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- '1 <br /> ''"� `�""r".,' ^ONSTRUCTION <br /> ��„ �F � , <br /> everett PERMIT PERMIT N0. 12070 <br /> CITY MALL 253�B7A5 <br /> EVERETT,lYA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> O NE❑ MAIL ApOPE55 CIiY .P PHONE <br /> . De:inis KauPp 10617 62nd Place West Everett 98204 793-1786 <br /> � RNCNITECT ON OESIGNER A1nIL POOPESS CITY Zi� PHONE <br /> GENERPL GONLMCiOR MAIL AOORESS QTY 21P PMON[ LILENSE/ <br /> Kaupp Construction Co. 743-1786 <br /> MECHRNICAL CONTRACTOR MAIL AOpRESS CITY Z�� PMONE �ICENSE I <br /> KAUPPC204DM <br /> PLUMBING GONIRAGiOP MAIL AOOPESS p7Y Z�P PMONE LICENSE M <br /> - , <br /> GLASS OF WORN <br /> �QJEW ❑ A�DITION ❑ ALTERATION ❑tiEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VALUATION OF WORK <br /> S 3Z� �00. 0� <br /> DESGRIBE 1YORK <br /> Construct Single Family Residence and g�ROS�� csr ort <br /> PROPOSCDUSEOF 9UIl01NG I HEREBY CERTIFY TH�T I HAVE READ AND EXAMINED THIS <br /> • Single Pamily Residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESCRIPTIONOFPROPERTY�SM0IYBEL0IYORATTACMFOORCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 12 BLOCK 9 oF Intercity Div. 1 GOVERNING THIS TYPE OF WORIC WI�L BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PHESUMETO GIVE AUTHORITYTO VIOLATE <br /> GA CAN EL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCr+� LAW REGULATI � G CONSTFUCTIOlV OR THE <br /> PERF �hANCE OF CON CTION. <br /> JOB ADUFE55 SIGN ��F CONiRACiOR Ofi F MORIZED AGENT T /` <br /> ' L� <br /> 9 East McGill Avenue X il,� Q <br /> PLUMBING MEC NICAL <br /> N0. TYPE OF FIXTURE OR ITElA FEE NO. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND.UNITS - H.P. EA. <br /> BATHTUB PEFRIGERATION UNITS - H.P. EA. <br /> LAVATORV(WASH BASIN� BOILERS- H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. <br /> ], KITCHEN SINK 8 DISP. 2 OO FORCED AIR SYSTEMS- B.i.U. 41 EA. <br /> 1 DISHWASHER Z OO WALL HEATERS- B.T.U. M <br /> LAUNDRV TRAY UNIT HEATERS - �.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> 1 WPSER MEATER 1 CLOTHES DRYEf'" <br /> IIRINPL VENTILATION FAN <br /> ORIIlKING FOUNTAIN ], RANGE HOOD Q <br /> FLOOR DRAIN AIR HANOLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE-WOOD <br /> ROOF DRAINS- FIAINLEACERS METAL FIREPLACE 8 CHIMNEY � <br /> SINK ISERVICE- BAR,ETC.) FIREPLACE INSERi <br /> MEA7 PUMP <br /> SUB TOTAL � 12 00 SUB TOTAL S <br /> PERMIT S PERMIT S <br /> TOTAL FEE 5 1 Z OO TOiAL FEE S 9 OO <br /> SIDE YARD SETBACK STREET SE7BACK REAR YARD SETBACK PLAN CMECK NUMBER PLAN CMECK FEE <br /> 6' 20' ZO' 83/12070 FEE131. 30 6��2��rNo. <br /> USE ZONE LOT AflEA VACANT SITE FEES VALUATION FEE <br /> R-1 � .YES XxNO <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 BUILDING 5 32 ,000. 202 00 <br /> S¢E OF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> 9S6 SQ. Ft. 1 Q PLUMBING 12 00 <br /> FIRE ZONE BASEMENT FIRE SPERpINKLERS MECHANICAL 9 OO <br /> R YESRxKNO � <br /> t� APPROVALS BY DAiE OTHEF <br /> U.B.C. <br /> 1. ENVIRONME4TAL CHECK LIST PENALTY SEC.309(B) <br /> 2.BUILDING PLANS oo TOTAL 3 Z 3 O O <br /> 3.FIREHVORANT � <br /> 4.FIRE PROTECTION SY�IEM ��MIT VALID�ON ��I � � � B���y^.• � <br /> N37AW'E VALIDATED(IN T PA E)THI I Y IT <br /> 5.GRADING,� <br /> � , � 6.ORAINAGE� O <br /> N 7.ENVIRONMEJJ7ALIM /�i TSTATEMENT N <br /> � 6.MEALTNDISTRIC7 0 - �� � [CEIPT 1'GU R RECEIPT •—+ <br /> A?PLIOA IO�J�CC.B , PLANS CHECKED BY APPR.FOR SSU`ANCE BY J \1 <br /> �° -��lc, xwM L�J . t YO U , i� .,1t l YO U <br /> �"' : , m <br /> --� - 2 ,nA 8 3 = 2 .� 8 3 <br /> W ADCR;S� iltE �. <br /> 1 <br />