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, , r--- ,. <br /> I <br />` �heEvC�ron '' G�NSTRUCTION ' .--� <br /> everett PERMIT PERMIT Na. Q-104 <br /> CITY.1ALL 259�87a5 <br /> EVERC-Tf,WA yB201 ❑ COMEiINATION �BUILDING ❑ MECIiANICAL ❑ PLUMBING <br />' OWNCN MAlLRU0RE55 QTY ZII ���—��q10NE •.-- •. �. ••�.�� <br />' Chuck Good 11 n Maple_ F.vPrett gg pl ���3:i2 _ <br /> ARCNITECT OP OFSIGNER MAIL AD�PE55 QTY ZIP PN(iNE <br /> Owr�er <br />, GENERAL.:ONTRACTOR MFI�AODPESS CITY 21P PMONE �ICENSE/ <br /> Handy Auilders P. 0. �ox 1798 Fv .-Prr qst�nh 2 -1966 <br />` M[CMANICAICONTNACTOR MAILAD�RESS CITY ZIP PHON�A_ND�o�E. � <br /> 'i6PD <br /> PL6MBINGCONTRACTOR MAIIADppE55 CIiY ZIP pHONE �ILENSEI <br /> ClASS OF WORK <br /> ❑NEW ❑ADDITION �A�TERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VFWATION OF WORK — <br /> �,180.00 + 117 .72 Tax <br /> DESCRIBE WONK <br />� enclose patio into bedroom <br />� PAOPOSED USE OF BUILUING <br /> Bedroom I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEWLOESCRIPTIONOFPPOPERTV�SHGN'BELOWORATTACNFUURfAPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> LOT24—Z S BLOC�OF Everett Di ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> TYPE OF WORK WILL BE COtv1PLIED WITH WHETHER SPECIFIED <br />` HEREIN OR NOT. THE GRANTING Of A PERMIT DC�S NOT <br />� N 4387-226-0240008 PRESUMETOGIVEAUTHORITYTOVIOLATEORCANCELTHEPRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW RECULATING <br />� CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRE55 SIGNATUP .ACTOR AUTH RI p GENT p�TE <br /> X / <br />� ,s ✓� <br /> i PLUMBINO MECHANICAL <br /> I NO. TYPE OF FIXTURE Oa ITEM FEE NO. TVPE OF E�UIPMENT FEE <br /> I _ WATER CLOSET ROILET� AIR COND. UEI75—H.P.cA. <br /> f BATHTUB qEFRIGERP',ION UNITS—Ii.P.EA <br />' LAVATORY(WASH BASIN) 501LERF—H.P.EA. <br /> 1 � SHOWER GAS FI�7ED A.C.UNITS—TCNNAGE EA. <br />� KI7CHEN SINK 8 DISP. <br /> f FORCED AIR SYSTEMS—B.T.U. M EA. <br />� DISHWASHER WAL NEATERS—B.T.U. M <br />'� LAUNDRV TRAY UN'f HEATERS—B.T.U. M <br /> CLOiHES WASHER EIAPORATIVE COOLERS <br /> WATER HEATER CLO7HE5 DRYERS <br />� URINAL VENiILATION FAN <br /> DFINKING FOUNTAIN RANGE HOpD <br /> FLOOP DRAIN AIR HANDLING UNIT— GF.M. <br />� _ VPCUUM BREAKERS STOVF <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br />�'� — SINK ISERViC:—BAR.ETC.� <br />/ <br />' <br />� 817!TOTAL _ SUB TOTAL t <br />� � PERMIT f PENMIT f <br />� TOTALFEE S TOTALFEE { <br />� SIDE iARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN C4ECK FEE <br /> 5 �4�� �5 � 35 ' FE RECEIPTNO. <br />� 7104 �2 .00 45712 <br />� USE 20NE LOT nREA VACAN7 SITE <br /> GOOO ❑YES ❑NO FEES YALUATION FEE <br />�� TYPE OF CANST. OC:,UPANCY GROUP NO.OF DWELLING UNI7S <br />�f SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD BUILDING -L � 1$O . O O Z 4 O O <br />� PLUMBING <br /> FIRE ZONE BASEMEN7 FIRE SPRINKLERS <br />�� REQUIRED IAECHANICAL <br /> ❑YES t7N0 <br /> i� APPpOVAL6 BY DATE OTHER <br /> 7. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> I� 2. BUILDING PLANS SEC.303(a) <br /> 3. FIPE HYDRANT TOTAL <br /> 24 00 <br /> a. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5. fRADING <br /> WHEN PROPERLY VALIDATED(IN THIS SPnGE)iHIS IS YOUR PEPMIT <br /> 6. ORAINAGE O t 9 6 S O ��. O�� ���2' � <br /> J <br /> 7. ENVIRONMENTAL IMPACT STATEMENT � <br /> t1. HEALTH DISTRICT . � � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY ,Y`J.�U'!'< . I�E;G E I�P� <br /> , 7F-IANK Yp:IJ <br /> ADDRESS FILE ) R DEC ]9 <br />