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`'"�' "�""�"' C0 N ST R U CTI O N' <br />,�,,o� � <br />everett PERMIT PERMIT N0. ��01� <br />GTY HALL 259�8745 <br />EVERE7T,WA9B201 � COMBINATION � BUILDING C7� MECHANICAL ❑x PLUMBING <br />OWNE� MAILADORESS GITY 21P PMONE <br />Gladstone Schwesinger 1415 Dfukilteo Blvd. Everett 98203 252-6743 <br />ARCMITEGT OP OESIGNEP h1A4 ADCRE55 CITY 21P PHC4E <br />GENERFLLONTRPLTON <br />MAIL AOORE55 GITY ZIP PHONE LICCNSE � <br />$�e PMONE LICENSE w <br />MECMPNtCAL CONTRACTOR MAIL ApOFE55 CITY ZIP <br />P�UMBING GONTPACTOH <br />I.tAIL A00(iE55 CIiY ZIP PMONE IICENSE � <br />C NEW FC�CADDITION ❑ ALTERATION ❑ REPAIR � DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIFiEPLACE INSERT <br />s 9,000.00 <br />DESCRIBE \YORN <br />Addition to existing residence <br />Single Pamily Residence <br />25 Maple HEIGHTS <br />LOT_OIOCK_OF <br />J00 ADDRESS <br />1915 t4ui.ilteo Blvd. <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />1 WA7ERCLOSET�TOILEn <br />] OATH7U8 <br />1 LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN SINM1 & DISP. <br />OISHWASHER <br />LPUNORYTRAY <br />CLOTMES WASHER <br />N'A7ER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />F�LOOR DRAIN <br />`JACUUtA BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC� <br />SUB 70TAL <br />PERMIT <br />TOTALFEE <br />)SETBACK STREFTSETBA� <br />6� 20' <br />LOT AREA <br />R-1 <br />„p—NT. OCcAd�� n F <br />v <br />u nG. NO. OF STORIE <br />180 Sq. Ft. Add'nl 1 <br />t EIJVIRONMENTAL CHECK U5T <br />2. �JILOING PLANS " _ <br />3. FIRE HYDRANT � <br />d. FIRE PROTECTION SYSTEAI� <br />S. F�RAOI NG <br />6: CIRAINAGE � <br />7:h"NVIRONMENTALIMPACTSTATEMENT <br />.o �[nITUNCiGIf.T °..-- <br />I.0 tiWM <br />II <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />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 <br />LOCAL LAW REGULATING CONSTRUCTION OR TI1E <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURF OF CONTfiALTOR�f pj��� OA�ZE� AGENT DATE `,/..,f <br />v � L' / t- . /' /,: . � .. 1 �/..' ��— C' / <br />MECHANICAL ✓ <br />FEE NO. TYPE OF EOUIPMENT <br />2 OO A�R COND. UNITS — H.P. EA. <br />2 OO REFRIGERATION UNIiS — H.P. EA. <br />2 OO BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />PORCED AIR SYSTE�15 — B.T.�' M EA. <br />WALL HEATEFS — 9.T.U. h� <br />UNIT HEATERS — B.T.U. M <br />EVAPOflATIVE COOLERS <br />CLOTMES DRYERS <br />1 VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACE INSERT <br />HEAT PUAtP <br />> 6 00 <br />S <br />s 6 00 <br />REAR YARD SETBACK <br />20' <br />VACANT SITE <br />res xwo <br />NO. OF QWEI.LING UNII <br />1 <br />MA%. OCQ LOAD <br />8V IAPPR. <br />LC <br />SUB TO7AL <br />TOTAL FEE <br />CHEGK NUM11tltH ' <br />84/14016 FEE 48.43 <br />FEES VAIUATION <br />BUILDING 59�000. <br />PLUMBING <br />MECHANICAL <br />O7HER <br />5 <br />S <br />S <br />FEE <br />iCK FEE <br />71'A�S�; r No. <br />FEE <br />74 I50 <br />PFNALTY SEC. 303 (al _ <br />rorni 83 50 <br />PERMIT VAII�ATION — � <br />WHEN PROPERLY VALIDATE� QN THIS SCAGE� THIS 19 YOUji PEPMIT <br />. , 1 . .. � �", <br />� <br />'d- <br />I:'I � <br />