <br /> PEHMIT f PERMIT S � <br /> TOTAL FEE f 5 TOTALFEE f � <br /> SIDE YARD SETBACK STREETSETBACK REAR YAPD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> N�A N/A FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE 85 14657 <br /> R-2 ��.YES X}NO FEES YALURTION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 BUILDING S B��O. �4 SO <br /> SIZE OF B.OG. NO.OF STORIES MA%.OCC. LOAD <br /> 960 Sq. Ft. 1 q PLUMBING 6 00 <br /> FIREZONE BASEMENT FIRESPRINKLERS MECHANICAL <br /> REQUIRED 3 OO <br /> YES . NO <br /> APPpOVALS BY D11TE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENA�TY U.B C. <br /> SEC.307 la) <br /> 2.BUILDING PLANS TOTAL 83 50 <br /> 9.FIRE HYDRANT <br /> 4.FIRE PROTECTION SYSTEM�� PEHMIT VALIDATION � � � G � �-- I <br /> S.GRADING WHEN PROPERLY VALIDATED(IN THIS SPAC��,T�iI515 YOUR PERMIT �' � <br /> B.ORAINAGE � �� � <br /> 7.ENVIPONMENTALIMPACTSTATEMENT `- ' . � <br /> B.HEALTH DISTRIC7 ' � � <br /> APPLICATION AGC.BY � PLANS GHECKED BY APPR. FORISSUANCE 9Y ' <br /> EB JEF LC <br /> � � ADDRFSS FlL[ , <br /> s <br />