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�`"��'���Y��' � � '� �ONSTRUCTI01� � �� <br />e�rett � pERMIT PERMIT N0. 16204 <br />CITY HALL 45B�B7d5 <br />�7 �v�E(�r�+��2Q1 � � GbM�INATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBINO <br />OWNER MRII ApORE55 CITY 21P PNONE <br />CHILELLI CONSTRUCTION 1926 - 49th 5t W Everett WA 98203 355-9412 <br />�NCMITECT OR OESIQNEP MRIL FppPE55 CIiY ZIP PMONE <br />6ENER�L CONTR4CTOR MAII AU�RF.SS CITY ZIP PMONE LICENSE / <br />Same <br />MECHANIC�L LONTHRCTOA MRIL ADDRE55 QTY 21P PHUNE LIGENSE � <br />PWMBING CONTR�CTOH M�IL �DDRE55 ��TY 21P PNONE LICENSE � <br />� � NEW ❑ ADDITION ❑ ALTERATION ❑ Rf��::IR O OEMOLITION ❑ FENCE O SIGN O WOOD SiOVEIFIPEPLACE INSERT <br />VAlUAT10N OF WORK <br />f5��0�0.00 <br />New single family residence <br />PROPOSEO USE OF BUILOING <br />Single family residence <br />wrZ awcK_or <br />rwreiNo <br />N0. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILEn <br />BATHTUB <br />LAVATOHV �VJASM BASIN) <br />SHOWER <br />1 KITCNENSINK6DISP. <br />LAUNORYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />RQOF �RAINS — RAINLEAOf <br />SINK (SERVICE — BAH, ETC.) <br />SUB TOTAL L <br />PERMIT f <br />TOTALFEE f <br />x9X 6' I 20' <br />R-1 <br />V-N <br />8000 sf <br />LUPANCY G(i� <br />R-3 <br />. OF STORIES <br />1 <br />APPROVALS <br />1.ENVIRONMENTAL CHf.�K LIST <br />2. BUILDING PLANS <br />3.FIREHYORANT �n <br />l FIRE PROTECTION SVSTEItP <br />5. GRADING <br />C:ORAINAGE � c-> <br />APPLICATION ACC: <br />cc <br />��. mm "_ <br />� <br />9 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAUE TO BE TRUE AND <br />CORRECT. 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 />LOC� LAW REGULATING CONSTRUCTION OR THE <br />PERFO➢191ANCE OF CO�CTION. <br />SIdNATieb�4F COIfRACTOI(A EDAOENT DATF _ <br />FEE N0. TYPE OF EOUIPMENT <br />AIR CONO. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FOFCED AIH SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. IA <br />Z EVAPORATIVE COOLERS <br />2 OO � CLOTHES ORVERS <br />VENTILATION FAN <br />� RANGEHO00 <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WO00 <br />j METAL FIREPIACE d CHIMNEY <br />FIREPLACE INSER7 <br />HEA7 PUMP <br />k'ES ..NO <br />10. OF DWELIIN <br />� <br />IA%. OCC. LOAD <br />4 <br />IRE SPRINKLE(i: <br />IEOUIRED <br />VFS :NO <br />BY DA1 <br />lc <br />SUB TOTAL f <br />PERMIT t <br />TOTAL FEE f <br />�LAN CHECK NUM6EF PLHN (.MtGR Ytt <br />86/16204 FEEj QO. Qg I 789�GE1PT NO. <br />_ �L9 <br />FEES I VALUATION I FEE <br />BUILDING I S 51 ,���. <br />PLUMBING 'L0 <br />MECHANIGAL 2CJ <br />OTHER <br />PENALTY I SECV303 (a1 <br />TOTAL I I 331 ,IS� <br />PEPMIT VAIIDATION <br />WHEN PROPERLY VALIDATE� IIN TMI I 5 5Cn THIS�Sy O F� PF�iI�IT— �. � <br />L e uu <br />$45.82 due on plan check .- <br />BY <br />ADDRESS FILE <br />�• • <br />� ,, .. _:�:ir-r; : <br />'.1.:U <br />� , � <br />n uo <br />