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�l�� ��,"t,�c,� CO NST R U CTIO <br />����o� �� �,, <br />everett PERMIT PERMIT NO. 15606 <br />CITV MALL 259�87A5 <br />EVERETT, WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNFq MAIL AODRE55 CITY )�P PMONE <br />David Schruder 15607 OK Road Snohomish 98290 <br />ARCMITEGT OP DESIGNEH MqIL ADDNE55 CIiY ZIP pHONE <br />GENERAL CONTRqCTOR MAIL AOORESS CItY Z�P PHONE LICENSE � <br />Same <br />MECHANIGpL CONTRRGIOR MAIL AppRE55 CITY ZIP PMONE IICENSE � <br />VLUMBING CONTRAGTOR IAAIL ADORE55 QtY Zlp PMONE UCENSE � <br />❑ NEW ❑ A�DITION �CALTERATION ❑ REPAIR O DEMOLITION ❑ FENCE O SI�N ❑ WOOD STOVEIFIREPLACE INSERT <br />S 15��.�0 <br />DESCRIBE WORIt <br />Interior remodel <br />Single Family Residence Changed to Duplex <br />LRIPTION OF PROPERTY �SMOW BEl01Y OR ATfACH FOUR COPIES� <br />�0�1_92 B4�K 12 oF Pinehurst Div. A <br />6105 McDougal <br />PLUMBING <br />NO. TYPE OF FIM <br />WATEF CLOSET (TOILI <br />BATMTUB <br />LAVATORY�WASHBA: <br />SHOWER <br />KITCHEN SINK d DISP. <br />LAUNDRYTRFY <br />CLOTHES WASHER <br />WATER MEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />FOOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL i <br />PEHMIT { <br />TOTAL FEE i <br />SIDE YARD SETBACK STFEETSETBACK REAR <br />N/A N/A <br />USE ZONE LOT AREA VACAI <br />R-2 N/A :.:YES <br />V-N R-3 <br />SIZE OF BLDG. NO. OF STOflIES <br />988 Sq. Ft. 1 <br />FIRE ZONE BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CMECK LIFT <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />d. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. HEALTH <br />IMPACT STATEMENT <br />BY I PLANS CHECKED BV <br />JEF <br />1 <br />LOAD <br />UATE <br />I HEREBY CERTIFY THAT I HAVE READ ANG EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORFECT. 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 STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />?ERFORMANCE OF CONSTRUCTION. <br />S�GNAT E OF GO RACTOR OR AUTMOnRRED RGENi 11/�AfBS <br />%� � n.N)f;��/�,QrV�L A[i'a _ <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT FEE <br />AIR COND. 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 SYS'EMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT MEAlERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />GLOTHES DHYERS • <br />VEN71LA710N FAN <br />RANGEHOOD <br />AIR HANDLING U�JIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE S CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL S <br />PERMIT t <br />TOTAL FEE S <br />85/15606 I FEE16. 25 I RECEIPT NO. <br />FEES VALUATION �FE9�'E— <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTV <br />S 15��. <br />U.BD. <br />SEC.303 <br />TOTAL Z5 I�0 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIOATED (IN THJS$P,�1QE) THI�I�Yf�I}H Pf��.11T �;_�� <br />�>>� L7UU <br />i;:i <br />1� .� <br />n I" �'i� � i <br />a� , „�cr:i, � <br />. . ;.Il. � L � <br />I % i>_'J o 5 <br />ADDRESi PILE <br />� <br />� <br />H H <br />H '*J <br />H r] <br />� ' <br />t <br />O <br />� <br />M <br />�z <br />� <br />�H <br />N <br />'O*] � <br />� M <br />� <br />� <br />N <br />. � <br />� <br />5 <br />H <br />� <br />H <br />M <br />