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c���r,��r. .v:� oa.o� �! COMBINATION i�BUILDING L� MECHANICAL `i PLUMDII�G <br /> CWl1L11 NA�LAOORE55 CITY 21P PNON[ <br /> Ben Jeffris 10714 Marine View Drive Everett 98209 355-5695 __ <br /> ARGNItECTOR0E51GN[R MAILPDDPE55 CITY ZIP PlIONE <br /> GENERAL CONTRACTOF MAIL AODRESS CITY ZIP PHONE LICENSE I <br /> Same <br /> hl[CNANICAICONTRACTOR MNILAD�RE55 CITY ZIP PHONE LICENSEI <br /> PWMBINGCONTRFGTOR MAILAODflE55 CITY 21P PHOYE LICENSE� <br /> ��A55 Oi W ORN <br /> ❑NEW ❑AODITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORN <br /> s rJ���0�.�0 <br /> DESGRIBE WORK <br /> Afoving Residence from Snohomish Count to <br /> eaorosEo use oF euaoiNc <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> IEGAL�ESCRIPTION OF PPOP[RTY�SHOW BEIOW OR ATfALH FOUR COPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior Z BLOGK 8 OF Intercit 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 CANCELTHE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR TH PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRE55 X NAT q�Of CONiRAC AUt p�0 PGENi DATE <br /> L / <br /> 21 East McGill — <br /> PLUMB�NG CHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. / TYPE OF EOUIPMENT FEE <br /> I. WATER CLOSET(TOILEn AIR C6ND.UNITS—H.R EA. <br /> BATHiUO 2 I7EFRIGERATION UNITS—H.P.EA <br /> LAVATOPY�WASH BASINI BOILERS—H P.EA. <br /> SHOWER GAS FIPED A.C.UNITS—TONNAGE EA. <br /> 1 KITCHEN SINK 8 DISP. FORCED AIR SYSiEMS—BT.U. M EA. <br /> 1 DISHWASHER �7ALLHEAiERS—�T.U. M <br /> LAUNDRY TRAV UNIT HEATERS—�T.U. M <br /> .1 CLOTHES WASNER F.VAf'OFATIVE COOLERS <br /> 1 WATER HEATEF CLOTNES DRYERS _ _ <br /> URINAL VENTILATION FAN <br /> �RI�'KING FOUNTAIN RANGE HO00 <br /> FLOOR DRAIN AIR H�NDUNG UNIT— C.F.M. <br /> VACU"M BREAKERS STOVE <br /> ROOF DRAINS—RAINLEAOERS METAL F��LPIACE d CHIMNEY <br /> SINK ISERVICE—�AR.ETG� — <br /> SUBTOTAL SUBTOTAL f <br /> PERMIT S PERMIT s _ <br /> TOTALFEE S TOTALFEE S _ <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CNECK FEE <br /> 6 ' 20 ' Zp � 80/8219 FEE 93.50 502n6� <br /> USE ZONE LOT AREA '/ACANT SITE FEES VALUATION FEE <br /> ��'ES L]NO <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> V-N R-3 1 BUILDING s 50 ,000. 187 00 <br /> SIZE OF PLDG. N0.OF S70RIE5 MA%.OCC.LOAD <br /> 1 PLUMBING ],4 00 <br /> FIRE ZONE BASEMEN7 FIRE SPRINKLERS MECHANICAL <br /> REOUIRE <br /> 3 riOriO L�VES C <br /> APPROVALS BY DATE O7HER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U 8 C <br /> SEC.3031a) <br /> 2. BUILDINGPIANS 201 00 <br /> TOTAL <br /> 3. FIRE HYDRANT .c <br /> 4. FIRE PROiECTION Sv PEHMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(IN iH15 SP1A10E)THI51S YOUR PERMIT <br /> 5. GRADWG , � 4 5 Z $ I 8 /. O 0 �� � <br /> � 6. ORAINAGE�.._ bq <br /> 7. ENVIFONMEIITAL IMP�QT STATEMENT ' �' <br /> �B. HEALf� 7� ,� . J �i � ��'C�IPTO <br /> �APPLICATIOIlACC.BY �PLANS CHECKED BV APPR.FOR ISSUANCE BV ; I�",'��K YG U <br /> � � � v.c. <br /> (l rn <br /> C -D <br /> � - 9 �EP fi 0 <br /> ADDRESS FILE <br />