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ihe Erer,errc�� ��� J 0 N ST R U CT I 0 � , <br /> u�voF � 4 <br /> everett PERM �T PERMIT N0. 12354 <br />• CITY HALL 259�fi745 <br />� eveRerr,wn9ezoi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OW NER h1AIL AOORE55 <br /> CITY ZIP PNONE <br />' Doris Grannis 1505 Maple Everett 98201 <br /> CITY 21P PNONE , _ <br /> ARCNITECT OR DESIGNER MAIL PDOFESS . <br />� GENERAL CONTRAGTOR MAIL A�DRE55 <br /> CITY 21P PHONE LIGENSE I <br />' $dl[IC Z�p PHONE LIGENSEN <br />� MEGNANIGAL LONTRAG��R <br /> MAIL PODRESS GITY <br /> II CITV ZIP PMONh LICENSE� <br /> PLUMBING GONTRACTON MAIL A�ORE55 <br /> � CLASS Of WORN <br /> O NEW ❑ ADDI710N xI� ALTERATION O REPAIR ❑ DEMOLITION ❑ FENGE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WORK <br /> S ZrrJO�. �� <br /> �ESCRIBE WORK <br /> Add dormer to u st ' <br /> PROPOSED USE OF DURDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> single family residence qpPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL UESCRIPTION OF PROPERiY ISMOW BELOW OR ATfACH FOUR COPiES� �pRRECT. ALL PROVISIONS CF LAWS AND ORDINANCES <br /> d 5 314 Everett Div GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �ol'__BLOGK�OF 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 STPTE OR <br /> I.00AL LAW REGULATING CONSTRUCTION OR THE <br /> PERF�MANCE OF GONSTRUCTION. pATF <br /> J B AODRE55 SIGNA E OF NT R AUTHOPIZED AC NT � <br /> 1�05 Maple X � i �" /���� 8/23/83 <br /> M CHANICAL <br /> PLUMBING FEE <br /> NO. TYPE O� FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT <br /> 1 WA7ER GLOSE7ITOILEn Z AIR COND. UNITS- H.P.EA. <br /> REFRIGERATION UNITS- H.P. EA. <br /> BATHTUB <br /> DOILERS- H.P.EA. — <br /> 1 LAVA70RY�WASHBASIN) <br /> -- GAS FIRED A.Q UNI7S-TONNAGE EA. <br /> SHOWER <br /> FORCED AIR SYSTEMS- B.T.U. M EA. <br /> KITCHEN SINK 8 DISP. <br /> WALL HEATERS- B.T.U. M <br /> DISHWASHER <br /> UNIT HEATERS- B.T.U. �+1 <br /> LAUNDRYTRAY <br /> EyqppRATIVE COOLERS <br /> CLO7HES WASHER CLOTHES DRYERS <br /> WATER HEATER <br /> VENTILATION FAN <br /> URINAL <br /> RANGEHOOD <br /> DRINKING FOUN7AIN C.F.M. <br /> _ - AIR HANDLING UNIT- <br /> FLOOR DRA�N <br /> STOVE- WOOD <br /> VACUUM BREAKERS <br /> ROOF DRAINS- RAINLEAOERS <br /> METAL FIREP�ACE&CHIMNEY <br /> SINK(SERVICE- BAR,ETC.) FIREPLACE INSERT � <br /> HEAT PUMP <br /> I <br /> — SUITOTAI 5 6 00 SUBTOTAL = <br /> PERMIT S <br /> PF.'.rAIT S - TO7AL FEE S � <br /> TGTALFEE = pLAN CNECK FEE <br /> SIOE YARD SETBACK STREET SETBACK F7EAR YARD SETBACK PLAN CHECK NUM6ER FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE pEES VALUATION FEE � <br /> I YES ;=NO <br /> 7YPE OF CONST. OCCUPANGY GROUP N0.OF DWELLING UNITS <br /> BUILDING 52500. 38 SO <br /> SIZE Of BLDG. NO.OF STORIES MA%.OCC.LOAD pLUMBING 6 � <br /> FIREZONE BASEM[NT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> YES : NO <br /> APPROVALS BY CATE <br /> OTHER <br /> u.s c. 3 8 5 0 <br /> 7. ENVIRONMENTAL CHECK LIST PENALTY SEC.3071a) <br /> 1 <br /> 2.BUiLDINGPLANS TOTAL 83 00 <br /> 9.FIRE HYORAN7 � pENMIT VALIDATION ,] J] <br /> � " 4.FIRE PRO CTION TEM WHEN PRO�ERLY VALIDATED pN THI�$'�)TH15�56'OJ1q?�q�T'-�� <br /> y . s.cn�oi — M � <br /> � 6.D W GE _ • � <br /> 7.E RQ�AENTAL ACTSTATEMENT 1',��� �\ KEC E 1 Pt� <br /> ' e. T iSTRior" �i HAIVK YOU <br /> � APPLI QN ACC.� PLANS CHECKED BY APPR. FOR ISSUANGE BY <br /> ' O m � DAB DAD � . <br /> 0 <br /> � � — 13a� 83 <br /> (� ADDRESS PILC- <br /> � — � <br />