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everett PERMIT PERMIT NO. 13767 <br />CITV HALL 259�87d5 <br />EVERETT,WA98201 � COMBINATION G{� BUILUING �C MECHANICAL � PLUMBING <br />OWNEF MAILADOFE55 CITY ZIP PMONE <br />Randy Nichols 2509 Mukilteo Blvd. Everett 98203 347-2834 _ <br />APGMITEGT OR OESIGNER fAAIL A�OPE55 L17Y ZIP VMONE <br />GENEAAL CO'RPRLTOR MAIL ADORESS CITY LIP PMON � UCENSE � <br />Same <br />MECMANIGAL CONTRACTOR MAIL ADOPESS CITY ZiP PMONE LICENSE / <br />PLUMBIN4 GONTflRGTOri IAA�L A��RE55 CITY 21P PHONE I.IGENSE � <br />❑ NEW O ADDITION � ALTERATION G REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />VALUATION OF WUMrt <br />s 5760.00 <br />Construct 20'x24' Garage <br />Noroseu unc ur �������.� <br />Single Family Residential Garage <br />�or 8 e�ocK � oF Darlington Farcel 1 <br />2509 Mukilteo Blvd. <br />PLUMBING <br />NU. TYPE OF FI%TURE <br />{I �1NAtER CLOS—ET (T—OILET) <br />BATHTIII 9 <br />SMOWH <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER MEATER � <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR. ETC.) <br />SUB TOTAI <br />PERMIT <br />707AL FEE <br />iIDE YARD SETBACK STREE7 SETBP <br />7�` 25' <br />1SE ZONE LOT AREA <br />R-3 <br />fYPE OF CONST. OGCUPANCY ( <br />V-N <br />512E OP B! DG. N0. OF S70RII <br />480 S . Ft. 1 <br />FIRE ZONE BASEMENT <br />APPROVALS <br />1. ENVIRONMENT4L CHECK LIST <br />2. BUiLDING PLANS <br />]. FIRE HYDRANT <br />6. FIRE PROTeCTION SYSTEM <br />5. GRADING <br />6. �RAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTM DISTRICT <br />APPLICATION ACC. 8Y <br />EB <br />S <br />S <br />5 <br />JK FEAR YARD SETBACK <br />25' <br />VACANT SITE <br />. �.VES . }6fb <br />ROUP NO. OF DWELLING U41T5 <br />M 0 <br />S MAX.00C.LOAD <br />N/A <br />I'IRE SPRINKLERS <br />REOUIRED <br />YtS j�0 <br />BY �ATE <br />S CHECKED BV <br />HWM <br />LC <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION ANG KNOW THE SAMe TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDI�ANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR IvOT. 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 �-AWl RE�ULATI �CONS�RUCTION OR THE <br />PERFa'1F(MANC�F,.6F C N G%F6N�' <br />SIGNATynE—'J_F GONT � �RIiJA A�Nt �Ar <br />X � � �� �'�,�� <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />AIR CON�. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. _ <br />BOILERS — H.P.EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEIAS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. �' <br />UNIT HEATERS — B.T.U. M <br />EVAPORA7IVE COOLERS <br />CLO7HES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANCLING UNIT — GF.M. <br />S70VE — \NOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPlACE1NSERT <br />HEAT PUMP <br />SUB TOTAL <br />PERMIT <br />iOTAL FEE <br />84/13767 IFEE3G.73 <br />FEES VALUATION <br />BUIIDING <br />PLl1MBING <br />MECHANICP� <br />OTMER <br />PENALTY <br />5 5760.00 <br />(a� <br />Fee <br />� <br />5 <br />5 <br />CHECK FEE <br />HEC8IPT �lO. <br />71507 <br />FEE <br />�T— <br />56 50 <br />TOTAL I I 'SG I S� <br />PEPMI7 VALI[lATION <br />WHEN PROPERLY VAIJDATEO(IN TM�S$PA�E) iHISI$�Y�pUfi PEf�M1T � <br />� �7b �U <br />r- <br />m <br />i'. !'' , , I ' ' <br />.I�. I <br />t♦ � <br />r,vvn'c.ia FiiE <br />' , <br />