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the Eo CITYOF - `'ONSTRUCTION <br />CITY OF � <br />everett PERMIT PERMIT NO. 09911 <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 ❑ COMBINATION UBUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNtR MAIL ADDRESS CITY ZIP PHONE 1 <br />Robert Bossarte 3520 Oakes Everett 98201 252-1949 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE # <br />Douglas M. Heinzen P.O. Box 285 Lakewood 98259 652-6249 M236QP <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE # <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# <br />❑NEW XADDIT10N ❑ALTERATION [I REPAIR LIDEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />a 5200.00 <br />DESCRIBE WORK <br />in, —RI <br />PROPOSED USE OF BUILDING <br />single family residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />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 />SIGNATU OF CONT CTOR OR AUTH IZEDUAGENT DATG 1 <br />X �� 10/LLIH/81 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW^FLOW OR ATTACH FOUR COPIES) <br />21-27 <br />LOT LOCK_85' )F " II <br />� G Everett Div. M <br />JOB AD RESS <br />3920 Oakes <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA, <br />_ <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA, <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK & 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 — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />_ <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />_ <br />ROOF DRAINS — RAMLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC) <br />SUBTOTAL <br />SUBTOTAL f <br />_ <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />S <br />TOTAL <br />FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />81/9911 <br />PLAN CHECK <br />FEE 36.73 <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />F <br />TYPE OF CLNST. <br />V-N <br />OCCUPANCY GNOUP <br />Addition R-3 <br />NO. OF DWELLING UNITS <br />1 1 <br />BUILDING <br />$ 5200.00 <br />S 6 <br />S O <br />SIZE OF BLDG. <br />16 Sq. Ft. Add <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />°LUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIR�p <br />DYES 20A0 <br />MECHANICAL <br />- <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1, ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B C. <br />SEC. 303(a) <br />2. BUILDING PLANS <br />TOTAL <br />56 <br />50 <br />1 FIRE HYDRANT <br />4 FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />T - 7 T r^ 1 <br />ti <br />T <br />Cr <br />( (? <br />C <br />. I <br />5, GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACTSTATTMF.NT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />HWM <br />APPR. FOR ISSUANCE BY <br />I _ I <br />ADDRESS FILE <br />