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_ � <br /> I d�e F.�•erAreen <br /> ��T��F � ^ONSTRUCTION <br /> everett PERMIT PERMIT NO. 12 �i� �� <br /> CITY HALL 259�8745 <br />' EVERETT.WA98201 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEF MAILADDRE55 CITY 21� PMONE <br /> Doug Slattum 2210 Monroe Avenue Everett 98203 355-1272 <br /> AFCHITEGT OR OESIGNEP MAIL A��RE55 GITY ZIP PHONE <br /> GENERAL CONTqFGTOR MAIL ADDRESS CITV ZIP PMONE LIGENSE� <br /> MEGHANICAL CONTRAGTOR MAIL A�ORESS CITV IIP PMONE LIGENSE x <br /> PWMBING GONTRACTOR MAIL AODRESS CITY 21P PMONE LICENSE x <br /> CLA55 OF WONN <br /> O NEW $EA[`DITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT � <br /> VFLUATION OF W(1aN <br /> � s 10,U00.00 <br /> DESGRIBE WORK <br /> Add family room and second bedroom <br /> PROPOSED USE OF�UILOING <br /> single family residence I HEAEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGNLDESCRIPTIONOFPROPERTV�SHOW9ELOWORATTACHFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 11-12 30 Pinehurst Div. B GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �or_eiocrc_oF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A Z <br /> 0 <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE � <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR c� <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE !',' <br /> PER RMANCE OF CONSTRUCTION. <br /> SIGNA E OF CONTRA T fl 0 AUiMORIZED AGENT DATE <br /> JOB ADDPE55 ' �ql L <br /> 2210 Monroe Avenue X . ,, , . — - � -;i <br /> PLUMBING MECHANICAL " "i <br /> N 2 <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE c o <br /> WATERCLOSET(TOILE� NiR COND. UNITS- H.P. EA. m O <br /> ('> <br /> BATHTUB FEFRIGER/TION UNITS - H.P. EA. --1� <br /> LAVATORY(WASH BASIN) BOILERS- H.P. EA. � Z <br /> SF'OWER GAS FIREO A.C. UNIiS - iONNAGE EA. 2 -i <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS- 6.T.U. M EA. m �-+ <br /> DISi1YVA5MER WALL HEATERS - B.T.U. M �C z <br /> �AUNDRVTRAV UNIT HEATERS - B.T.U. M r S <br /> CLOTHES WASMER EVAPORATIVE COOLERS --I �/1 <br /> < <br /> WA7ER HEA7ER CLO7HES DRVE(iS � � <br /> URINAL VENTILATION FAN T � <br /> DRINKING FOUNTAIN RANGE HOOD = m <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. f'n N <br /> VACUUM BREAKERS STOVE-WOOD O r <br /> ROOF DRAINS- RAINLEADERS METAL FIHEPLACE 8 CHIMNEY C'�m <br /> SINK�SERVICE- BAR,ETC.) FIREPLACE INSERT C N <br /> N <br /> 'm <br /> HEAT PUMP � � <br /> . m <br /> a <br /> z <br /> � <br /> x <br /> SUB TOTAL i SUB TO7AL S Z <br /> PERMIi S PEHMI7 S <br /> � <br /> 70TAL FEE S TOTALFEE S � <br /> SIDE YAFD SETBACK STREET SET�ACK REAR VARD SETOACK PLAIJ CHECK NUMBC-R PLAN CHECK FEE N <br /> EXX 5' 20' z0' 83/12848 FEE 52.33 ���6T No' o <br /> USE ZONE LOT AREA VACANT SITE --� <br /> R-2 SS00 SQ• Ft. � �YESXX NO FEES VALUATION FEE .. <br /> n <br /> TYPE OF CONST. OCCUPANGV GROUP NO.OF DWELLING UNITS m <br /> V-N R-3 1 <br /> BUILDInG • s1O,000. BO SO <br /> SIZE OF OLDG. NO.OF STORIES MAX. OCC. LOAD — <br /> Add'n 498 Sq. t. 1 G PLUMBING <br /> FIRE ZONE BASEIdENT FIRE SPRINKLERS MECHANICAL <br /> ♦ REO SIREDwO I <br /> ]C <br /> APPROVALS BY DATE OTHEF <br /> 1.ENVIRONMENTAL CHECK LIST PENALTV U B.C. _ � <br /> SEC.303 1a) <br /> 2.BUILDING PLANS <br /> 3.FIREHYORANT T�TA� SO SO � <br /> 4.PIREPROTECTIONSYSTEM WH NITPROPERLVOALIDATEDpNiHISSRA�iE�THI�`IS1Yplfl�t{j�fj�AlT � <br /> S.GRADING b J 7 �� U D ll ) U <br /> 6.DRAINAGE <br /> � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT <br /> r� N ' <br /> , 8.NEALTH DISTRICT , ., n R C C L I PT ri <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR iSSUANCE BY <br /> � . �:��'��� ��� U <br /> sTc �aM i,c <br /> 1 �1 ��'� �4 <br /> .�i�u�:,�:�s �n: <br /> r � <br />