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`�`������T��oF r� `�ONSTRUCTIO� <br />everett PERMI I PERMIT NO. 1GO21 <br />CI7Y HALL 259�fl7A5 <br />EVERETT,'NA98201 � COMBINATION � BUILDING Q MECHANICAL �I PLUMRING <br />OWNER h1L.ILAOORE55 CITV ZIP PHONE <br />Bryan St Clair 220 76th Street S.W. Everett 98203_ 355-3108 <br />qRGMITECT OR UESIGNER MAIL A�C RESS CITY ZIP PHONF. <br />GENERALCONTNAGTOR MAILADDRESS dTV ZIP PMOHE UCENSE� <br />$dllle <br />MEGMANICALCONTRACTOR MAILADDRESS CITY ZIP PHONE IIGENSE� <br />VLUMBING CONTflACTOR MRII ADORE55 CITY ZIP PNnNE LICENSE Y <br />lCE NEW ❑ ADDITION ❑ ALTERATION O REPAIR G CEAIOLITION ❑ PENCE ❑ SIGN ❑ WOOD S70VFJF19EPLACE INSER7 <br />.U�TION OF WOHK <br />s 84,�00.00 <br />Construct Single Family Residence <br />PROPoSEO USE OF BUILDING <br />Single Family Residence <br />�or 9 e�ocK � oF Darling <br />ioa nooness <br />2501 West Mukilteo Blvd. <br />PLUMBIN6 <br />NO. TYPE OF FIXTURE OH ITEM <br />Z WATERCLOSET�TOILEn <br />Z BATHTUB <br />2 LAVATOFY�VJASHBASIN) <br />SHOWER <br />j KI7CHEN SINKB DISP. <br />1 DISHWASHER <br />LAUNDRYTRAY <br />j, CLOTHES WASHER <br />1 WA7ER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF ORAINS — RAINLEAOERS <br />SINK (SERVICE — BAR, ETC.� <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />SIDE YARD SETBAGK STREE7 SETBACK <br />7�i' 25' <br />USE ZONE LOT AREA <br />R-S <br />V-N R-3 <br />5lZE OF BLDG. NO. OF STORI�S <br />Ulb R .i <br />576-M <br />FIRE ZONE BASEMENT <br />None <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS �� <br />3.FIREHYDRANT "- <br /><. FIRE PROTECTION SYSTEM� <br />5. GRADING <br />B. HEALTH <br />APPLICATI <br />� <br />inwi — <br />ACC.BV 'PLANS CH <br />� STG <br />� <br />N35294 <br />I HEREBY CERTIFY THAT I HAVE PEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES <br />GOVcRNING THIS TYPE OF WORK WILL BE CGIAPLIED 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 THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATUREOFCONTHRCTORON UTMORREDAGENT DAiE <br />Y K_._ r�,c�� 2�/�-�6 <br />FEE �0. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />�.�7EFRIGERA710N UNITS — H.P. EA. <br />6�ILERS — H.P.EA. <br />GAS FIRED A.G. UNITS — 70NNAGE EA. <br />FORCEU AIR SYSTEMS — B.T U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DP.YERS <br />1 �ENTILATION FAN <br />1 RANGEHOOD <br />AIR HANOLING UNI7 — C.F,M. <br />STOVE — WOOD <br />METAL FIREPIACc 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />s zo i <br />S <br />S 20 1 <br />REAR YARD SETBAC <br />25' <br />`JACANT SITE <br />K.YES �,�.NO <br />NO. OF DWELLING U <br />1 <br />MAX.00C.LOAD <br />FIRE SPRINKLERS <br />REOUIRED <br />YES : <br />9Y DATE <br />ISSUANCE BY <br />SUB TOTI.: f <br />PERMI7 S <br />�O'AL FEE S <br />PLAN CHECK NUMBEa r�nrv entcn ree <br />66/16021 F`-E154.70 RECEIPTNO. <br />FEES VALUATION FE77E 9 <br />CI��LUING E 84,000. 385 00 <br />PLUMBING ZO <br />McCHANICAL ZZ OO <br />OiMER <br />PENALTY U.0 C. <br />SEC. 303 (a) <br />rorn� 417 00 <br />PERMIT VALIDATION r <br />WHEN PROPERLY VALIDATED QN THCS �SR4BE) THI�!,IS)V�jI�.F�Eq�AIT— �{ <br />Side Setback t��be 7�S' bfinimum 0 <br />; �'._�_;I:I{'I co <br />�-� <br />. . ,' •I � . . . .. T � _� �S <br />ADDRESS FIL�� ' "�� <br />i' �iJ;,6 <br />